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The Intra-Aortic Balloon Pump
Published on: February 5, 2021
Neurologic Complications of Cardiac and Aortic Disease
Insights
Cardiovascular disease can lead to significant neurologic complications. Early recognition and advancements in cardiology and neurology improve diagnosis and treatment for these serious conditions.
Area of Science:
- Neurology
- Cardiology
- Vascular Medicine
Background:
- Cardiovascular diseases, including cardiac and aortic conditions, pose risks for neurologic complications.
- Neurologic symptoms can be the primary presentation or most severe consequence of cardiovascular dysfunction.
Purpose of the Study:
- To review neurologic complications associated with cardiac and aortic disease.
- To highlight recent advancements in managing these conditions and their neurologic sequelae.
Main Methods:
- Literature review of recent findings in cardiology and neurology.
- Analysis of new therapeutic approaches and diagnostic tools.
Main Results:
- Prolonged cardiac monitoring is utilized for cryptogenic stroke.
- Left atrial appendage closure devices are approved for stroke prevention in atrial fibrillation.
- Patent foramen ovale closure remains controversial.
- Cognitive impairment post-coronary artery bypass grafting may be less prevalent than previously believed.
Conclusions:
- Cardiovascular dysfunction can cause severe neurologic injury.
- Integrated approaches combining cardiology and neurology enhance patient outcomes.
- Prompt diagnosis and treatment are crucial for minimizing neurologic damage.
Purpose Of Review:
This article discusses neurologic complications that can arise from cardiac and aortic disease and dysfunction.
Recent Findings:
Advances in the care of patients with cardiac or aortic disease include the use of prolonged cardiac monitoring in cryptogenic stroke and the approval of the use of left atrial appendage closure devices for stroke prevention in patients with atrial fibrillation who are not candidates for anticoagulation. Continuing controversy surrounds patent foramen ovale closure, and new evidence indicates that cognitive impairment following coronary artery bypass grafting surgery may be less common than previously thought.
Summary:
Dysfunction of the cardiovascular system can cause serious neurologic injury. In some cases, both the initial presenting symptom and the most serious damage done by cardiac or aortic dysfunction may be neurologic. Prompt recognition of the symptoms, combined with recent advances in both cardiology and neurology, may permit more accurate diagnoses, more effective treatment, and less injury to patients.
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