Henriques I
Serviço de Neurologia, Hospital Espírito Santo, Evora.
Acta Med Port. 1997 Aug-Sep;10(8-9):597-602.
The diagnosis of cerebral cardioembolism requires, apart from evidence of an embolic cardiopathy, a cause-effect relation to be established between the potential cardioembolic source and the occurrence of ischemic stroke. There are several arguments in favour of this reaction, namely the neurologic aspects put forward both clinicians and neuroimaging professionals, as well as the generalization of cardiologic diagnostic techniques for the etiologic investigation of ischemic stroke. Importance should be given to primary prevention of embolic cardiopathies. Oral anticoagulation should be administered in all situations where an advantage has been established when compared to antiaggregation or placebo. Cooperation between the different health structures and the different specialties probably depends on the changes in the prevalence of cerebral cardioembolism.
脑心源性栓塞的诊断，除了要有栓塞性心脏病的证据外，还需要在潜在的心源性栓子来源与缺血性卒中的发生之间建立因果关系。有几个论据支持这种反应，即临床医生和神经影像专业人员提出的神经学方面的论据，以及用于缺血性卒中病因学调查的心脏病诊断技术的普及。应重视栓塞性心脏病的一级预防。在与抗血小板聚集或安慰剂相比已证实有优势的所有情况下，都应给予口服抗凝治疗。不同卫生机构和不同专业之间的合作可能取决于脑心源性栓塞患病率的变化。
