Recurrent Stroke in a Young Patient with Embolic Stroke of Undetermined Source and Patent Foramen Ovale: Quo Vadis?
So far, there has been no generally accepted diagnostic and therapeutic algorithm for patients with embolic stroke of undetermined source (ESUS). As recent clinical trials on secondary stroke prevention in ESUS did not support the use of oral anticoagulation and the concept of ESUS comprises heterog...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2020-01-01
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| Series: | Case Reports in Neurology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/505180 |
| _version_ | 1819268256909754368 |
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| author | Katharina Feil Johanna Heinrich Aenne S. von Falkenhausen Regina Becker Clemens Küpper Katharina Müller Dennis C. Thunstedt Moritz F. Sinner Stefan Kääb Lars Kellert |
| author_facet | Katharina Feil Johanna Heinrich Aenne S. von Falkenhausen Regina Becker Clemens Küpper Katharina Müller Dennis C. Thunstedt Moritz F. Sinner Stefan Kääb Lars Kellert |
| author_sort | Katharina Feil |
| collection | DOAJ |
| description | So far, there has been no generally accepted diagnostic and therapeutic algorithm for patients with embolic stroke of undetermined source (ESUS). As recent clinical trials on secondary stroke prevention in ESUS did not support the use of oral anticoagulation and the concept of ESUS comprises heterogeneous subgroups of patients, including a wide age range, concomitant patent foramen ovale (PFO), variable cardiovascular risk factors as well as a variable probability for atrial fibrillation (AF), an individualized clinical approach is needed. In this context, we here present a case of recurrent stroke in a young patient with ESUS and PFO. During treatment according to our Catch-up-ESUS registry study, prolonged cardiac monitoring diagnosed AF, and PFO closure was omitted. |
| first_indexed | 2024-12-23T21:30:11Z |
| format | Article |
| id | doaj.art-c68717d6aa5c43ba93e0479e21c837a9 |
| institution | Directory Open Access Journal |
| issn | 1662-680X |
| language | English |
| last_indexed | 2024-12-23T21:30:11Z |
| publishDate | 2020-01-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Neurology |
| spelling | doaj.art-c68717d6aa5c43ba93e0479e21c837a92022-12-21T17:30:29ZengKarger PublishersCase Reports in Neurology1662-680X2020-01-01121454910.1159/000505180505180Recurrent Stroke in a Young Patient with Embolic Stroke of Undetermined Source and Patent Foramen Ovale: Quo Vadis?Katharina FeilJohanna HeinrichAenne S. von FalkenhausenRegina BeckerClemens KüpperKatharina MüllerDennis C. ThunstedtMoritz F. SinnerStefan KääbLars KellertSo far, there has been no generally accepted diagnostic and therapeutic algorithm for patients with embolic stroke of undetermined source (ESUS). As recent clinical trials on secondary stroke prevention in ESUS did not support the use of oral anticoagulation and the concept of ESUS comprises heterogeneous subgroups of patients, including a wide age range, concomitant patent foramen ovale (PFO), variable cardiovascular risk factors as well as a variable probability for atrial fibrillation (AF), an individualized clinical approach is needed. In this context, we here present a case of recurrent stroke in a young patient with ESUS and PFO. During treatment according to our Catch-up-ESUS registry study, prolonged cardiac monitoring diagnosed AF, and PFO closure was omitted.https://www.karger.com/Article/FullText/505180embolic stroke of undetermined sourcepatent foramen ovale closureatrial fibrillationinsertable cardiac monitor |
| spellingShingle | Katharina Feil Johanna Heinrich Aenne S. von Falkenhausen Regina Becker Clemens Küpper Katharina Müller Dennis C. Thunstedt Moritz F. Sinner Stefan Kääb Lars Kellert Recurrent Stroke in a Young Patient with Embolic Stroke of Undetermined Source and Patent Foramen Ovale: Quo Vadis? Case Reports in Neurology embolic stroke of undetermined source patent foramen ovale closure atrial fibrillation insertable cardiac monitor |
| title | Recurrent Stroke in a Young Patient with Embolic Stroke of Undetermined Source and Patent Foramen Ovale: Quo Vadis? |
| title_full | Recurrent Stroke in a Young Patient with Embolic Stroke of Undetermined Source and Patent Foramen Ovale: Quo Vadis? |
| title_fullStr | Recurrent Stroke in a Young Patient with Embolic Stroke of Undetermined Source and Patent Foramen Ovale: Quo Vadis? |
| title_full_unstemmed | Recurrent Stroke in a Young Patient with Embolic Stroke of Undetermined Source and Patent Foramen Ovale: Quo Vadis? |
| title_short | Recurrent Stroke in a Young Patient with Embolic Stroke of Undetermined Source and Patent Foramen Ovale: Quo Vadis? |
| title_sort | recurrent stroke in a young patient with embolic stroke of undetermined source and patent foramen ovale quo vadis |
| topic | embolic stroke of undetermined source patent foramen ovale closure atrial fibrillation insertable cardiac monitor |
| url | https://www.karger.com/Article/FullText/505180 |
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