TY - JOUR T1 - Too old to thrombolyse? JF - Journal of Neurology, Neurosurgery & Psychiatry JO - J Neurol Neurosurg Psychiatry SP - 812 LP - 812 DO - 10.1136/jnnp.2006.091520 VL - 77 IS - 7 AU - P C A J Vroomen Y1 - 2006/07/01 UR - http://jnnp.bmj.com/content/77/7/812.abstract N2 - Future trials do include very old patients will hold the answer but in the meantime observational data provide some clues With the ageing of Western society, the absolute number of strokes occurring is likely to increase and the proportion of very old patients is sure to become greater.1 This poses a double challenge: it will not only test the capacity of Western healthcare but also leave an increasing part of stroke management outside the comfortable confines of evidence-based medicine because younger patients tend to be included in stroke trials. Generalising the results of these trials to elderly people may cause problems for several reasons. The cardiac literature suggests that the … ER -