Evidence map›Paper›PMID 15191703›Full record

ReviewCurrent atherosclerosis reports2004

Therapeutic time window of thrombolytic therapy following stroke.

Peter D Schellinger, Steven Warach

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current atherosclerosis reports, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Circadian clock regulation of hemostasis: a systematic review of molecular pathways.Research and practice in thrombosis and haemostasis · 2026
    Pooled it
  2. Article
  3. Clinical review of stroke care at National District Hospital, Bloemfontein.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023
    Article
  4. Review
  5. Article
  6. Review
  7. Angiogenesis-regulating microRNAs and Ischemic Stroke.Current vascular pharmacology · 2015
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Stroke imaging research road map.Neuroimaging clinics of North America · 2011
    Review
  13. Neuroimaging of cerebral ischemia and infarction.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2011
    Review
  14. Imaging of acute ischemic stroke.Neuroimaging clinics of North America · 2010
    Article
  15. Brain Attack : Time to Act Now.Medical journal, Armed Forces India · 2009
    Article
  16. Heart-fatty acid-binding protein as a marker for early detection of acute myocardial infarction and stroke.Molecular diagnosis : a journal devoted to the understanding of human disease through the clinical application of molecular biology · 2005
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Peter D SchellingerNeurologische Universitätsklinik, Im Neuenheimer Feld 400, D-69120 Heidelberg, Germany. Peter_Schellinger@med.uni-heidelberg.de
Steven Warach
Heidelberg University · DENanotherapeutics (United States) · US

Funding

Section on Stroke Diagnostics and TherapeuticsZ01NS002975 · NINDS · NEUROLOGICAL DISORDERS AND STROKE · PI WARACH, STEVEN JAY · 1999 to 2005
–
6 · The paper itself

Abstract

Stroke is the third leading cause of death after myocardial infarction and cancer and the leading cause of permanent disability and of disability-adjusted loss of independent life-years in Western countries. Thrombolysis is the treatment of choice for acute stroke within 3 hours after symptom onset. Treatment beyond the 3-hour time window has not been shown to be effective in any single trial; however, meta-analyses suggest a somewhat less but still significant effect within 3 to 6 hours after stroke. It seems reasonable to apply improved selection criteria that would allow one to differentiate patients with a relevant indication for thrombolytic therapy from those who do not have one. We present an overview of a diagnostic approach to acute stroke management that allows the clinician to individualize patient management based on pathophysiologic reasoning and not rigid time windows established by randomized controlled trials. Therefore, this review concentrates on giving the reader an integrated knowledge of the current status of thrombolytic therapy in stroke and then develops a treatment algorithm based on pathophysiologic information rendered by a multiparametric stroke magnetic resonance imaging protocol.

Indexed as

Brain IschemiaClinical Trials as TopicFibrinolytic AgentsHumansMagnetic Resonance ImagingMeta-Analysis as TopicStrokeThrombolytic TherapyTomography, X-Ray ComputedFibrinolytic Agents

Identifiers

PMID15191703
OpenAlexW2036834034

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.