Heart and Chest - Intracranial Bleeding Risk from Thrombolytic Therapy of MI

Critical Care, Heart and Chest, Brain and Spinal Cord

Intracranial Bleeding Risk from Thrombolytic Therapy of MI

Select Criteria:

		Patient 75 years old or older (1 point)
		Patient of Black race (1 point)
		Patient is female (1 point)
		Prior history of stroke (1 point)
		Systolic BP >= 160 mmHg (1 point)
		Body weight less <= 65 Kg for women, <= 80 Kg for men (1 point)
		INR > 4 or prothrombin time > 24 seconds (1 point)
		TPA used instead of another thrombolytic (1 point)

Results: Total Criteria Point Count:

Risk of Cerebral Bleeding

0-1 points:	0.69% Risk
2 points:	1.02% Risk
3 points:	1.63% Risk
4 points:	2.49% Risk
5-8 points:	4.11% Risk

References

Brass LM, Lichtman JH, Wang Y, et al. Intracranial hemorrhage associated with thrombolytic therapy for elderly patients with acute myocardial infarction. Stroke. 2000; 31: 1802-11.

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