Embolic stroke: risk factors

Evidence-based neurology checklist on embolic stroke: risk factors: Major risk factors Atrial fibrillation (AF): the risk persists even after AF resolves Short-run atrial tachyarrhythmia Recent myocardial infarction Left atrial and ventricular thrombus Rheumatic mitral stenosis Infective…

Major risk factors

  • Atrial fibrillation (AF): the risk persists even after AF resolves
  • Short-run atrial tachyarrhythmia
  • Recent myocardial infarction
  • Left atrial and ventricular thrombus
  • Rheumatic mitral stenosis
  • Infective endocarditis
  • Nonbacterial thrombotic endocarditis
  • Atrial myxoma
  • Prosthetic mechanical valves
  • Dilated cardiomyopathy
  • Nonbacterial thrombotic endocarditis
  • Dyskinetic/aneurysmal ventricular walls

Minor and uncertain risk factors

References

  1. Vahedi K, Amarenco P. Cardiac causes of stroke. Curr Treat Options Neurol 2000; 2:305-317.
  2. Murtagh B, Smalling RW. Cardioembolic stroke. Curr Artheroscl Rep 2006; 8:310-316.
  3. Adderley NJ, Nirantharakumar K, Marshall T. Risk of stroke and transient ischaemic attack in patients with a diagnosis of resolved atrial fibrillation: retrospective cohort studies. BMJ 2018; 361:k1717. 
  4. Yamada S, Lin CY, Chang SL, et al. Risk of stroke in patients with short-run atrial tachyarrhythmia. Stroke 2017; 48:3232-3238. 
  5. Vishwanath R, Amin M, Cierny M, Tan C, Buletko AB. Pearls & Oy-sters: mitral annular calcification as a cause of ischemic stroke: a case report. Neurology 2023 (Online ahead of print).
  6. And 4 more. Subscribe to see the full list

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