An Appraisal of the 2018 Guidelines for the Early Management of Patients with Acute Ischemic Stroke

摘要

On January 24, 2018 the American Heart Association (AHA) released the Guidelines for the Early Management of Patients with Acute Ischemic Stroke [1]. The intended purpose set forth by the writing committee was to provide recommendations to clinicians caring for adult patients with acute ischemic stroke. The target audience included prehospital care providers, allied health professionals, and hospital administrators. Acute care of suspected large vessel occlusion (LVO) patients and its influence on prehospital triage and stroke systems of care represent key topics of this guideline. The aim of this commentary is to highlight areas where, in the opinion of the authors, the guidelines are inconsistent and fail to adequately address the relevance of the available data to real-world clinical practice.