Komarov A L, Krivosheeva E N, Makeev M I, Merkulov E V, Tripoten M I, Panchenko E P
Chazov National Medical Research Center of Cardiology.
Ter Arkh. 2022 Oct 24;94(9):1109-1114. doi: 10.26442/00403660.2022.09.201842.
А clinical case of a young patient with recurrent ischemic strokes is presented. The problems of diagnostic embolic strokes are discussed. We set out the algorithm for identifying patients, in whom patent foramen ovale is the most probable cause of embolic stroke. Detailed consideration of imaging diagnostic methods possibility is included. Hypothesis of probable source of cardioembolism from patent foramen ovale is presented. Recommendations for the secondary prevention of recurrent ischemic stroke, associated with patent foramen ovale, are provided. We also considered the issues of antithrombotic treatment.
介绍了一名患有复发性缺血性中风的年轻患者的临床病例。讨论了诊断栓塞性中风的问题。我们阐述了识别卵圆孔未闭最有可能是栓塞性中风病因的患者的算法。包括对成像诊断方法可能性的详细考虑。提出了卵圆孔未闭导致心脏栓塞可能来源的假说。提供了与卵圆孔未闭相关的复发性缺血性中风二级预防的建议。我们还考虑了抗血栓治疗的问题。