The Role for Cardiologists in Stroke Intervention

Progress in Cardiovascular Diseases
Richard Heuser

Abstract

Even though cardiovascular disease (CVD) is still the leading cause of death in the United States, stroke is the second leading global cause of death behind CVD. In the 21st Century, less than 40% of overall stroke patients are discharged to home and almost 25% of Medicare beneficiaries do not survive 90 days. In spite of the fact that tissue plasminogen activator (TPA) has been approved for stroke care for 20 years, only .75% of annual strokes are actually treated with intravenous (IV) TPA. Similar to how interventional cardiologists evolved from IV to catheter mechanical treatment for acute myocardial infarctions (AMI) over 30 years ago, over the last few years, neurointerventionists now perform endovascular stroke therapy in many of these patients using stent retrievers. However, very few stroke patients are actually getting treatment, and neurointerventionists on an average perform only 8 stroke interventions per year. It has been recently shown that 9 out of 10 strokes can be prevented by controlling CVD risk factors. A principal job for cardiologists is to recognize and manage these CVD risk factors in addition to being involved with performing intervention. Atrial Fibrillation is certainly a common problem in all of our ...Continue Reading

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