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Published on: June 11, 2019
The Role of Cardiac Imaging in Stroke Prevention
Francesco Santoro1, Luigi Di Biase2, Pasquale Santangeli3
1Department of Cardiology, University of Foggia, viale L Pinto, 1, 71100, Foggia, Italy.
Insights
Cardiac imaging aids stroke prevention by identifying cardioembolic sources in atrial fibrillation and detecting thrombus in left ventricular dysfunction. Imaging also guides left atrial appendage closure device monitoring and evaluates valvular heart disease stroke risk.
Area of Science:
- Cardiology
- Neurology
- Medical Imaging
Background:
- Stroke remains a leading cause of disability and mortality.
- Identifying cardioembolic sources is crucial for effective stroke prevention strategies.
- Cardiac imaging plays a pivotal role in diagnosing and managing conditions predisposing to stroke.
Purpose of the Study:
- To review the utility of cardiac imaging in stroke prevention.
- To define the role of various imaging modalities in identifying stroke risks.
- To discuss specific cardiac conditions and their implications for stroke.
Main Methods:
- Review of current literature on cardiac imaging techniques.
- Discussion of imaging findings in atrial fibrillation, left ventricular dysfunction, and valvular heart disease.
- Evaluation of imaging's role in monitoring interventions like left atrial appendage closure.
Main Results:
- Cardiac imaging effectively identifies cardioembolic sources, particularly in atrial fibrillation.
- Imaging detects thrombus formation in acute and chronic left ventricular dysfunction.
- Echocardiography and other modalities aid in assessing valvular heart disease and stroke risk.
Conclusions:
- Cardiac imaging is indispensable for comprehensive stroke prevention.
- Imaging guides therapeutic decisions, including device implantation and monitoring.
- Early detection of cardiac abnormalities via imaging significantly reduces stroke incidence.
Abstract:
This article reviews the role of cardiac imaging in stroke prevention, defining how imaging tools can be useful in this field. Cardioembolic sources during atrial fibrillation are discussed. New closure devices can be implanted in the left atrial appendage and routinely monitored with imaging modalities. Acute and chronic left ventricular dysfunction is reviewed, identifying the possible mechanism of thrombus formation and its early detection. Valvular evaluation of native heart disease and possible implications for stroke risk are defined.
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