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隐源性卒中与卵圆孔未闭的意义:病例系列

Cryptogenic Stroke and Significance of the Patent Foramen Ovale: A Case Series.

作者信息

Pour-Ghaz Issa, Krishnan Rashi, Pierce William F, Jackson Christopher D, Bhole Rohini, Seth Ankur

机构信息

Internal Medicine, University of Tennessee Health Science Center, Memphis, USA.

Neurology, University of Tennessee Health Science Center, Memphis, USA.

出版信息

Cureus. 2018 Oct 30;10(10):e3525. doi: 10.7759/cureus.3525.

Abstract

Stroke is the second leading cause of death globally and can lead to significant adverse outcomes in patients following the acute illness. Due to this high morbidity and mortality, adequate interventions can play a significant role in health outcomes. Patent foramen ovale is one of the major proposed causes of cryptogenic strokes and can be present in up to 25% of general population. In cryptogenic strokes, the relation of this structural heart defect is inversely proportional to age of patient. Here, we present three cases of cryptogenic strokes in patients with patent foramen ovale where it possibly plays a significant role. We demonstrate that in the younger age spectrum, patent foramen ovale plays a more significant role and treatment could prevent future stroke episodes.

摘要

中风是全球第二大致死原因,在急性发病后的患者中可导致严重不良后果。由于其高发病率和高死亡率,适当的干预措施对健康结果可发挥重要作用。卵圆孔未闭是隐匿性中风的主要潜在病因之一,在普通人群中其发生率可达25%。在隐匿性中风中,这种心脏结构缺陷与患者年龄呈反比关系。在此,我们报告三例卵圆孔未闭患者发生隐匿性中风的病例,其中卵圆孔未闭可能起到了重要作用。我们证明,在较年轻的年龄段,卵圆孔未闭发挥的作用更为显著,治疗可预防未来的中风发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcd9/6318108/67eb51a1e086/cureus-0010-00000003525-i01.jpg

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