Ischemic stroke: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
[[Stroke history and symptoms|History & Symptoms]] | [[Stroke physical examination|Physical Examination]] | [[Stroke history and symptoms|History & Symptoms]] | [[Stroke physical examination|Physical Examination]] | [[Stroke electrocardiogram|Electrocardiogram]] | [[Stroke CT|CT]] | [[Stroke MRI|MRI]] | ||
===Underlying etiology=== | ===Underlying etiology=== | ||
When a stroke has been diagnosed, various other studies may be performed to determine the underlying etiology. With the current treatment and diagnosis options available, it is of particular importance to determine whether there is a peripheral source of [[embolus|emboli]]. Test selection may vary, since the cause of stroke varies with age, [[comorbidity]] and the clinical presentation. Commonly used techniques include: | When a stroke has been diagnosed, various other studies may be performed to determine the underlying etiology. With the current treatment and diagnosis options available, it is of particular importance to determine whether there is a peripheral source of [[embolus|emboli]]. Test selection may vary, since the cause of stroke varies with age, [[comorbidity]] and the clinical presentation. Commonly used techniques include: | ||
* an [[medical ultrasonography|ultrasound/doppler study]] of the [[carotid artery|carotid arteries]] (to detect [[carotid stenosis]]) or [[carotid artery dissection|dissection of the precerebral artieries]] | * an [[medical ultrasonography|ultrasound/doppler study]] of the [[carotid artery|carotid arteries]] (to detect [[carotid stenosis]]) or [[carotid artery dissection|dissection of the precerebral artieries]] | ||
* an [[angiogram]] of the cerebral vasculature (if a bleed is thought to have originated from an [[aneurysm]] or [[arteriovenous malformation]]) | * an [[angiogram]] of the cerebral vasculature (if a bleed is thought to have originated from an [[aneurysm]] or [[arteriovenous malformation]]) | ||
* blood tests to determine [[hypercholesterolemia]], [[bleeding diathesis]] and some rarer causes such as [[homocysteinuria]] | * blood tests to determine [[hypercholesterolemia]], [[bleeding diathesis]] and some rarer causes such as [[homocysteinuria]] |
Revision as of 17:00, 8 September 2011
For patient information click here
Stroke | |
A slice of brain from the autopsy of a person who suffered an acute MCA stroke | |
ICD-10 | I61-I64 |
ICD-9 | 434 |
OMIM | 601367 |
DiseasesDB | 2247 |
MedlinePlus | 000726 |
MeSH | D020521 |
Stroke Main page | |
Diagnosis | |
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Treatment | |
Case Studies | |
Ischemic stroke On the Web | |
American Roentgen Ray Society Images of Ischemic stroke | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Definition
Historical Perspective
Epidemiology & Demographics
Risk Factors
Prognosis
Classification
Pathophysiology
Diagnosis
History & Symptoms | Physical Examination | Electrocardiogram | CT | MRI
Underlying etiology
When a stroke has been diagnosed, various other studies may be performed to determine the underlying etiology. With the current treatment and diagnosis options available, it is of particular importance to determine whether there is a peripheral source of emboli. Test selection may vary, since the cause of stroke varies with age, comorbidity and the clinical presentation. Commonly used techniques include:
- an ultrasound/doppler study of the carotid arteries (to detect carotid stenosis) or dissection of the precerebral artieries
- an angiogram of the cerebral vasculature (if a bleed is thought to have originated from an aneurysm or arteriovenous malformation)
- blood tests to determine hypercholesterolemia, bleeding diathesis and some rarer causes such as homocysteinuria
Treatment
Early assessment | Ischemic Stroke | Hemorrhagic stroke
Care and rehabilitation
Prevention
ACC/AHA Guidelines
Sources
- The 2004 ACC/AHA Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction [1]
- The 2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients with ST-Elevation Myocardial Infarction [2]
References
- ↑ Antman EM, Anbe DT, Armstrong PW, Bates ER, Green LA, Hand M, Hochman JS, Krumholz HM, Kushner FG, Lamas GA, Mullany CJ, Ornato JP, Pearle DL, Sloan MA, Smith SC, Alpert JS, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Gregoratos G, Halperin JL, Hiratzka LF, Hunt SA, Jacobs AK (2004). "ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of Patients with Acute Myocardial Infarction)". Circulation. 110 (9): e82–292. PMID 15339869. Unknown parameter
|month=
ignored (help) - ↑ Antman EM, Hand M, Armstrong PW; et al. (2008). "2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: developed in collaboration With the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 Writing Group to Review New Evidence and Update the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction, Writing on Behalf of the 2004 Writing Committee". Circulation. 117 (2): 296–329. doi:10.1161/CIRCULATIONAHA.107.188209. PMID 18071078. Unknown parameter
|month=
ignored (help)
ar:سكتة zh-min-nan:Tiòng-hong ca:Accident vascular cerebral de:Schlaganfall da:Apopleksi el:Εγκεφαλικό επεισόδιο eo:Apopleksio ko:뇌경색 hr:Moždani udar io:Vaskulala cerebrala stroko id:Stroke is:Heilablóðfall it:Ictus he:שבץ מוחי la:Ictus (morbus) hu:Agyvérzés mk:Мозочен удар ms:Angin ahmar nl:Beroerte no:Hjerneslag sl:Možganska kap fi:Aivoverenkiertohäiriö sv:Slaganfall
- Pages with citations using unsupported parameters
- CS1 maint: Multiple names: authors list
- CS1 maint: Explicit use of et al.
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