The best way to prevent cardioembolic stroke remains early detection and treatment of AF - WD Freeman


image by: Atrial Fibrillation Association - US

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Cardioembolic stroke: everything has changed

The diagnosis of cardioembolic stroke has two sides to the coin: on the negative side, there is the absence of evidence of another cause of stroke. On the positive side, there is evidence of a cardioembolic stroke such as a Holter recording showing intermittent atrial fibrillation, an echocardiogram showing a cardioembolic source such as thrombus in the left atrium, a ventricular aneurysm, ventricular dyskinesia or cardiomyopathy.

An additional important consideration is the clinical pattern of cerebral involvement: a patient with cortical ischaemia in multiple vascular territories should be regarded as having a cardioembolic (or aortic atheromatous) source. For example, if a right-handed…

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Last Updated : Thursday, August 8, 2019