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Medical [Medical] ABCD2 for Stroke

2013.03.23 11:59

이한중*65 Views:29144


ABCD2 for Stroke


ㅡ from International Stroke Conference,
and Internal Medicine News, March 1, 2013


    A: Age, 60 or older gets 1 point.
    B: Blood Pressure, BP higer than 140/90 gets 1 point.
    C: Clinical features, Focal weakness gets 2 points.
        Speech impairment without weakness gets 1 point.
    D: Duration, a TIA duration of 10-59 minutes gets 1 point.
        A duration of 60 minutes or longer gets 2 points.
    D: Diabetes, 1 point for a known diabetic.
    Each has been shown to be an independent risk factor for
    stroke within 2 days after a TIA.
    A score of 3 or less: 1% risk of stroke within 2 days.
    A score of 4-5: 4% risk of stroke within 2 days.
    A score of 6-7: 8% risk of stroke within 2 days.

    With a score of 3 or more, tell the patient to go
    directly to ER.
    A case example:
    a 72 year old diabetic woman who phones her doctor's office
    because she has just had a 90 minute episode of difficulty
    in speaking and arm weakness. She stresses that she feels
    completely normal now.
    Even without knowing her BP, her ABCD2 score  is 6,
    giving her an 8% risk of stroke within the next 2 days.
    She needs to go to the ER immediately, not to her
    doctor's office.

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