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pubmed-article:21671895pubmed:abstractTextAcute ischaemic stroke patients sometimes receive heparin for treatment and/or prophylaxis of thromboembolic complications. This study was designed to elucidate the incidence and clinical features of heparin-induced thrombocytopenia (HIT) in acute stroke patients treated with heparin. We conducted a prospective multicentre cohort study of 267 patients who were admitted to three stroke centres within 7 d after stroke onset. We examined clinical data until discharge and collected blood samples on days 1 and 14 of hospitalization to test anti-platelet factor 4/heparin antibodies (anti-PF4/H Abs) using an enzyme-linked immunosorbent assay (ELISA); platelet-activating antibodies were identified by serotonin-release assay (SRA). Patients with a 4Ts score ?4 points, positive-ELISA, and positive-SRA were diagnosed as definite HIT. Heparin was administered to 172 patients (64·4%: heparin group). Anti-PF4/H Abs were detected by ELISA in 22 cases (12·8%) in the heparin group. Seven patients had 4Ts ? 4 points. Among them, three patients (1·7% overall) were also positive by both ELISA and SRA. National Institutes of Health Stroke Scale score on admission was high (range, 16-23) and in-hospital mortality was very high (66·7%) in definite HIT patients. In this study, the incidence of definite HIT in acute ischaemic stroke patients treated with heparin was 1·7% (95% confidence interval: 0·4-5·0). The clinical severity and outcome of definite HIT were unfavourable.lld:pubmed
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pubmed-article:21671895pubmed:authorpubmed-author:NagatsukaKazu...lld:pubmed
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pubmed-article:21671895pubmed:copyrightInfo© 2011 Blackwell Publishing Ltd.lld:pubmed
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pubmed-article:21671895pubmed:volume154lld:pubmed
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pubmed-article:21671895pubmed:pagination378-86lld:pubmed
pubmed-article:21671895pubmed:dateRevised2011-9-15lld:pubmed
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pubmed-article:21671895pubmed:year2011lld:pubmed
pubmed-article:21671895pubmed:articleTitleProspective multicentre cohort study of heparin-induced thrombocytopenia in acute ischaemic stroke patients.lld:pubmed
pubmed-article:21671895pubmed:affiliationDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Centre, Suita, Osaka, Japan.lld:pubmed
pubmed-article:21671895pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:21671895pubmed:publicationTypeClinical Triallld:pubmed
pubmed-article:21671895pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
pubmed-article:21671895pubmed:publicationTypeMulticenter Studylld:pubmed