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Real-Time Monitoring and Modulation of Blood Pressure in a Rabbit Model of Ischemic Stroke
Published on: February 10, 2023
[Cardiologic diagnostics after stroke: what is really important?]
1Klinik III für Innere Medizin, Universität zu Köln, Kerpener Strasse 62, 50937, Köln, Deutschland. Uta.Hoppe@uni-koeln.de
Insights
Stroke patients need cardiac evaluation to assess cardiovascular risk and prevent future events. Cardiac comorbidities significantly impact stroke survival, necessitating tests like ECG and echocardiography.
Area of Science:
- Cardiology
- Neurology
- Public Health
Context:
- Stroke and coronary artery disease share common risk factors.
- Cardiac comorbidities are major determinants of morbidity and mortality in stroke survivors.
- Ischemic stroke often originates from cardiac embolism.
Purpose:
- To emphasize the necessity of cardiac evaluation in stroke patients.
- To outline recommended diagnostic tests for cardiovascular risk assessment post-stroke.
- To highlight the prognostic significance of cardiac conditions in stroke patients.
Summary:
- Post-stroke cardiac evaluation is crucial due to shared risk factors and cardiac origins of ischemic events.
- Recommended investigations include blood glucose, coagulation, cell count, cardiac ischemic markers, lipid profile, ECG, Holter monitoring, and echocardiography.
- Echocardiography is vital for diagnosing structural heart disease and identifying cardioembolic sources, impacting patient prognosis.
Impact:
- Improved risk stratification and prevention of cardiovascular events in stroke survivors.
- Enhanced understanding of the interplay between cardiac health and stroke outcomes.
- Personalized treatment strategies based on comprehensive cardiac assessment in stroke patients.
Abstract:
Patients with a stroke often exhibit similar risk factors compared to patients with coronary artery disease. The morbidity and mortality of patients surviving a stroke are strongly determined by cardiac co-morbidities. Moreover, ischemic stroke frequently results from cardiac embolism. Thus, for risk assessment and prevention of cardiovascular events patients should undergo cardiac evaluation after a stroke. Laboratory testing should include blood glucose, coagulation parameters, blood cell count and in the case of suspected acute coronary syndrome cardiac ischemic markers. Assessment of the lipid profile is useful to determine the overall cardiovascular risk. In all patients with a stroke an ECG should be recorded. In those with normal ECG and suspected thromboembolic stroke additional Holter is helpful to detect possible atrial fibrillation. Echocardiography should be performed in all patients with suspected cardioembolic stroke. Moreover, echocardiography may establish the diagnosis of structural heart disease, which has a major impact on prognosis in patients with a stroke.
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