Anaphylactoid reactions and angioedema during alteplase treatment of acute ischemic stroke
- PMID: 10813008
- PMCID: PMC1232409
Anaphylactoid reactions and angioedema during alteplase treatment of acute ischemic stroke
Abstract
Among 105 patients given recombinant tissue plasminogen activator (rt-PA, alteplase) intravenously for acute stroke, 2 (1.9%) had lingual angioedema, which progressed to a fatal anaphylactoid reaction in 1. The authors review the 2 cases and possible mechanisms responsible. They warn that patients who are taking an angiotensin-converting-enzyme inhibitor may be at increased risk for angioedema with concomitant alteplase therapy.
Comment in
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Reactions to alteplase in patients with acute thrombotic stroke.CMAJ. 2000 Aug 22;163(4):387-9. CMAJ. 2000. PMID: 10976251 Free PMC article. No abstract available.
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