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12 - Ischemic Strokes
from Section 3 - Neurological Emergencies
- By Joshua W. Joseph
Edited by Kaushal Shah, Weill Cornell Medical Center, New York, Jarone Lee, Massachusetts General Hospital, Boston
Edited in association with Clark G. Owyang, Weill Cornell Medical Center, New York, Benjamin Christian Renne, Massachusetts General Hospital, Boston
Book:

Practical Emergency Resuscitation and Critical Care

Published online:

02 November 2023

Print publication:

23 November 2023, pp 101-113
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Summary

Cerebrovascular accident (CVA) or stroke is an interruption of blood supply due to thrombosis or embolization.
Thrombosis is caused by an in situ clot at a site of atherosclerotic plaque. Embolization is caused by an intravascular embolus. Sources include atrial fibrillation, ventricular aneurysm, hypokinetic ventricle, myocardial infarction, prosthetic valve, infective endocarditis and proximal friable atherosclerotic plaques.