Eur Heart J: Half of strokes are related to cardiovascular disease, and stroke treatment requires a cardiologist! Review by the European Heart Journal.

!---- recently published in the European Heart Journal, cardiologists need to better understand stroke.stroke is not only the second leading cause of death in the world, but also the leading cause of disability in adults.stroke is the leading cause of death among residents in China.review notes that about half of ischemic strokes may be directly caused by cardiovascular disease, and most other stroke patients have a certain number of cardiovascular risk factors.in practice, stroke can usually be the first event of cardiovascular disease., stroke patients need a cardiologist.cardiologists should also be aware of the pathophysiology and clinicalnature of stroke and need to help patients at all stages of stroke diagnosis, from prevention, diagnosis and treatment, as well as long-term treatment, to use heart expertise. Unexplained embolic stroke (ESUS) accounted for 25 percent of all ischemic strokes, according to the International Working Group on Hidden Stroke,.current, more convincing evidence-based medical evidence suggests that most hidden strokes are thrombosis events.these thrombosis may have originated from the heart, abnormal embolism, and non-closed arterial porridge plaques in areas such as the aortic arch, or the carotid artery of the brain.for example, the chinese expertconsensus of the unclosed operandi of the ovoid hole points out that for the 55-year-old, the lack of susceptibility factors, the sudden appearance of stroke should suspect that the ovoid hole is not closed as its cause, and recommend blocking.post-stroke atrial fibrillation screening white paper recommends that for unexplained embolic stroke (ESUS) patients, it is also necessary to look for evidence of atrial fibrillation.based on the above understanding, the working group recommends that unexplained embolic stroke should be targeted for specific treatment and define it as a non-cavity cerebral infarction without near-end arterial stenosis or cardiogenic sources, and that anticoagulant treatment may be required.It is believed that oral anticoagulant drugs are beneficial to unexplained embolic stroke patients, which has not been confirmed.but the elderly, obvious atrial increase cause unknown cause of embole stroke patients oral anticoagulant drugs than aspirin benefits more.unexplained embolic stroke patients are not a sign of initiating a new oral anticoagulant drug, but an extension of electrocardiogram monitoring may be considered.in patients with unknown stroke who failed to detect the cause of atrial fibrillation by conventional testing methods such as general electrocardiogram and Holter, the detection rate of atrial fibrillation by a new generation of plug-in electrocardiogram monitors was 21.7%. post-stroke atrial fibrillation screening white paper also recommends that patients with ischemic stroke or transient cerebral ischemic (TIA) should be monitored for at least 72 consecutive hours. atrium enlargement, excessive hyperventilation throbbing, and elevated sodium peptides indicate atrial cardiomyopathy, these patients should strengthen or prolong eID monitoring. .