Acute cardioembolic stroke: an update

Adrià Arboix1, Josefina Alió

  • 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.

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