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]

Overview

Laboratory Findings

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

Blood test Reason
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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