Outcomes of low-dose versus standard-dose alteplase in acute ischemic stroke patients aged over 80 years: A real-world propensity score-matched study from China

In octogenarian stroke patients, low-dose alteplase offers parallel efficacy and safety to standard therapy, with a possible reduction in hemorrhagic complications. These results support low-dose regimens as a reasonable option for elderly patients, particularly when minimizing bleeding risk is a clinical priority.

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Publication Details

Journal
Journal of Stroke and Cerebrovascular Diseases
Published
2026-01-04
DOI
https://doi.org/10.1016/j.jstrokecerebrovasdis.2026.108548
Primary Topic
Acute Ischemic Stroke Management
Type
article
Field-Weighted Citation Impact
0.00

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article

Outcomes of low-dose versus standard-dose alteplase in acute ischemic stroke patients aged over 80 years: A real-world propensity score-matched study from China

Hongqiu Gu, Kaixuan Yang, Xia Meng, Zimo Chen et al.
Journal of Stroke and Cerebrovascular Diseases
Acute Ischemic Stroke Management
article

Outcomes of low-dose versus standard-dose alteplase in acute ischemic stroke patients aged over 80 years: A real-world propensity score-matched study from China

Hongqiu Gu, Kaixuan Yang, Xia Meng, Zimo Chen, Changsheng Li
article en

Abstract

In octogenarian stroke patients, low-dose alteplase offers parallel efficacy and safety to standard therapy, with a possible reduction in hemorrhagic complications. These results support low-dose regimens as a reasonable option for elderly patients, particularly when minimizing bleeding risk is a clinical priority.

Journal of Stroke and Cerebrovascular DiseasesVol. 35(3)
Beijing Tian Tan Hospital (CN)
National Natural Science Foundation of China, Ministry of Science and Technology of the People's Republic of China
Good health and well-being
Openalex Percentile: Top 98%
Acute Ischemic Stroke Management
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