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以隐源性卒中作为初步诊断:需要进行早期且全面的诊断性检查。

Cryptogenic stroke as a working diagnosis: the need for an early and comprehensive diagnostic work-up.

机构信息

Stroke Unit, Department of Emergency-Urgency and Transplants, Azienda Ospedaliera Universitaria Senese, "Santa Maria alle Scotte" General-Hospital, Siena, Italy.

U.O.C. Stroke Unit, Policlinico 'S. Maria alle Scotte', viale Bracci, n.1, Siena, 53100, Italy.

出版信息

BMC Neurol. 2023 Apr 14;23(1):153. doi: 10.1186/s12883-023-03206-6.

Abstract

In the Nordic Atrial Fibrillation and Stroke (NOR-FIB) study, the causes of ischemic stroke were identified in 43% of cryptogenic stroke patients monitored with implantable cardiac monitor (ICM), but one-third of these patients had non-cardioembolic causes. These results suggest the need for an early and comprehensive diagnostic work-up before inserting an ICM.

摘要

在北欧房颤和卒中(NOR-FIB)研究中,在使用植入式心脏监测仪(ICM)监测的隐源性卒中患者中,43%的患者确定了缺血性卒中的病因,但其中三分之一的患者病因是非心源性的。这些结果表明,在植入 ICM 之前,需要进行早期和全面的诊断评估。

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