کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8667833 1578121 2018 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Covert atrial fibrillation and atrial high-rate episodes as a potential cause of embolic strokes of undetermined source: Their detection and possible management strategy
ترجمه فارسی عنوان
فیبریلاسیون دهلیزی مخفی و قسمت های پر سر و صدای دهلیزی به عنوان یک علت احتمالی سکته مغزی ناشی از منبع نامشخص: تشخیص آنها و راهبرد ممکن
کلمات کلیدی
سکته مغزی سکته مغزی از منبع نامشخص، قسمتهای پر سر و صدای بالا، دستگاه های الکترونیکی قابل قلب قلب، ضد انعقاد،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
Cryptogenic ischemic stroke, defined as stroke of undetermined etiology, accounts for 7-25% of all ischemic strokes. Stroke severity is reported to be less severe than cardioembolic stroke and similar to large-artery atherosclerosis. Because its etiology is believed to be mostly an embolic type, it is often called “embolic strokes of undetermined source” (ESUS). In patients with ESUS, it is of significant importance to seek an embolic source with intensive diagnostic assessment, which mostly originates from the heart. Covert atrial fibrillation (AF) and atrial high-rate episodes (AHRE) detected by cardiac implantable electronic devices are believed to contribute to the pathogenesis of ESUS. AHRE is common not only in device-implanted patients, but also in older patients with cardiovascular risk factors. However, it is unclear whether AHRE is a direct cause or simply a risk marker of stroke. Furthermore, indication of anticoagulation therapy for stroke prevention in patients with AHRE remains undetermined. In this review, we focus on the roles of covert AF and AHRE in the pathogenesis of cryptogenic ischemic stroke or ESUS. Detection of covert AF and AHRE, and possible management strategies are also discussed.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cardiology - Volume 72, Issue 1, July 2018, Pages 1-9
نویسندگان
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