Ischemic Stroke and Reduced Left Ventricular Ejection Fraction: A Multidisciplinary Approach to Optimize Brain and Cardiac Health

Katelyn F McNamara; Alexander E Merkler; James V Freeman; Harlan M Krumholz; Tariq Ahmad; Richa Sharma

doi:10.1161/STROKEAHA.123.045623

Ischemic Stroke and Reduced Left Ventricular Ejection Fraction: A Multidisciplinary Approach to Optimize Brain and Cardiac Health

Stroke. 2024 Apr 25. doi: 10.1161/STROKEAHA.123.045623. Online ahead of print.

Authors

Katelyn F McNamara¹, Alexander E Merkler², James V Freeman³, Harlan M Krumholz³, Tariq Ahmad³, Richa Sharma¹

Affiliations

¹ Department of Neurology, Yale School of Medicine, New Haven, CT. (K.F.M.N., R.S.).
² Weill Cornell Medicine, Department of Neurology, New York (A.E.M.).
³ Department of Internal Medicine, Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT. (J.V.F., H.M.K., T.A.).

PMID: 38660813
DOI: 10.1161/STROKEAHA.123.045623

Abstract

Reduced left ventricular ejection fraction ≤40%, a known risk factor for adverse cardiac outcomes and recurrent acute ischemic stroke, may be detected during an acute ischemic stroke hospitalization. A multidisciplinary care paradigm informed by neurology and cardiology expertise may facilitate the timely implementation of an array of proven heart failure-specific therapies and procedures in a nuanced manner to optimize brain and cardiac health.

Keywords: guideline adherence; ischemic stroke; left ventricular dysfunction.