中风与神经疾病杂志2024，Vol.41Issue(3)：280-283,4.DOI:10.19845/j.cnki.zfysjjbzz.2024.0055
不明原因栓塞性卒中
Embolic stroke of undetermined source
摘要
Abstract
Embolic stroke of undetermined source(ESUS)is currently considered to be a subtype of cryptogenic stroke featuring embolic stroke on imaging but with no specific or recognized cause of stroke identified after careful diagnos-tic evaluation.It was speculated that anticoagulant therapy was more effective than antiplatelet therapy for secondary pre-vention of stroke in patients with ESUS.However,in fact,several ESUS trials showed that anticoagulant therapy was nei-ther safer nor more effective compared with aspirin.Therefore,a more accurate understanding and determination of the eti-ology of ESUS is the key to treatment.In this paper,we discuss the background,definition,and diagnosis of ESUS,and analyze its etiology and the relationship between emboli and ESUS from the perspective of embolus source,with the aim to improve clinicians'understanding of ESUS.关键词
不明原因栓塞性卒中/非狭窄性大动脉粥样硬化/亚临床房颤/卵圆孔未闭Key words
Embolic stroke of undetermined source/Nonstenotic large-artery atherosclerosis/Subclinical atrial fibrillation/Patent foramen ovale分类
医药卫生引用本文复制引用
迟冬雨,宋秀娟..不明原因栓塞性卒中[J].中风与神经疾病杂志,2024,41(3):280-283,4.基金项目
河北省医学科学研究课题(20211276) （20211276）
