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Cryptogenic Stroke and Embolic Stroke of Undetermined Source: Risk Factors and Approaches for Detection of Atrial Fibrillation

Background: Stroke is a problem worldwide because of its high mortality and disability rates. Almost 90% of strokes are ischemic, and more than half of the deaths arecaused by an ischemic stroke. Most risk factors for stroke are manageable so that it can be avoided with proper prevention. Despite th...

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Autores principales: Rakhimova, Idaliya, Semenova, Yuliya, Khaibullin, Talgat, Kuanysheva, Anargul, Kovalchuk, Vitalii, Abdrakhmanov, Ayan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Science Publishers 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9893140/
https://www.ncbi.nlm.nih.gov/pubmed/34939547
http://dx.doi.org/10.2174/1573403X18666211221145714
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author Rakhimova, Idaliya
Semenova, Yuliya
Khaibullin, Talgat
Kuanysheva, Anargul
Kovalchuk, Vitalii
Abdrakhmanov, Ayan
author_facet Rakhimova, Idaliya
Semenova, Yuliya
Khaibullin, Talgat
Kuanysheva, Anargul
Kovalchuk, Vitalii
Abdrakhmanov, Ayan
author_sort Rakhimova, Idaliya
collection PubMed
description Background: Stroke is a problem worldwide because of its high mortality and disability rates. Almost 90% of strokes are ischemic, and more than half of the deaths arecaused by an ischemic stroke. Most risk factors for stroke are manageable so that it can be avoided with proper prevention. Despite the successin determining the causes of stroke in recent years, selectively, the “culprit” causingstroke remains unsolved. In such cases, a diagnosis of undetermined etiology (cryptogenic stroke) or embolic stroke of undetermined source (ESUS) is generated, resulting the prevention of a recurrent cerebrovascular occurrenceimpossible. Atrial fibrillation (AF) can be a cause of stroke by causing blood clots in the chambers of the heart. Purpose: The aim was to determine the optimal method of heart rate monitoring in patients with ischemic stroke, as methods and approaches for detecting AF are very diverse, but there is still no single opinion, which would be universal. Procedures: In our review, we consider epidemiology, risk factors for the stroke of undetermined etiology, as well as analytical methods for detecting heart rhythm disturbances in this category of patients. Findings: Atrial fibrillation (AF) is detected by thoroughmonitoring of heart rate ofpatients with cryptogenic stroke and ESUS can be diagnosed inup to 46% of patients. Conclusion: After AF detection, consideration should be given to prescribing anticoagulants, instead of antiplatelet agents, for the secondary prevention of stroke.
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spelling pubmed-98931402023-11-02 Cryptogenic Stroke and Embolic Stroke of Undetermined Source: Risk Factors and Approaches for Detection of Atrial Fibrillation Rakhimova, Idaliya Semenova, Yuliya Khaibullin, Talgat Kuanysheva, Anargul Kovalchuk, Vitalii Abdrakhmanov, Ayan Curr Cardiol Rev Cardiology Background: Stroke is a problem worldwide because of its high mortality and disability rates. Almost 90% of strokes are ischemic, and more than half of the deaths arecaused by an ischemic stroke. Most risk factors for stroke are manageable so that it can be avoided with proper prevention. Despite the successin determining the causes of stroke in recent years, selectively, the “culprit” causingstroke remains unsolved. In such cases, a diagnosis of undetermined etiology (cryptogenic stroke) or embolic stroke of undetermined source (ESUS) is generated, resulting the prevention of a recurrent cerebrovascular occurrenceimpossible. Atrial fibrillation (AF) can be a cause of stroke by causing blood clots in the chambers of the heart. Purpose: The aim was to determine the optimal method of heart rate monitoring in patients with ischemic stroke, as methods and approaches for detecting AF are very diverse, but there is still no single opinion, which would be universal. Procedures: In our review, we consider epidemiology, risk factors for the stroke of undetermined etiology, as well as analytical methods for detecting heart rhythm disturbances in this category of patients. Findings: Atrial fibrillation (AF) is detected by thoroughmonitoring of heart rate ofpatients with cryptogenic stroke and ESUS can be diagnosed inup to 46% of patients. Conclusion: After AF detection, consideration should be given to prescribing anticoagulants, instead of antiplatelet agents, for the secondary prevention of stroke. Bentham Science Publishers 2022-07-14 2022-07-14 /pmc/articles/PMC9893140/ /pubmed/34939547 http://dx.doi.org/10.2174/1573403X18666211221145714 Text en © 2022 Bentham Science Publishers https://creativecommons.org/licenses/by-nc/4.0/ This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Cardiology
Rakhimova, Idaliya
Semenova, Yuliya
Khaibullin, Talgat
Kuanysheva, Anargul
Kovalchuk, Vitalii
Abdrakhmanov, Ayan
Cryptogenic Stroke and Embolic Stroke of Undetermined Source: Risk Factors and Approaches for Detection of Atrial Fibrillation
title Cryptogenic Stroke and Embolic Stroke of Undetermined Source: Risk Factors and Approaches for Detection of Atrial Fibrillation
title_full Cryptogenic Stroke and Embolic Stroke of Undetermined Source: Risk Factors and Approaches for Detection of Atrial Fibrillation
title_fullStr Cryptogenic Stroke and Embolic Stroke of Undetermined Source: Risk Factors and Approaches for Detection of Atrial Fibrillation
title_full_unstemmed Cryptogenic Stroke and Embolic Stroke of Undetermined Source: Risk Factors and Approaches for Detection of Atrial Fibrillation
title_short Cryptogenic Stroke and Embolic Stroke of Undetermined Source: Risk Factors and Approaches for Detection of Atrial Fibrillation
title_sort cryptogenic stroke and embolic stroke of undetermined source: risk factors and approaches for detection of atrial fibrillation
topic Cardiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9893140/
https://www.ncbi.nlm.nih.gov/pubmed/34939547
http://dx.doi.org/10.2174/1573403X18666211221145714
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