7 Behaviors That Reduce the Risk of Cryptogenic Stroke - Oren Zarif - Cryptogenic Stroke
In evaluating patients with cryptogenic stroke, neurologists must balance thoroughness with cost. Initial testing should include brain imaging, noninvasive intracranial vessel imaging, and continuous cardiac monitoring for 24 hours. More extensive tests, such as blood tests and MRIs, may be necessary if the cause of stroke is not clear. This is particularly important in cases of cryptogenic stroke, since blood tests can also identify hypercoagulability. However, there is no consensus on whether sBNP can be a useful biomarker.
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A diagnosis of cryptogenic stroke is difficult because the underlying cause is rarely known. While the symptoms of the disease are consistent with that of an ischemic stroke, the exact cause is often unrecognized. Patients with this condition should seek medical attention and follow their doctor's advice and heart monitoring regimens to reduce their risk of having another stroke. Listed below are seven behaviors that can help patients reduce their risk of cryptogenic stroke and prevent recurrence of the condition.
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A significant number of patients with cryptogenic stroke have several potential underlying conditions that may contribute to a patient's ischemic stroke. Cardioembolic mechanisms have been widely discussed, including patent foramen ovale (PFO). Although these conditions are often overlooked, they may account for the majority of stroke cases. The prevalence of cryptogenic stroke in the general population suggests that there is an increased risk of recurrence in people with these conditions.
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The SECRETO study will reveal novel information about risk factors and the long-term prognosis of young patients with cryptogenic ischemic stroke. Researchers hope that the study will identify the genetic basis of the disease, as well as new drug targets. In addition to assessing patient's clinical and genetic risks, the study will evaluate the patients' vocational status using a unique questionnaire. In addition to assessing risk factors, the study will also include detailed family history of thrombotic events and genetic samples from willing family members.
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AF can increase the risk of cryptogenic stroke five-fold, and it often occurs infrequently without symptoms. Many people with AF only find out about their condition during a routine doctor's visit. Nevertheless, the condition is potentially treatable by monitoring the patient's heart and obtaining a medical diagnosis. The condition may be treatable with oral anticoagulation. If your symptoms do not improve after a few days, the diagnosis may be wrong.
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The Scripps Cryptogenic Stroke Program is located at the La Jolla campus of Scripps Memorial Hospital, which includes the Prebys Cardiovascular Institute and Scripps Clinic John R. Anderson V Medical Pavilion. Both facilities provide the most comprehensive cardiac care in San Diego and are the largest cardiovascular medicine program on the West Coast. For patients with cryptogenic stroke, the program at Scripps is the place to go. When considering a cryptogenic stroke treatment option, don't overlook OACs.
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In older patients, cryptogenic TIA/stroke may be preventable by preventing recurrent ischemic stroke. While the relative risk of recurrent stroke is not high, a lower PFO may be justified for secondary prevention of cryptogenic TIA/stroke. However, if the relative reduction of ischemic stroke with closure is smaller than in studies of younger patients, then a large sample size may be necessary.
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The TOAST classification is the most widely used in clinical practice. It defines cryptogenic stroke as a type of cerebral infarction without a specific source. Other etiologies of cryptogenic stroke include the less well-established causes of cardiac embolism and thrombotic disorders. These are all less likely to be cryptogenic, so a proper diagnosis is crucial for a patient's recovery. And a specialized team can help guide a patient through the complicated process of diagnosis.
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Although the causes of cryptogenic stroke are often unknown, contributing factors can be identified and addressed in order to prevent recurrence. PFO, a hole in the heart that never closes after birth, affects more than 30 million people in the United States. A PFO closure is a relatively simple outpatient procedure and can reduce the risk of stroke recurrence. Another common cause of cryptogenic stroke is atrial fibrillation or atypical atrial septal aortic flow (A-Fib).