Abstract

Stroke remains one of the most common diseases and causes of death. Reducing mortality from stroke is in great dependence on the effectiveness of its prevention, which, in turn, is impossible without an accurate understanding of its causes and mechanisms of development. The article represents the history of a patient with ischemic cardioembolic stroke that developed against noncompaction cardiomyopathy, a relatively rare disease that can be diagnosed with the use of available modern research methods. The algorithm for examining a patient with suspected cardioembolic stroke includes long-term Holter monitoring, echocardiography, CT and MRI of the heart, which makes it possible to identify rare causes of cardiac thromboembolism. Postexposure prophylaxis of stroke in such cases is likely to include the use of anticoagulants, but studies aimed to clarify most effective methods of recurrent strokes prevention in rare causes of cardiac thromboembolism are still being conducted.

Highlights

  • Инсульт остается одним из самых распространенных сердечно-сосудистых заболеваний и одной из ведущих причин смерти

  • The article represents the history of a patient with ischemic cardioembolic stroke that developed against noncompaction cardiomyopathy, a relatively rare disease that can be diagnosed with the use of available modern research methods

  • Postexposure prophylaxis of stroke in such cases is likely to include the use of anticoagulants, but studies aimed to clarify most effective methods of recurrent strokes prevention in rare causes of cardiac thromboembolism are still being conducted

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Summary

Introduction

Инсульт остается одним из самых распространенных сердечно-сосудистых заболеваний и одной из ведущих причин смерти. The algorithm for examining a patient with suspected cardioembolic stroke includes long-term Holter monitoring, echocardiography, CT and MRI of the heart, which makes it possible to identify rare causes of cardiac thromboembolism. Ранних признаков острого ишемического повреждения вещества головного мозга также выявлено не было (ASPECTS 9 баллов).

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