Author + information
- Patrick Lyden, MD, FAAN, FAHA⁎
- ↵⁎University of California San Diego, Stroke Center, 200 West Arbor Drive, San Diego, California 92103
I greatly sympathize with Dr. De Marco and colleagues; we all wish there would be a way to avoid the need for a brain image after stroke. The reality for us all is that, in 2008, there is no reliable way to sort out a hemorrhage from an ischemic stroke. I concur that the odds favor an ischemic etiology in cath lab strokes, but by no means is the cath lab patient immunized against hemorrhage. Given that thrombolytic therapy would be a disaster in a patient with hemorrhage, it is difficult for me to see any way to avoid a quick computed tomography scan to ascertain that the patient did not bleed.
- American College of Cardiology Foundation