Cardiovascular care of patients with stroke and high risk of stroke: The need for interdisciplinary action: A consensus report from the European Society of Cardiology Cardiovascular Round Table.

Autor: Doehner W; Department of Cardiology (Virchow Klinikum), German Centre for Cardiovascular Research (DZHK), partner site Berlin, Universitätsmedizin Berlin, Germany.; BCRT - Berlin Institute of Health Center for Regenerative Therapies (BCRT), Berlin, Germany.; Center for Stroke Research Berlin, Charité Universitätsmedizin Berlin, Germany., Mazighi M; Department of Neurology, Lariboisière Hospital, University of Paris, France., Hofmann BM; Siemens Healthcare GmbH, Germany., Lautsch D; Merck and Co., Inc., Kenilworth, USA., Hindricks G; Department of Cardiac Electrophysiology, University of Leipzig, Germany., Bohula EA; Cardiovascular Division, Harvard Medical School, USA., Byrne RA; Deutsches Herzzentrum München, Technische Universität München, Germany.; German Centre for Cardiovascular Research (DZHK), Partner site Munich, Germany., Camm AJ; Molecular and Clinical Sciences Research Institute, St George's University of London, UK., Casadei B; Division of Cardiovascular Medicine, University of Oxford, UK.; British Heart Foundation Centre of Research Excellence, Oxford., Caso V; Santa Maria della Misericordia Hospital, University of Perugia, Italy., Cognard C; Service de Neuroradiology, Hopital Purpan, France., Diener HC; Faculty of Medicine, University Duisburg-Essen, Germany., Endres M; Center for Stroke Research Berlin, Charité Universitätsmedizin Berlin, Germany.; Department of Neurology, Charité-Universitätsmedizin Berlin, Germany.; German Centre for Cardiovascular Research (DZHK), Partner site Berlin, Germany., Goldstein P; Emergency Department, University Hospital of Lille, France., Halliday A; Nuffield Department of Surgical Sciences, John Radcliffe Hospital, UK., Hopewell JC; CTSU Nuffield Department of Population Health, University of Oxford, UK., Jovanovic DR; Neurology Clinic, University of Belgrade, Serbia., Kobayashi A; Kazimierz Pulaski University of Technology and Humanities, Poland., Kostrubiec M; Department of Internal Medicine and Cardiology, Medical University of Warsaw, Poland., Krajina A; Department of Radiology, Charles University and University Hospital, Hradec Kralove Czech Republic., Landmesser U; German Centre for Cardiovascular Research (DZHK), Partner site Berlin, Germany.; Department of Cardiology, Charité-Universitätsmedizin Berlin, Germany.; Berlin Institute of Health (BIH), Germany., Markus HS; Stroke Research Group, University of Cambridge, UK., Ntaios G; Department of Medicine, University of Thessaly, Greece., Pezzella FR; Stroke Unit Emergency Department, S. Camillo-Forlanini Hospital, Italy., Ribo M; Stroke Unit, Vall d'Hebron University Hospital, Spain., Rosano GM; IRCCS San Raffaele Hospital Roma, Italy.; Cardiovascular and Cell Sciences Institute, St George's University of London, UK., Rubiera M; Stroke Unit, Vall d'Hebron University Hospital, Spain., Sharma M; Population Health Research Institute, McMaster University and Hamilton Health Sciences, Canada., Touyz RM; Institute of Cardiovascular and Medical Sciences, University of Glasgow, UK., Widimsky P; Cardicenter, Charles University, Third Faculty of Medicine, University Hospital Kralovske Vinohrady, Prague, Czech Republic.
Jazyk: angličtina
Zdroj: European journal of preventive cardiology [Eur J Prev Cardiol] 2020 May; Vol. 27 (7), pp. 682-692. Date of Electronic Publication: 2019 Sep 30.
DOI: 10.1177/2047487319873460
Abstrakt: Comprehensive stroke care is an interdisciplinary challenge. Close collaboration of cardiologists and stroke physicians is critical to ensure optimum utilisation of short- and long-term care and preventive measures in patients with stroke. Risk factor management is an important strategy that requires cardiologic involvement for primary and secondary stroke prevention. Treatment of stroke generally is led by stroke physicians, yet cardiologists need to be integrated care providers in stroke units to address all cardiovascular aspects of acute stroke care, including arrhythmia management, blood pressure control, elevated levels of cardiac troponins, valvular disease/endocarditis, and the general management of cardiovascular comorbidities. Despite substantial progress in stroke research and clinical care has been achieved, relevant gaps in clinical evidence remain and cause uncertainties in best practice for treatment and prevention of stroke. The Cardiovascular Round Table of the European Society of Cardiology together with the European Society of Cardiology Council on Stroke in cooperation with the European Stroke Organisation and partners from related scientific societies, regulatory authorities and industry conveyed a two-day workshop to discuss current and emerging concepts and apparent gaps in stroke care, including risk factor management, acute diagnostics, treatments and complications, and operational/logistic issues for health care systems and integrated networks. Joint initiatives of cardiologists and stroke physicians are needed in research and clinical care to target unresolved interdisciplinary problems and to promote the best possible outcomes for patients with stroke.
Databáze: MEDLINE