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Published on: December 28, 2012

Stroke as a complication of acute cardiac disease

Joey D English

    Continuum (Minneapolis, Minn.)
    |July 20, 2012
    PubMed

    Insights

    Neurologic consultations in cardiac patients address stroke risk before procedures and new deficits after. This review focuses on these common scenarios, offering recent insights for better patient care.

    Area of Science:

    • Cardiology
    • Neurology
    • Internal Medicine

    Background:

    • Stroke is a significant complication of cardiac disease and procedures.
    • Neurologic consultations are frequently requested for cardiac inpatients and those undergoing cardiac procedures.

    Purpose of the Study:

    • To review the general approach to neurologic questions in the cardiac inpatient setting.
    • To discuss unique features and recent insights relevant to neurologic consultations in cardiac patients.

    Main Methods:

    • Review of recent insights into two primary scenarios for neurologic consultations in cardiac inpatients.
    • Focus on stroke risk assessment for cardiac procedures and evaluation of new neurologic deficits.

    Main Results:

    • Consultations typically address stroke risk in patients needing cardiac procedures (e.g., coronary artery bypass grafting) or with acute cardiac conditions (e.g., atrial fibrillation).
    • Consultations also evaluate new neurologic deficits in patients post-procedure or those admitted with active cardiac disease (e.g., heart failure).

    Conclusions:

    • The article provides a framework for managing neurologic issues in cardiac inpatients.
    • Emphasis is placed on common scenarios and recent findings, with less focus on acute stroke management or chronic prevention.
    Abstract

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