Embolic stroke of undetermined source: knowledge validated and refuted in the past 10 years

VernacularTitle:来源不明的栓塞性卒中：10年得与失
Author: Chenglin TIAN ¹
Author Information

1. 解放军总医院第一医学中心神经内科，北京100853
Keywords: Stroke; Anticoagulants; Embolism; Atherosclerosis; Embolic stroke of undetermined source
From: Chinese Journal of Neurology 2024;57(3):201-205
CountryChina
Language:Chinese
Abstract: Embolic stroke of undetermined source (ESUS) is a concept proposed by an international working group in 2014 to define a class of stroke patients and explore the rationality of secondary prevention by anticoagulation in them. During the decade since the concept was proposed, numerous studies have been conducted on the pathogenesis and prevention strategies of ESUS. However, the research results are not quite consistent with the speculations and assumptions when the concept was proposed. Based on the review of the findings of related studies over the past decade, this article discusses the inherent defects in the ESUS concept, the new idea derived from the research results, the future role of ESUS, and trends in etiological diagnosis of ischemic stroke.