tPA for Stroke

The Story of a Controversial Drug

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Each year, nearly 700,000 people in the United States will have a stroke. A drug known as tPA can drastically reduce the long-term disability associated with stroke if it is administered within the first three hours after the event occurs. Many of those who are lucky enough to be treated with tPA have made full recoveries--to the extent that one can hardly believe they suffered a "real" stroke. Others still do not receive the drug; many suffer permanent disabilities, and many die. Authors Zivin and Simmons argue that most Americans have never heard of tPA. Why would such an effective pharmaceu...