Key result
Specialized follow-up of ESUS and cardioembolic stroke highlights the need for improved secondary prevention algorithms.
Why the study?
To analyze the results of specialized outpatient follow-up in patients with embolic stroke of undetermined source.
What are the differences in clinical characteristics and repeated cardiovascular events between patients with ESUS and cardioembolic stroke during specialized outpatient follow-up?
Observational (n=169)
No
What are the differences in clinical characteristics and repeated cardiovascular events between patients with ESUS and cardioembolic stroke during specialized outpatient follow-up?
Patients with ESUS represent a challenging diagnostic category requiring specialized algorithms for identifying stroke etiology and optimizing secondary prevention.
ESUS follow-up data support refined diagnostics; leaves open prospective trials to optimize secondary prevention algorithms.
Background . The article considers with the current problem of cryptogenic stroke and embolic stroke of undetermined source.The objective was to analyzed the results of follow-up of patients with embolic stroke of undetermined source in a specialized outpatient center.Methods and materials. The data of 169 patients who completed a two-year follow-up period with embolic stroke of undetermined source (ESUS) and cardioembolic stroke were analyzed. Results . We presented comparative results on the structure of incidence rate, age differences, comorbid pathology, as well as on the frequency of repeated cardiovascular events in groups with cardioembolic stroke and embolic stroke of undetermined source. Conclusions . Patients with ESUS are an extremely difficult category of patients for diagnostic search, for whom the actual task is to develop an examination algorithm for the earliest possible detection of the cause of stroke and to determine the optimal methods of secondary prevention.
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Merkureva et al. (2021) conducted an observational in Embolic stroke of undetermined source (ESUS) and cardioembolic stroke (n=169). Specialized outpatient follow-up vs. Cardioembolic stroke group was evaluated on Incidence rate, age differences, comorbid pathology, and frequency of repeated cardiovascular events. Specialized outpatient follow-up of 169 patients with ESUS and cardioembolic stroke over two years highlighted the need for improved diagnostic algorithms for secondary prevention.
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