By C. M. Fisher (auth.), Anthony J. Furlan MD (eds.)

Heart and mind interplay is an more and more very important region of medical research. this is often the main finished evaluate of the topic to be had, awarded by means of across the world well-known specialists within the box. The e-book deals wide insurance of cardioembolic stroke, together with a new contribution at the mechanism of hemorrhagic infarction. debatable subject matters reminiscent of anticoagulation, mixed carotid and coronary surgical procedure and screening for silent coronary sickness are coated. additionally incorporated are a entire overview of the cardiovascular/neurobiological position of the relevant fearful method in high blood pressure and surprising demise, and a realistic method of the sufferer with syncope. This built-in, topical presentation makes crucial studying for neurologists, cardiologists, internists and an individual taking care of sufferers with stroke or cardiac disease.

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Additional resources for The Heart and Stroke: Exploring Mutual Cerebrovascular and Cardiovascular Issues

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Of the 47 cases of hemorrhagic infarction 5 were due to venous thrombosis, 12 to proven embolism, 26 to probable embolism (cf. 2), and in 4 the cause and mechanism could not be determined. Thus, it appears that embolism is the most frequent cause of hemorrhagic infarction. ) Case 1: Hemorrhagic Infarct in the Peripheral Territory of the Right Middle Cerebral Artery. A hypertensive woman, aged 54, with atrial filbrillation was found on the floor with a left hemiplegia and died 24 h later. Pathological examination showed a softening in the right cerebral hemisphere part of which was hemorrhagic and part nonhemorrhagic (Fig.

The patient died unexpectedly on the eighth hospital day. Pathological examination showed hemorrhagic and anemic infarction of the left occipital and inferior temporal regions in the territory of the posterior cerebral artery (Fig. 4). The more medial and anterior portion of the infarct was hemorrhagic, whereas the lateral parts were pale. A careful search of the posterior cerebral arteries and their branches, as well as the basilar artery, revealed no definite occlusion. The large arteries were moderately atherosclerotic.

They used the small intestine in their experiments and were able to settle once and for all that the blood which produces hemorrhagic infarction comes from the collateral circulation and not by reflux from veins. Having demonstrated that the blood pressure was very low in the vessels within the hemorrhagic infarct, they found they could produce such infarction by clamping and gradually compressing the superior mesenteric artery until a critical level was reached, whereupon the bowel suddenly became hemorrhagic.

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