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CC BY-NC-ND 4.0 · Neurology International Open 2017; 01(02): E61-E64
DOI: 10.1055/s-0043-102208
Review
© Georg Thieme Verlag KG Stuttgart · New York

Relevance of Heart Failure in Prevention, Treatment and Prognosis of Ischemic Stroke

Karl Georg Haeusler
1   Department of Neurology, Charité – Universitätsmedizin Berlin
2   Center for Stroke Research Berlin, Charité – Universitätsmedizin Berlin
3   Atrial Fibrillation Network
,
Matthias Endres
1   Department of Neurology, Charité – Universitätsmedizin Berlin
2   Center for Stroke Research Berlin, Charité – Universitätsmedizin Berlin
4   German Center for Cardiovascular Research, Berlin
5   German Center for Neurodegenerative Diseases, Berlin
,
Wolfram Doehner
2   Center for Stroke Research Berlin, Charité – Universitätsmedizin Berlin
6   Department of Cardiology, Campus Virchow, Charité – Universitätsmedizin Berlin
› Author Affiliations
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Publication History

Publication Date:
25 April 2017 (online)

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Abstract

About 1.2 million people in Germany suffer from heart failure (HF) and HF is present in about 13–29% of all patients with acute ischemic stroke. HF is a risk factor for ischemic stroke and it is accompanied by a comparably high morbidity and mortality after stroke. Only limited data are available regarding the relevance of HF in acute ischemic stroke. The hypothesis has emerged that an acute ischemic stroke may contribute to deterioration and occurrence of heart failure. Stroke prevention by oral anticoagulation is only recommended for HF patients with concomitant atrial fibrillation. This article is based on a selective literature review summarizing the present knowledge as well as current guideline recommendations and provides recommendations for clinical practice.

Key words

heart failure - ischemic stroke - stroke prevention - oral anticoagulation
 

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