Predictors of Post-Alteplase Long-Term Unfavorable Outcome in Atrial Fibrillation Patients Presented with Embolic Stroke in the Middle East and North Africa Regions: A Multi-center, Longitudinal Study
Higher baseline NIHSS, heart failure, post-thrombolysis intracranial haemorrhage, and recurrent symptomatic stroke were independent predictors of long-term post-thrombolysis unfavorable functional outcome in embolic stroke patients. Novelly, higher HAS-BLED and CHA2DS2-VASc scores were independent predictors of long-term post-thrombolysis unfavorable functional outcome in Arabian patients. Moreover, sustained AF was an independent predictor of long-term post-thrombolysis unfavorable functional outcome.
Authors
- Abdalazeem Ibrahem (ORCID: https://orcid.org/0000-0003-2688-6295)
- Salah Ibrahim Ahmed
- Sherihan Rezk Ahmed (ORCID: https://orcid.org/0000-0001-7129-1819)
- Shady S. Georgy
- Ahmed Zaki Omar Akl (ORCID: https://orcid.org/0009-0009-3047-0154)
- Mohamed G. Zeinhom (ORCID: https://orcid.org/0000-0002-0337-349X)
- Hesham Eissa
- Youssry Salah Shafiq Kerolos
- Essam E. Khalil (ORCID: https://orcid.org/0000-0001-8309-1718)
- Mohamed Ismaiel (ORCID: https://orcid.org/0000-0002-5840-5137)
- Ahmed Ahmed Mohamed Kamal Ebied (ORCID: https://orcid.org/0000-0002-2692-141X)
- Hossam Mohamed Refat
- Mohamed Fouad Elsayed Khalil
- Emad Labib Abdelhamid Mahmoud
- Mohamed Elshafei (ORCID: https://orcid.org/0000-0002-4266-5620)
- Amir Ahmed Elsaeed Egila
- Ahmad Galal Mohammed Mohammed Elmesallami
- Tamer Shaaban Zedan
- Karam Dahy Hamdan Hassaneen
Institutions
- Ain Shams University (EG)
- Kafrelsheikh University (EG)
- Al Noor Hospitals (AE)
- Cairo University (EG)
- Al-Azhar University (EG)
- Zagazig University (EG)
- Latifa Hospital (AE)
- Shaikh Zayed Hospital (PK)
- Dubai Hospital (AE)
- GMC Hospital (AE)
- Khoula Hospital (OM)
- Security Forces Hospital (SA)
- King Fahad Hospital Jeddah (SA)
- Islamic University of Madinah (SA)
- Shebin Teaching Hospital (EG)
- Ajman Specialty General Hospital (AE)
Publication Details
- Journal
- Neurology and Therapy
- Published
- 2025-09-19
- DOI
- https://doi.org/10.1007/s40120-025-00814-x
- Citations
- 6
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 8.13