Embolic stroke of undetermined source
10.19845/j.cnki.zfysjjbzz.2024.0055
- VernacularTitle:不明原因栓塞性卒中
- Author:
Dongyu CHI
1
;
Xiujuan SONG
1
Author Information
1. Department of Neurology of The Second Hospital of Hebei Medical University， Hebei Provincial Key Laboratory of Neurology，Ministry of Education Key Laboratory of Clinical Neurology，Shijiazhuang 050000， China
- Publication Type:Journal Article
- Keywords:
Embolic stroke of undetermined source;
Nonstenotic large‑artery atherosclerosis;
Subclinical atrial fibrillation;
Patent foramen ovale
- From:
Journal of Apoplexy and Nervous Diseases
2024;41(3):280-283
- CountryChina
- Language:Chinese
-
Abstract:
Embolic stroke of undetermined source （ESUS） is currently considered to be a subtype of cryptogenic stroke featuring embolic stroke on imaging but with no specific or recognized cause of stroke identified after careful diagnostic evaluation. It was speculated that anticoagulant therapy was more effective than antiplatelet therapy for secondary prevention of stroke in patients with ESUS. However， in fact， several ESUS trials showed that anticoagulant therapy was neither safer nor more effective compared with aspirin. Therefore， a more accurate understanding and determination of the etiology of ESUS is the key to treatment. In this paper， we discuss the background， definition， and diagnosis of ESUS， and analyze its etiology and the relationship between emboli and ESUS from the perspective of embolus source， with the aim to improve clinicians'understanding of ESUS.
- Full text:2025070916093798061不明原因栓塞性卒中.pdf
