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Stroke

Prevalence
Clinical features
Investigations
Therapy
Prevention
Prognosis
Prognosis

Recurrent stroke

The risk is increased following an ischaemic stroke with a patent foramen ovale and an atrial septal aneurysm. a

Why?

  • 12% of patients with a combination of a patent foramen ovale and an atrial septal aneurysm have a recurrent stroke within a mean of 3 years (95% CI: 2.9% to 21%).(Hazard ratio for recurrent stroke: 4.17; 95% CI: 1.47 to 11.8). a
  • A patent foramen ovale or an atrial septal aneurysm alone does not clearly increase the risk of recurrent stroke. a

Expiry date: October 2003
Levels of Evidence used in grading these guides

Author   CM   Ball
Reviewer   G  Donnan
CAT Writers   CJ   Wotton , N   Shenker , CM   Ball