Ischemic Stroke
Conditions
Keywords
stroke, transcranial doppler, cerebral blood flow, cardiac output, non-invasive hemodynamic monitoring
Brief summary
This study investigates if there are hemodynamic alterations in acute stroke that predispose patients to impaired perfusion and regulation of cerebral blood flow. To test this, we will target recruitment of acute ischemic stroke patients who present to the ED within 12 hours of symptoms onset. Enrolled subjects will receive continuous noninvasive hemodynamic monitoring contemporaneous with measurements of cerebral blood flow velocities and cerebral oximetry.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Suspected ischemic stroke within 12 hours of symptom onset * NIHSS ≥ 4 * Age 18 to 90 years
Exclusion criteria
* Baseline modified Rankin Scale \> 3 * Pregnancy * Intracranial hemorrhage on head CT * Mechanical ventilation prior to enrollment * Inadequate temporal windows for TCD analysis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in cerebral blood flow velocities | initial 24 hours | Cerebral flow velocities determined by bilateral MCA measurements by TCD |
Countries
United States