Heparin-induced thrombocytopenia in patients with cerebrovascular ischemic disease

Manuel Ramirez-Lassepas, Robert J. Cipolle, Keith A. Rodvold, Randall D Seifert, Linda Strand, Luigi Taddeini, Marsha Cusulos

Research output: Contribution to journalArticlepeer-review

45 Scopus citations

Abstract

We studied 137 patients who were treated with heparin for cerebral infarction (73), partially reversible ischemic neurologic deficit (22), or transient ischemic attack (42). Platelet counts were performed before therapy, twice weekly, and at cessation of therapy. Platelets decreased in 118 patients (86%). In 21 (15.3%), platelets dropped ≥ 40%; 9 of 14 new ischemic events and three of six deaths occurred in this group of patients. Because there was a significant association between poor outcome and platelet drop ≥ 40% (p < 0.001), we believe that platelets should be monitored frequently when patients are treated with heparin for ischemic cerebrovascular disease.

Original languageEnglish (US)
Pages (from-to)736-740
Number of pages5
JournalNeurology
Volume34
Issue number6
DOIs
StatePublished - Jun 1984

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