Volumen: 22 # Number : Numero Extraordinario XIII Congreso del Grupo CAHT
Publication Date : Septiembre Year: 2018
SIMPOSIO SIMULTÁNEO B
SIMPOSIO
DE NEUROLOGÍA |
Embolic stroke of unknown source. ESUS, a new concept
Authors: Rodríguez Lucci F, Ameriso SF
Abstract: Despite many advances in our understanding of
ischemic stroke, cryptogenic strokes remain a diagnostic
and therapeutic challenge. Embolic stroke of
unknown source (ESUS) is caused by embolic disease
and associated with an elevated risk of recurrent
ischemic strokes and clinically silent cerebral
ischemic lesions. Optimal secondary prevention of
ESUS is not established. The current standard in
these patients is acetylsalicylic acid, despite high
prevalence of yet undetected paroxysmal atrial
fibrillation and other potential embolic etiologies.
Long-term mortality risk in ESUS is lower compared
with cardioembolic strokes, despite similar
rates of recurrence and composite cardiovascular
end point. Recurrent stroke risk is higher in ESUS
than in noncardioembolic strokes.
Key words: stroke,
ESUS,
cryptogenic stroke
Pages : 177-182
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