J Stroke.  2022 Jan;24(1):166-175. 10.5853/jos.2021.02628.

2022 Update of the Korean Clinical Practice Guidelines for Stroke: Antithrombotic Therapy for Patients with Acute Ischemic Stroke or Transient Ischemic Attack

Affiliations
  • 1Department of Neurology, Inje University Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea
  • 2Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
  • 3Department of Neurology, Hallym University Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea
  • 4Department of Neurology, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Korea
  • 5Department of Neurology, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea
  • 6Department of Neurology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea
  • 7Department of Neurology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea
  • 8Department of Neurology, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea
  • 9Department of Neurology, Severance Stroke Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
  • 10Department of Neurology, Inha University Hospital, Inha University College of Medicine, Incheon, Korea
  • 11Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
  • 12Department of Neurology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea
  • 13Department of Neurology and Cerebrovascular Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
  • 14Department of Neurology, Uijeongbu Eulji Medical Center, Eulji University, Uijeongbu, Korea

Abstract

Antithrombotic therapy is a cornerstone of acute ischemic stroke (AIS) management and secondary stroke prevention. Since the first version of the Korean Clinical Practice Guideline (CPG) for stroke was issued in 2009, significant progress has been made in antithrombotic therapy for patients with AIS, including dual antiplatelet therapy in acute minor ischemic stroke or high-risk transient ischemic stroke and early oral anticoagulation in AIS with atrial fibrillation. The evidence is widely accepted by stroke experts and has changed clinical practice. Accordingly, the CPG Committee of the Korean Stroke Society (KSS) decided to update the Korean Stroke CPG for antithrombotic therapy for AIS. The writing members of the CPG committee of the KSS reviewed recent evidence, including clinical trials and relevant literature, and revised recommendations. A total of 35 experts were invited from the KSS to reach a consensus on the revised recommendations. The current guideline update aims to assist healthcare providers in making well-informed decisions and improving the quality of acute stroke care. However, the ultimate treatment decision should be made using a holistic approach, considering the specific medical conditions of individual patients.

Keyword

Acute ischemic stroke; Antithrombotic therapy; Guideline

Cited by  1 articles

Multiple Antiplatelet Therapy in Ischemic Stroke Already on Antiplatelet Agents Based on the Linked Big Data for Stroke
Tae Jung Kim, Ji Sung Lee, Jae Sun Yoon, Soo-Hyun Park, Mi Sun Oh, Keun-Hwa Jung, Kyung-Ho Yu, Byung-Chul Lee, Sang-Bae Ko, Byung-Woo Yoon
J Korean Med Sci. 2023;38(38):e294.    doi: 10.3346/jkms.2023.38.e294.


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