摘要不明原因栓塞性卒中( ESUS)是指排除颅内外血管狭窄及主要的心源性栓子来源的非腔隙性缺血性脑卒中。阵发性心房颤动可能是其最主要的潜在病因,因此抗凝治疗可显著降低心源性栓塞患者卒中复发率。本文对ESUS定义的由来、流行病学、诊断标准、ESUS与心房颤动的关系及其治疗进展做一综述。
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abstractsEmbolic stroke of undetermined source ( ESUS ) refers to non-lacunar brain infarcts without definite proximal arterialstenosis or major cardioembolic sources.Paroxysmal atrial fibrillation may be the most important cause of ESUS, thus anticoagulation may be more effective than antiplatelet therapy for secondary stroke prevention to this group of patients.This paper reviews the latest progress on the definition, epidemiology, diagnostic approach, relation to atrial fibrillation and management of ESUS.
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