There are no absolute criteria for the diagnosis of cardioembolic or atherothrombotic stroke.
To identify the most likely causative subtype for each patient it is necessary to integrate the clinical stroke features and the diagnostic test results: the main criterion in the differential diagnosis between cardioembolic and atherothrombotic stroke is the presence of a potential source of cardiac or atherosclerotic embolism, in the absence of a significant artery or cardiac disease. When coexisting heart disease (such as atrial fibrillation) and artery disease (such as carotid hemodynamic plaque), the etiologic diagnosis of ischemic stroke is difficult.
In this lesson the clinical features and the diagnostic tests findings (included the echocolor Doppler diagnosis) that support cardioembolic or atherothrombotic stroke are reported.
Franco Accorsi, MD
Member of the Order of Physician of Bologna n° 6728
I am a specialist in Medical Angiology and I am based in Bologna, Italy. Until 2008 (voluntary resignation) I worked at Maggiore Hospital in Bologna as "Dirigente Medico" in the Department of Internal Medicine and as Angiologist in the Angiology Unit with a position of "Alta Professionalità" in "Vascular Ecography and Angiology".
I am currently working in Bologna as an independent professional in the areas of angiology and vascular diagnostics.
I have been a speaker at national and international courses/congress and I have taught duplex ultrasound method in GIUV and SIUMB courses at the Maggiore Hospital, Bologna and courses of echocolor Doppler of extracranial and intracranial arteries at the Stroke Unit of S. Maria Nuova Hospital, Reggio Emilia.