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Cardiac diagnostic work-up of ischaemic stroke
Hayang Yang1,2, Martina Nassif1, Paul Khairy3
1Department of Cardiology, Academic Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
European Heart Journal
|May 23, 2018
Summary
Identifying cardioembolic sources is crucial for ischemic stroke patients. Recent advances guide cardiac evaluation and management for strokes, especially those with unknown causes.
Area of Science:
- Cardiology
- Neurology
- Stroke Medicine
Background:
- Cardioembolic sources constitute 20-30% of ischemic strokes.
- Identifying the source is vital for prognosis and treatment.
- Recent advancements have improved understanding and management of embolic strokes.
Purpose of the Study:
- To propose a cardiac diagnostic work-up scheme.
- To address patients with definite cardioembolic sources.
- To manage embolic strokes of undetermined source.
Main Methods:
- Review of recent developments in cardiac diagnostics for ischemic stroke.
- Proposal of a structured diagnostic pathway.
- Focus on patients with unknown stroke etiology.
Main Results:
- New diagnostic and management strategies are available.
- A clear work-up scheme is proposed.
- Improved identification of cardioembolic sources is achievable.
Conclusions:
- A structured cardiac diagnostic approach is essential.
- Recent advances enhance the management of cardioembolic stroke.
- The proposed scheme aids in evaluating strokes of undetermined origin.
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