Expert opinion paper on cardiac imaging after ischemic stroke.

Cardiac imaging Computed tomography Echocardiography Expert opinion Ischemic Stroke Magnetic resonance imaging Transient ischemic attack

Journal

Clinical research in cardiology : official journal of the German Cardiac Society
ISSN: 1861-0692
Titre abrégé: Clin Res Cardiol
Pays: Germany
ID NLM: 101264123

Informations de publication

Date de publication:
Jul 2021
Historique:
received: 25 10 2020
accepted: 01 03 2021
pubmed: 19 6 2021
medline: 30 11 2021
entrez: 18 6 2021
Statut: ppublish

Résumé

This expert opinion paper on cardiac imaging after acute ischemic stroke or transient ischemic attack (TIA) includes a statement of the "Heart and Brain" consortium of the German Cardiac Society and the German Stroke Society. The Stroke Unit-Commission of the German Stroke Society and the German Atrial Fibrillation NETwork (AFNET) endorsed this paper. Cardiac imaging is a key component of etiological work-up after stroke. Enhanced echocardiographic tools, constantly improving cardiac computer tomography (CT) as well as cardiac magnetic resonance imaging (MRI) offer comprehensive non- or less-invasive cardiac evaluation at the expense of increased costs and/or radiation exposure. Certain imaging findings usually lead to a change in medical secondary stroke prevention or may influence medical treatment. However, there is no proof from a randomized controlled trial (RCT) that the choice of the imaging method influences the prognosis of stroke patients. Summarizing present knowledge, the German Heart and Brain consortium proposes an interdisciplinary, staged standard diagnostic scheme for the detection of risk factors of cardio-embolic stroke. This expert opinion paper aims to give practical advice to physicians who are involved in stroke care. In line with the nature of an expert opinion paper, labeling of classes of recommendations is not provided, since many statements are based on expert opinion, reported case series, and clinical experience.

Identifiants

pubmed: 34143285
doi: 10.1007/s00392-021-01834-x
pii: 10.1007/s00392-021-01834-x
pmc: PMC8238761
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

938-958

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Auteurs

Renate B Schnabel (RB)

Department of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
German Centre for Cardiovascular Research (DZHK), Partner site Hamburg/Kiel/Lübeck, Hamburg, Germany.
Atrial Fibrillation NETwork (AFNET) e.V., Münster, Germany.

Stephan Camen (S)

Department of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
German Centre for Cardiovascular Research (DZHK), Partner site Hamburg/Kiel/Lübeck, Hamburg, Germany.

Fabian Knebel (F)

Department of Cardiology and Angiology, University of Berlin, Charité-Universitätsmedizin Berlin, Berlin, Germany.

Andreas Hagendorff (A)

Klinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig , Leipzig, Germany.

Udo Bavendiek (U)

Department of Cardiology and Angiology, Hannover Medical School, Hannover, Germany.

Michael Böhm (M)

Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, University Hospital of Saarland, Saarland University, Homburg (Saar) , Germany.

Wolfram Doehner (W)

Berlin Institute of Health, Center for Regenerative Therapies, and Department of Cardiology (Virchow Klinikum), Charité-Universitätsmedizin Berlin, Berlin, Germany.
German Centre for Cardiovascular Research (DZHK), Partner Site Berlin, Berlin, Germany.
Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Berlin, Germany.

Matthias Endres (M)

German Centre for Cardiovascular Research (DZHK), Partner Site Berlin, Berlin, Germany.
Center for Stroke Research Berlin (CSB), Charité Universitätsmedizin Berlin, Berlin, Germany.
Klinik Und Hochschulambulanz Für Neurologie Mit Abteilung Für Experimentelle Neurologie, Charité-Universitätsmedizin Berlin, Berlin, Germany.
German Center for Neurodegenerative Diseases (DZNE), Partner Site Berlin, Berlin, Germany.
ExcellenceCluster NeuroCure, Berlin, Germany.

Klaus Gröschel (K)

Department of Neurology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

Andreas Goette (A)

Atrial Fibrillation NETwork (AFNET) e.V., Münster, Germany.
Department of Cardiology & Intensive Care Medicine, St. Vincenz Hospital Paderborn, Paderborn, Germany.

Hagen B Huttner (HB)

Department of Neurology, University Hospital Gießen, Gießen, Germany.

Christoph Jensen (C)

B. Braun Ambulantes Herzzentrum Kassel MVZ GmbH, Kassel, Germany.
Ruhr University Bochum, Bochum, Germany.

Paulus Kirchhof (P)

Department of Cardiology, University Heart and Vascular Center Hamburg, Hamburg, Germany.
German Centre for Cardiovascular Research (DZHK), Partner site Hamburg/Kiel/Lübeck, Hamburg, Germany.
Atrial Fibrillation NETwork (AFNET) e.V., Münster, Germany.
Institute of Cardiovascular Sciences, College of Medical and Dental Sciences, Medical School, University of Birmingham, Edgbaston, Birmingham, UK.

Grigorios Korosoglou (G)

Department of Cardiology and Vascular Medicine, GRN Hospital Weinheim, Weinheim, Germany.

Ulrich Laufs (U)

Klinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig , Leipzig, Germany.

Jan Liman (J)

Department of Neurology, University Medical Center Goettingen, Goettingen, Germany.

Caroline Morbach (C)

Comprehensive Heart Failure Center and Department for Medicine I, University Hospital Würzburg, Würzburg, Germany.

Darius Günther Nabavi (DG)

Department of Neurology, Vivantes Klinikum Neukölln, Berlin, Germany.

Tobias Neumann-Haefelin (T)

Department of Neurology, Klinikum Fulda, Universitätsmedizin Marburg - Campus Fulda, Fulda, Germany.

Waltraud Pfeilschifter (W)

Department of Neurology, Goethe-University Hospital Frankfurt, Frankfurt, Germany.
Department of Neurology and Clinical Neurophysiology, Klinikum Lüneburg, Lüneburg, Germany.

Sven Poli (S)

Department of Neurology & Stroke, Eberhard-Karls University Tübingen, Tübingen, Germany.
Hertie Institute for Clinical Brain Research, Eberhard-Karls University Tübingen, Tübingen, Germany.

Timolaos Rizos (T)

Department of Neurology, Heidelberg University, Heidelberg, Germany.

Andreas Rolf (A)

Department of Cardiology, Kerckhoff-Heart-Center, Bad Nauheim, Germany and Campus Kerckhoff Justus-Liebig-University, Gießen, Germany.

Joachim Röther (J)

Department of Neurology, Asklepios Klinik Hamburg Altona, Hamburg, Germany.

Wolf Rüdiger Schäbitz (WR)

Department of Neurology, Evangelisches Klinikum Bethel, Universitätsklinikum OWL der Universität Bielefeld, Campus Bielefeld-Bethel, Bielefeld, Germany.

Thorsten Steiner (T)

Department of Neurology, Heidelberg University, Heidelberg, Germany.
Department of Neurology, Klinikum Frankfurt Höchst, Frankfurt, Germany.

Götz Thomalla (G)

Department of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Rolf Wachter (R)

Klinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig , Leipzig, Germany.
University Medical Center Goettingen, Göttingen, Germany.

Karl Georg Haeusler (KG)

Atrial Fibrillation NETwork (AFNET) e.V., Münster, Germany. Haeusler_K@ukw.de.
Department of Neurology, University Hospital Würzburg, Josef-Schneider-Str. 11, 97080, Würzburg, Germany. Haeusler_K@ukw.de.

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