TY - JOUR
T1 - Brain cardioembolism. Issues in diagnosis and management
AU - Anderson, D. C.
PY - 1987/1/1
Y1 - 1987/1/1
N2 - The diagnosis of cardioembolism is always based on circumstantial evidence. Echocardiography has a limited useful yield and should be reserved for young patients or older patients with clinical heart disease. Primary prophylaxis with anticoagulants appears to be reasonable for patients with acute anterior wall myocardial infarction, rheumatic valvular disease, or dilated cardiomyopathy and, possibly, for those with chronic nonvalvular atrial fibrillation. Secondary prophylaxis (after an initial embolism) is reasonable for the same conditions and, possibly, for mitral valve prolapse. Acute anticoagulation therapy is warranted when a large infarct is excluded by computed tomography 24 hours after a cerebral embolism.
AB - The diagnosis of cardioembolism is always based on circumstantial evidence. Echocardiography has a limited useful yield and should be reserved for young patients or older patients with clinical heart disease. Primary prophylaxis with anticoagulants appears to be reasonable for patients with acute anterior wall myocardial infarction, rheumatic valvular disease, or dilated cardiomyopathy and, possibly, for those with chronic nonvalvular atrial fibrillation. Secondary prophylaxis (after an initial embolism) is reasonable for the same conditions and, possibly, for mitral valve prolapse. Acute anticoagulation therapy is warranted when a large infarct is excluded by computed tomography 24 hours after a cerebral embolism.
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U2 - 10.1080/00325481.1987.11699946
DO - 10.1080/00325481.1987.11699946
M3 - Article
C2 - 3628126
AN - SCOPUS:0023609386
SN - 0032-5481
VL - 82
SP - 48
EP - 57
JO - Postgraduate medicine
JF - Postgraduate medicine
IS - 3
ER -
