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[Heart disease and stroke].

Eivind Berge1, Trond Dahl

  • 1Medisinsk divisjon, Ullevål universitetssykehus, 0407 Oslo. eivind.berge@medisin.uio.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|April 17, 2007
PubMed
Summary
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Heart disease and stroke share common risk factors and treatments. Heart conditions, like atrial fibrillation, can directly cause strokes, necessitating consideration of cardiac sources in brain infarctions.

Area of Science:

  • Cardiovascular Medicine
  • Neurology
  • Public Health

Context:

  • Heart disease and stroke are leading causes of death and disability.
  • Atherosclerosis is a primary cause for both conditions, highlighting shared risk factors and prognoses.

Purpose:

  • To review the intricate relationship between heart diseases and stroke.
  • To provide guidance for the clinical management of patients with suspected cardioembolic stroke.

Summary:

  • Approximately 25% of cerebral infarctions stem from cardiac embolism, primarily due to atrial fibrillation, but also from conditions like myocardial infarction and prosthetic heart valves.
  • Hemodynamic stroke can occur from a cardiac-induced drop in blood pressure in patients with arterial stenosis.
  • Patients with atherosclerosis in one arterial system should be managed with the assumption of high risk in other systems.

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Impact:

  • Emphasizes the critical need to consider cardiac embolic sources in all acute brain infarction cases.
  • Informs clinical practice for managing patients at risk of both heart disease and stroke.
  • Promotes a holistic approach to patient care by recognizing the interconnectedness of cardiovascular and cerebrovascular health.