A new advisory statement published by the American Stroke Association / American Heart Association, they recommend extending the t-PA window to 4.5 hours for most patients with acute ischemic stroke (statement). Those excluded from this extended window include older age (>80), baseline high NIH stoke scale score (>25), history of both stroke and diabetes, and anyone on oral anticoagulants.
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.