Ischemic stroke laboratory findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Laboratory Findings

Labortary tests may help determine the risk factors complications of ischemic stroke. Blood tests which may be performed include:

Blood test	Test result	Rationale
Complete blood count	To look for underlying infection (leukocytosis), thrombocytosis and thrombocytopenia, polycythemia
Lipid profile	Increased LDL, triglycerides and cholesterol increases risk for ischemic stroke
PT/APTT/INR	To rule out underlying bleeding risk for anticoagulant administration
BUN/Creatinine	Renal function tests to look for underlying kidney disease
Serum homocystein level	Increased levels associated with increased risk of thromboembolic event
Basic metabolic panel	To rule out electrolyte abnormalities which may mimic or complicate ischemic stroke
HbA1C	Underlying diabetes mellitus, major risk factor for ischemic stroke
Blood glucose levels	Hyperglycemia is associated with poor prognosis of ischemic stroke
Cardiac enzymes	To rule out underlying coronary artery disease
Pregnancy test	To rule out pregnancy in female patients with ischemic stroke as t-PA is a class C agent.

References

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