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Published on: January 18, 2018
Cardioembolic stroke: An update on etiology, diagnosis and management
Megan C Leary1, Louis R Caplan1
1Division of Stroke and Cerebrovascular Disease, Palmer 127, Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Insights
Cardioembolic stroke, caused by heart-pumped material blocking brain vessels, is a major cause of death. This review covers its causes, symptoms, diagnosis, and treatment, highlighting its global health impact.
Area of Science:
- Neurology
- Cardiology
- Public Health
Background:
- Stroke and ischemic heart diseases are leading global causes of mortality and disability.
- Rising stroke rates in developing nations present a significant public health concern.
- Cardioembolic stroke is a specific, critical subtype requiring focused attention.
Purpose of the Study:
- To provide a comprehensive review of cardioembolic stroke.
- To elucidate the etiology, clinical features, diagnostic approaches, and management strategies for cardioembolic stroke.
Main Methods:
- Literature review of cardioembolic stroke.
- Synthesis of information on pathogenesis, clinical presentation, diagnostic tools, and therapeutic interventions.
Main Results:
- Cardioembolic stroke results from emboli originating in the heart obstructing cerebral arteries.
- Clinical manifestations vary based on the affected brain region.
- Diagnosis involves a combination of clinical assessment, neuroimaging, and cardiac investigations.
- Management focuses on secondary prevention and reperfusion therapies.
Conclusions:
- Understanding cardioembolic stroke is crucial for reducing mortality and disability.
- Timely diagnosis and appropriate management are essential for improving patient outcomes.
- Further research into prevention and treatment is warranted given the increasing global burden.
Abstract:
Stroke and ischemic heart diseases are among the most common causes of death and disability throughout the world. Even more worrisome is the suggestion that stroke rates may further increase in certain developing nations. The purpose of this article is to review the particular subtype of stroke known as cardioembolic stroke. A cardioembolic stroke occurs when the heart pumps unwanted materials into the brain circulation, resulting in the occlusion of a brain blood vessel and damage to the brain tissue. The etiology, clinical manifestations, diagnosis and management of cardioembolic stroke are reviewed.
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