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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
PubMed

Insights

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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