Cardiological aspects of stroke prevention

Circulation Journal : Official Journal of the Japanese Circulation Society
Marc Fisher, Mark McAllister

Abstract

Many cardiac disorders and their treatment are associated with an increased risk for ischemic or hemorrhagic stroke, so it is important for cardiologists to be aware of recent advances in the field of stroke prevention. Atrial fibrillation (AF) is the most common cardiac disorder associated with a substantial risk for ischemic stroke (IS). The availability of implantable cardiac monitoring devices has substantially increased the detection rate of occult AF after IS. The 4 new oral anticoagulants have advantages when compared with warfarin, the standard therapy in AF to prevent IS, demonstrating a reduced risk for IS or intracerebral hemorrhage. Patients with cardiomyopathy, cardiac valve replacement, recent myocardial infarction, larger aortic arch atheroma and patent foramen ovale all have some level of increased risk for IS. The best approach for IS prevention in these disorders remains unsettled and varying approaches are recommended.

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Citations

Jun 19, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Junko KuramotoYasunori Okada
Aug 11, 2015·Circulation Journal : Official Journal of the Japanese Circulation Society·Kei Takahashi
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Oct 27, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Masahide HaradaStanley Nattel
Jan 10, 2018·Stroke; a Journal of Cerebral Circulation·Marc Fisher, Joseph A Hill

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