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Failure of heparin to prevent progression in progressing ischemic infarction
Journal article   Open access   Peer reviewed

Failure of heparin to prevent progression in progressing ischemic infarction

E C Haley Jr, N F Kassell and J C Torner
Stroke (1970), Vol.19(1), pp.10-14
01/1988
DOI: 10.1161/01.STR.19.1.10
PMID: 3336887
url
https://doi.org/10.1161/01.STR.19.1.10View
Published (Version of record) Open Access

Abstract

Anticoagulation with heparin is frequently recommended for patients with progressing ischemic cerebral infarction, yet little data is available detailing the acute results of treatment with this agent. We report the results of continuous intravenous heparin treatment in 36 consecutive patients admitted with progressing ischemic infarction, all of whom had computed tomography scans to exclude the diagnosis of hemorrhage prior to treatment. Overall, 18 of 36 (50%) had continued neurologic worsening despite treatment. The incidence of further worsening was greater in carotid territory infarctions (14 of 19, 74%) than in either vertebrobasilar (2 of 8, 25%) or lacunar (2 of 9, 22%) infarctions (p less than 0.05, Fisher's exact test). These observations suggest that additional controlled studies of the efficacy of heparin in progressing ischemic infarction are warranted.
Heparin - therapeutic use Ischemic Attack, Transient - prevention & control Cerebral Infarction - prevention & control Humans

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