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Neurologic Complications of Cardiac Disease and Cardiac Procedures

Alvin S Das, Steven K Feske

    Continuum (Minneapolis, Minn.)
    |February 3, 2026
    PubMed

    Insights

    Neurologic complications, including stroke, are common with cardiac conditions and procedures. New treatments aim to reduce cardioembolism risk, especially from atrial fibrillation, benefiting patients undergoing cardiac surgery.

    Area of Science:

    • Neurology
    • Cardiology
    • Vascular Medicine

    Background:

    • Stroke is a primary neurologic complication of cardiac disease.
    • Atrial fibrillation is the most common cardiac arrhythmia and a major source of cardioembolic stroke.
    • Cardiac procedures like bypass grafting and valve replacement carry risks of stroke and cognitive decline.

    Purpose of the Study:

    • To review neurologic complications associated with common cardiac conditions.
    • To discuss evolving pharmacologic and procedural strategies for stroke risk reduction.
    • To inform neurologists about current evidence and tools for mitigating neurologic risks.

    Main Methods:

    • Literature review of neurologic complications in cardiology.
    • Analysis of recent advancements in stroke prevention for cardiac patients.
    • Synthesis of evidence on interventions for atrial fibrillation, patent foramen ovale, and cardiac surgery.

    Main Results:

    • Significant expansion of pharmacologic (e.g., DOACs) and procedural (e.g., LAA occlusion, catheter ablation) strategies.
    • Focus on reducing cardioembolism, particularly from atrial fibrillation.
    • Identification of risks associated with coronary artery bypass grafting and valve surgery.

    Conclusions:

    • Neurologists must stay updated on evolving evidence for managing neurologic risks in cardiac patients.
    • New interventions offer improved stroke risk mitigation for conditions like atrial fibrillation.
    • Awareness of procedural risks and preventative tools is crucial for patient care.
    Abstract

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