Abstract
Stroke remains the third commonest cause of death in the United States. Cerebral infarcts from cardiac emboli represent a progressively increasing percentage of strokes. as non-traumatic cerebral hemorrhages secondary to hypertension continue to decline. In no age group is this increase in cerebral infarction from cardiac emboli more apparent than in the elderly. 75 per cent of individuals over age 85 are not in nursing homes;1 yet an increasing number of these individuals remain at risk of premature death or disability from an embolic stroke.
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References
Population estimates and projections. U.S. Dept. Commerce, Bureau of the Census Series P-25 #965(1985).
M. L. Dyker, P. A. Wolf, H. J. M. Barnett, et al: Risk factors in stroke. A statement for physicians by the subcommittee on risk factors and stroke of the stroke council. Stroke 15:1105(1984).
Cerebral Embolism Task Force: Cardiogenic brain embolism. Arch Neurol 43:71(1986).
Cerebral Embolism Task Force: Cardiogenic brain embolism. Arch Neurol 43:71(1986).
P. A. Wolf, W. Kannel, D. L. McGee, et al: Duration of atrial fibrillation and imminence of stroke: The Framingham Study. Stroke 14: 664(1983).
A. Torvik, L, Jorgensen: Thrombotic and embolic occlusions of the carotid arteries in an autopsy material. Part I, Prevalence, location and associated diseases. J Neurol Sci 1:24(1964).
I. Starkey, C. Warlow: The secondary prevention of stroke in patients with atrial fibrillation. Arch Neurol 43:66(1986).
S. Butler: The Note-books of Samuel Butler, London, A C Fifield, p 11(1912).
A. J. Moss: Atrial fibrillation and cerebral embolism. Arch Neurol 41:707(1984).
J. Sage, R. Van Uitert: Risk of recurrent stroke in patients with atrial fibrillation and non-valvular heart disease. Stroke 14:537(1983).
J. K. Campbell, O. W. Houser, J. C. Stevens, H. W. Wahner, H. L. Baker, W. N. Folger: Computed tomography and radionuclide imaging in the evaluation of ischemic stroke. Radiology 126:702(1978).
I. Feigen, G. W. Budzilovich: The general pathology of cerebrovascular disease. In: Handbook of Clinical Neurology vol 11, Vinken P.J. Bruyn G. W. eds. North Holland Publishing Co. Amsterdam, pp 128(1972).
A. M. Hakim, A. Ryder-Cooke, D. Melanson: Sequential computerized tomographic appearance of strokes. Stroke 14:893(1983).
M. Fisher, R. D. Adams: Observations on brain embolism with special reference to the mechanism of hemorrhagic infarction. J Neuropathol Exp Neurol 10:92(1950).
F. Khaja, J. A. Walton Jr., J. F. Brymer, et al. Intracoronary fibrinolytic therapy in acute myocardial infarction. Report of a prospective randomized trial. N Engl J Med 308:1305(1983).
K. P. Rentrop, F. Feit, H. Blanke, et al. Effects of intracoronary Streptokinase and intracoronary nitroglycerin infustion on coronary angiographic patterns and mortality in patients with acute myocardial infarction. N Engl J Med 311:1457(1984).
S. Wessler, Is anticoagulant prophylaxis of cardiac emboli practical? Geriatrics (in press).
Health and Public Policy Committee, American College of Physicians. The diagnostic spinal tap. Ann Int Med 104:880(1986).
H. M. Marin, M. Stefanini: Experimental production of phlebothrombosis. Surg Gynec Obst 110:263(1960).
S. Wessler: Thrombosis in the presence of vascular stasis. Am J Med 33:648(1962).
C. R. Hornig, W. Dorndorf, A. L. Agnoli: Hemorrhagic cerebral infarction—a prospective study. Stroke 17:179(1986).
C. P. Warlow, D. Ogston, A. S. Douglas: Deep venous thrombosis of the legs after strokes. Part I. Incidence and predisposing factors. Lancet 1:1178(1976).
A. T. Miyamoto, L. S. Miller: Pulmonary embolism in stroke: prevention by early heparinization of venous thrombosis detected by iodine-125 fibrinogen leg scans. Arch Phys Med Rehab 61:584(1980).
National Safety Council Accident Facts, p 83 (1985).
S. R. Cummings, J. L. Kelsey, M. C. Nevitt, K. J. O’Dowd. Epidemiology of osteoporosis and osteoporotic fractures. Epidemiol Rev 7:178(1985).
M. E. Tinetti, T. F. Williams, R. Mayewski: Fall risk index for elderly patients based on number of chronic disabilities. Am J Med 80:429 (1986).
D. Allen: Falls—big worry for the elderly. Family Safety 38:23(1979).
M. Peszczynski: Why people fall. Am J Nursing 65:86(1965).
R. A. Nishimura, M. D. McGoon, C. Shub, et al. Echocardiographically documented mitral-valve prolapse. Long-term follow-up of 237 patients. N Engl J Med 313:1305(1985).
R. Hull, T. Delmore, C. Carter, et al: Adjusted subcutaneous heparin versus warfarin sodium in the long-term treatment of venous thrombosis. N Engl J Med 306:189(1982).
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Wessler, S. (1987). Cardiac Embolic Stroke: Anticoagulating the Elderly. In: Wessler, S., Becker, C.G., Nemerson, Y. (eds) The New Dimensions of Warfarin Prophylaxis. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-5985-3_29
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DOI: https://doi.org/10.1007/978-1-4757-5985-3_29
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