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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Acute cardioembolic stroke: an update
1Cerebrovascular Division, Department of Neurology, Hospital Universitari del Sagrat Cor, Universitat de Barcelona, C/ Viladomat 288, E-08029 Barcelona, Spain. aarboix@hscor.com
Insights
Cardioembolic infarction, a severe ischemic stroke, has poorly defined characteristics. This review updates clinical features, prognosis, and treatments for this condition impacting cardiology and neurology.
Area of Science:
- Cardiology
- Vascular Neurology
- Stroke Medicine
Background:
- Cardioembolic infarction is a severe ischemic stroke subtype.
- Certain clinical aspects remain poorly understood.
- It bridges cardiology and vascular neurology.
Purpose of the Study:
- To provide an updated review of cardioembolic infarction.
- To cover clinical manifestations, biological characteristics, prognosis, and treatment.
- To address current issues, advances, and controversies.
Main Methods:
- Literature review and synthesis of current knowledge.
- Discussion of epidemiological data and risk factors.
- Analysis of clinical features, diagnostic studies, and therapeutic options.
Main Results:
- Epidemiology, risk factors, and clinical presentation are detailed.
- Cardiac work-up, including patent foramen ovale and aortic arch atheromatosis, is discussed.
- Biomarkers, heart failure, and therapeutic strategies (thrombolytic, anti-thrombotic) are reviewed.
Conclusions:
- Cardioembolic infarction requires updated understanding due to its severity and impact.
- This review consolidates current knowledge on its multifaceted aspects.
- Further research and clinical attention are warranted for optimal patient management.
Abstract:
Cardioembolic infarction is the most severe ischemic stroke subtype, but some clinical characteristics of the disease are still poorly defined. An update of relevant aspects related to clinical manifestations, biological characteristics, prognostic implications and treatment is presented in this article. Topics discussed include epidemiology and risk factors, clinical features and prognosis, cardiac work-up studies, patent foramen ovale, complex atheromatosis of the aortic arch, blood biomarkers, heart failure, and thrombolytic and anti-thrombotic therapy. Cardioembolic infarction is an important topic at the frontier between cardiology and vascular neurology, occurs frequently in daily practice, has a high impact for patients, healthcare systems and society, and merits an updated review of current clinical issues, advances and controversies.
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