Presentation
Although, some patients may present with frank hemodynamic collapse and cardiac arrest, others may present with asymptomatic PE that is discovered incidentally during work up of another condition. [ncbi.nlm.nih.gov]
Entire Body System
- Intravenous Administration
TenecteRel (Tenecteplase) is for intravenous administration only. The dose is weight-based and should not exceed 50 mg. A single bolus dose should be administered over five seconds based on patient weight. [indiamart.com]
Tenecteplase is a recombinant tissue plasminogen activator (rt-PA) which has enhanced fibrin specificity, relatively long half-life, and allows single-bolus intravenous administration. [sitsinternational.org]
However, studies in rabbits have shown that multiple intravenous administrations of tenecteplase cause maternal and embryo toxicity, but no fetal abnormalities have been observed. [drugspedia.net]
The red and blue bars in the lower left corner represent the duration of tenecteplase or alteplase intravenous administration. Red and blue squares represent ER incidence following tenecteplase and alteplase, espectively. [j-stroke.org]
Pharmacokinetics and pharmacodynamics of recombinant tissue-type plasminogen activator following intravenous administration in rabbits; comparison of three dosing regimens. Biopharm Drug Dispos 1998; 19: 31–8 PubMed CrossRef Google Scholar 26. [link.springer.com]
Workup
Second, as the participating centers mostly used magnetic resonance imaging for patient workup, the population studied might differ from primarily computed tomography-assessed populations. [j-stroke.org]
Treatment
Post-treatment elevations in blood pressure were managed as per guidelines developed in the NINDS rtPA Stroke Trial.10 Antiplatelet and anticoagulant therapy were prohibited for 24 hours after treatment. [ahajournals.org]
Treatment Cerebral Infarctions / Ischemia, Brain / Strokes 1 2 Completed Treatment Stroke, Ischemic 1 2 Completed Treatment Strokes 1 2 Recruiting Treatment Stroke, Ischemic 1 2 Terminated Treatment Leukemias 1 2 Terminated Treatment Pulmonary Embolism [drugbank.ca]
While tenecteplase seems to have a few advantages over alteplase, its relative cost-effectiveness will determine if it becomes the preferred treatment option. [nps.org.au]
/ Pulmonary Embolism 1 4 Terminated Treatment Myocardial Infarction 1 4 Unknown Status Treatment Acute Coronary Syndrome (ACS) 1 4 Unknown Status Treatment ST Segment Elevation Myocardial Infarction (STEMI) 1 3 Active Not Recruiting Treatment Stroke, [go.drugbank.com]
Prognosis
Even with the benefit of cardiopulmonary resuscitation, the prognosis of cardiac arrest remains poor. Multiple case series describe survival with the use of thrombolytic therapy for refractory cardiac arrest. [ncbi.nlm.nih.gov]
[…] number of intravenous and oral antithrombotic agents and new antiplatelet agents Now more than ever, all cardiologists, hematologists, and specialists in vascular medicine, as well as other professionals, such as hospital pharmacists, who deal with prognosis [books.google.com]
Etiology
The carotid atherosclerosis was predominant 63.3% and the cardio embolic etiology 27%. The mean time to the first medical contact after the onset of symptoms was 3h 30 min. [ncbi.nlm.nih.gov]
Epidemiology
FDA Advise-ERR was provided by Tingting Gao, PharmD, BCPS, Safety Evaluator and LT Alice Tu, PharmD, Team Leader of FDA’s Office of Surveillance and Epidemiology, Division of Medication Error Prevention and Analysis. [ismp.org]
Stroke epidemiology and stroke care services in India. J Stroke 2013;15:128-34. 9. Durai Pandian J, Padma V, Vijaya P, Sylaja PN, Murthy JM. Stroke and thrombolysis in developing countries. Int J Stroke 2007;2:17-26. 10. [annalsafrmed.org]
[PubMed] [Google Scholar] Articles from The Pan African Medical Journal are provided here courtesy of African Field Epidemiology Network [ncbi.nlm.nih.gov]
A central block randomization was performed by the Centre for Clinical Epidemiology and Biostatistics, University of Newcastle, in blocks of 15 to allow the data and safety monitoring board to review blinded safety data after the recruitment of every [doi.org]
Pathophysiology
TASTE will address crucial clinical and pathophysiologic questions in a much broader group of stroke patients eligible for acute thrombolytic therapy. [heartfoundation.org.au]
BACKGROUND: Activated Factor XII (XIIa) is believed to participate in a number of pathophysiological processes including inflammation, thrombosis and fibrinolysis. Increasing XIIa levels following thrombolytic therapy have previously been reported. [ncbi.nlm.nih.gov]
IM bez elevácie ST Nestabilná AP Infarkt myokardu bez Q More information Pathophysiology of ACS Pathophysiology of ACS ~ 2.0 MM patients admitted to CCU or telemetry annually 0.6 MM ST-segment elevation MI 1.4 MM Non-ST-segment elevation ACS NSTEMI vs [healthdocbox.com]
The pathophysiology of sepsis is an inflammatory and procoagulant state triggered by infection. Activated protein C (APC) plays an important role by promoting fibrinolysis and inhibiting thrombosis and inflammation. [radcliffecardiology.com]
Prevention
BACKGROUND AND PURPOSE: Intravenous tissue- type plasminogen activator (IV tPA) frequently fails to recanalize proximal middle cerebral artery (MCA-M1) obstructions, preventing favorable outcomes. [ncbi.nlm.nih.gov]
Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. [mayoclinic.org]
Use extra care to prevent bleeding while shaving or brushing your teeth. [everydayhealth.com]
Tenecteplase is used to prevent death in people who have had a heart attack (acute myocardial infarction). Tenecteplase may also be used for purposes not listed in this medication guide. [drugs.com]