关键词: Atrial fibrillation Cardioembolic stroke Cardiomyopathy Ischemic stroke Paradoxic embolization

Mesh : Humans Embolic Stroke / etiology Heart Diseases / etiology complications

来  源:   DOI:10.1016/j.ncl.2024.03.002

Abstract:
Cardioembolism accounts globally for around 25% of ischemic strokes and is more often associated with higher rates of morbidity and mortality. Potential sources of cardioembolism into the intracranial circulation include paradoxic embolism, dysrhythmias, structural heart disease, and valvular heart disease. To identify the etiology of a patient\'s ischemic stroke, thorough investigation of the intracardiac structures, assessment of dysrhythmias, and consideration of high-risk events such as cardiac surgery are crucial. Treatment after cardioembolic stroke can be personalized based on the underlying cardioembolic source to minimize the risk of recurrent cerebral ischemic events.
摘要:
在全球范围内,心栓塞约占缺血性中风的25%,并且通常与更高的发病率和死亡率相关。颅内循环的心源性栓塞的潜在来源包括矛盾栓塞,心律失常,结构性心脏病,和心脏瓣膜病.为了确定患者缺血性卒中的病因,对心内结构的彻底调查,心律失常的评估,考虑心脏手术等高危事件至关重要.心脏栓塞性中风后的治疗可以根据潜在的心脏栓塞来源进行个性化治疗,以最大程度地减少复发性脑缺血事件的风险。
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