Patent foramen ovale. An update for primary care

被引:1
作者
Martin Manero, C. [1 ]
Medina Duran, P. [2 ]
Morales Delgado, N. [3 ]
Martin Rioboo, E. [4 ]
机构
[1] Ctr Salud Ribera Muelle, Dist Sanitario Bahia Cadiz La Janda, Med Familiar & Comunitaria, Puerto Real, Spain
[2] Hosp Alta Resoluc Montilla, Serv Urgencias, Cordoba, Spain
[3] Dist Sanitario Cordoba Guadalquivir, Unidad Gest Clin Poniente, Med Familiar & Comunitaria, Cordoba, Spain
[4] Hosp Reina Sofia Cordoba, IMIBIC, Grp Invest Clin Epidemiol GICEAP, Unidad Gest Clin Poniente,Dist Sanitario Cordoba, Cordoba, Spain
来源
MEDICINA DE FAMILIA-SEMERGEN | 2021年 / 47卷 / 03期
关键词
Foramen; Ovale; Permeable; Update; Primary; Care; CRYPTOGENIC STROKE; MEDICAL THERAPY; CLOSURE; HEADACHE; DEVICE;
D O I
10.1016/j.semerg.2020.12.003
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Patent foramen ovale (FOP) is the most prevalent cause of cryptogenic strokes in people under 60 years old. Although it is usually asymptomatic, it has a high risk of producing paradoxical embolism and, therefore, stroke with indeterminate outcomes. The study should be started based on clinical suspicion, and includes a multidisciplinary assessment and a determination of the type of treatment to be performed. The therapeutic possibilities range from conservative treatment (indefinite antithrombotic treatment), to its percutaneous closure (currently the most widely used). The first objective is to decrease the number of stroke recurrences. Conservative treatment should be reserved for those cases of low embolic risk. The risk assessment must be individualised, fundamentally based on the anatomical characteristics of the FOP and the patient clinic picture. The use of the RoPE risk scale (The Risk of Paradoxical Embolism) should be a tool to consider.(C) 2020 Sociedad Espanola de Medicos de Atencion Primaria (SEMERGEN). Published by Elsevier Espa na, S.L.U. All rights reserved.
引用
收藏
页码:189 / 196
页数:8
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