Cardioembolic Stroke: A Case Study

Crit Care Nurse. 2017 Feb;37(1):27-39. doi: 10.4037/ccn2017127.

Abstract

Cardioembolic stroke is a critical health condition that requires immediate intervention. Cardiac emboli are the most common type of embolism and account for 14% to 30% of all ischemic strokes. Atrial fibrillation is the most common cause of cardioembolic strokes, and its prevalence increases substantially with age. Other factors that increase the risk for cardioembolic stroke include hypertension, diabetes mellitus, hyperlipidemia, cardiac disease, and lifestyle choices. General supportive care and treatment of the acute phase and subsequent complications should be started immediately. Nurses must play an active role in screening patients for stroke subtypes, using appropriate diagnostic tools, and providing medical and nursing interventions. Nurses also play a crucial role in prevention by providing education to patients and patients' families on how to recognize stroke signs and symptoms. This case study discusses the course of illness, treatment, and prevention strategies for patients who have suffered cardioembolic stroke due to atrial fibrillation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Anticoagulants / therapeutic use
  • Atrial Fibrillation / complications
  • Atrial Fibrillation / diagnostic imaging
  • Combined Modality Therapy
  • Coronary Thrombosis / complications*
  • Coronary Thrombosis / diagnostic imaging
  • Critical Illness / therapy
  • Early Diagnosis
  • Emergency Service, Hospital
  • Follow-Up Studies
  • Humans
  • Intracranial Embolism / diagnostic imaging*
  • Intracranial Embolism / etiology
  • Intracranial Embolism / therapy*
  • Male
  • Risk Assessment
  • Severity of Illness Index
  • Stroke / diagnostic imaging
  • Stroke / etiology
  • Stroke / therapy*
  • Thrombectomy / methods*
  • Time Factors
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Substances

  • Anticoagulants