Cardiac workup of stroke

Guidelines, articles and institutional pathways all contradict eachother with respect to the necessary cardiac workup of stroke. Most of the voices I hear (yes, I am hearing voices) talk about echocardiography, scintigraphy and what not. We focus on the history, physical examination and basic cardiac workup (electrocardiography), the value of early monitoring and more in the early stroke phase, using this article as a reference.

We also mention what it is precisely that properly predicts intermittent arrhythmia in transthoracic echocardiography – namely the combination of atrial dilatation and contractility, at least that is what our Göttingen colleagues tell us in this recent article.