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MANAGEMENT OF PATIENTS AT RISK OF ISCHEMIC STROKE WITH LEFT VENTRICULAR SYSTOLIC DYSFUNCTION IN THE ABSENCE OF INTRACARDIAC THROMBUS: A SCIENTIFIC STATEMENT FROM THE AMERICAN HEART ASSOCIATION
American Heart Association
PDF18 pages1.4 MB
Left ventricular (LV) systolic dysfunction is commonly found in patients with ischemic stroke, increasing their risk of incident and recurrent embolic stroke. This document reviews the limited data supporting anticoagulation in these patients and discusses the implications of LV dysfunction on stroke management. It includes a narrative summary and meta-analysis of randomized clinical trials evaluating outcomes of anticoagulation versus nonanticoagulation strategies, highlighting the need for further research on risk stratification and management strategies.
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