Prevalence and impact of venous and arterial thromboembolism in patients with embolic stroke of undetermined source with or without active cancer
Journal of the American Heart Association Nov 05, 2019
Ha J, Lee MJ, Kim SJ, et al. - Given that patients with cancer carry an increased risk of acute ischemic stroke but there is no clarity regarding the mechanism behind cancer-related stroke, researchers investigated the presence of associated venous thromboembolism and arterial thromboembolism as well as their clinical influence on patients with cancer-associated stroke. Using Doppler sonography, analysis of patients with embolic stroke of undetermined source with or without cancer was done for venous thromboembolism (deep vein thrombosis [DVT] and/or pulmonary embolism) and arterial thromboembolism in order to ascertain the presence of lower-extremity DVT and the microembolic signal of the symptomatic cerebral circulation, respectively. Findings revealed an elevated risk of associated venous thromboembolism and arterial thromboembolism in patients with cancer-related embolic stroke of undetermined source. One-year survival in these patients was significantly negatively influenced by the presence of associated venous thromboembolism and arterial thromboembolism. These findings may enhance risk stratification in these patients.
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