Related Experiment Video

Updated: Feb 17, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

12.7K

Etiology, diagnostics and treatment of cardiogenic stroke

Marjatta Strandberg, Pirjo Mustonen, Mikko Taina

    Duodecim; Laaketieteellinen Aikakauskirja
    |December 1, 2017
    PubMed

    Insights

    Identifying the source of cardiogenic embolism is crucial for stroke prevention. Transesophageal echocardiography (TEE) is more sensitive than transthoracic echocardiography (TTE) for detecting cardiac sources like atrial fibrillation.

    Area of Science:

    • Cardiology
    • Neurology
    • Medical Imaging

    Background:

    • 15-40% of cerebral infarctions and TIAs stem from cardiac origins.
    • Identifying cardiogenic embolism sources is key for diagnosis and treatment.
    • Atrial fibrillation is a primary suspect in cardiogenic embolism.

    Purpose of the Study:

    • To highlight the importance of diagnosing cardiogenic sources of embolism.
    • To compare the efficacy of TEE and TTE in detecting cardiac embolism sources.
    • To emphasize the need for anticoagulant therapy upon detection.

    Main Methods:

    • Review of diagnostic approaches for cardiogenic embolism.
    • Comparison of transesophageal echocardiography (TEE) and transthoracic echocardiography (TTE) sensitivity.
    • Focus on identifying atrial fibrillation and intracardiac thrombus.

    Main Results:

    • Transesophageal echocardiography (TEE) demonstrates higher sensitivity than transthoracic echocardiography (TTE).
    • Detection of atrial fibrillation or intracardiac thrombus mandates anticoagulant therapy.
    • Active screening for atrial fibrillation is recommended post-stroke.

    Conclusions:

    • Prompt diagnosis of cardiogenic sources, particularly atrial fibrillation, is vital.
    • TEE is superior to TTE for detecting certain cardiogenic embolism sources.
    • Anticoagulant therapy is essential for patients with identified cardiac sources of embolism.

    More Related Videos

    A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia06:01

    A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia

    Published on: August 18, 2015

    15.6K
    Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide09:52

    Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

    Published on: January 15, 2017

    18.0K

    Related Concept Videos

    Ischemic Heart Disease: Overview01:17

    Ischemic Heart Disease: Overview

    Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
    Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
    3.5K
    Acute Coronary Syndrome III: Diagnostic Studies01:30

    Acute Coronary Syndrome III: Diagnostic Studies

    Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
    298
    Atherosclerosis IV: Nursing Management01:23

    Atherosclerosis IV: Nursing Management

    Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
    479
    Regulation of Stroke Volume01:27

    Regulation of Stroke Volume

    The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
    Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
    5.3K
    Cardiomyopathy V: Interprofessional Care01:29

    Cardiomyopathy V: Interprofessional Care

    Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
    489
    Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

    Cardiomyopathy III: Hypertrophic Cardiomyopathy

    Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
    539