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Putting cryptogenic stroke into perspective.

Jonathan M Tobis1

  • 1Professor of Medicine, Division of Cardiology, UCLA.

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|February 27, 2016
PubMed
Summary
This summary is machine-generated.

Older patients (>55) with cryptogenic stroke and patent foramen ovale (PFO) closure face higher cerebral ischemia recurrence. Most recurrent events in this group had identifiable causes, aligning with RESPECT trial findings.

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Area of Science:

  • Neurology
  • Cardiology
  • Vascular Medicine

Background:

  • Cryptogenic stroke patients with patent foramen ovale (PFO) closure show varying recurrence rates.
  • Age is a critical factor influencing the risk of recurrent cerebral ischemia after PFO closure.

Discussion:

  • In patients over 55 with cryptogenic stroke and PFO closure, a higher recurrence rate of cerebral ischemia was observed.
  • The majority of recurrent events in older individuals were attributed to identifiable secondary causes, not the PFO itself.

Key Insights:

  • Age significantly impacts the risk of recurrent cerebral ischemia post-PFO closure in cryptogenic stroke patients.
  • Identifying secondary causes is crucial for managing recurrent events in older patients undergoing PFO closure.

Outlook:

  • Further research should focus on risk stratification and tailored medical management for older cryptogenic stroke patients with PFO.
  • These findings support a nuanced approach to PFO closure, considering patient age and potential secondary causes of stroke.