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[Comment] Uncovering covert stroke in surgical patients

20:44 EDT 15 Aug 2019 | The Lancet

Stroke can be a devastating complication of surgery, with few effective strategies for detection or prevention. Overt stroke (ie, stroke with clinically apparent manifestations) occurs in approximately 0·1–1·0% of patients undergoing non-cardiac surgery and is associated with a higher mortality than that in patients who did not have a stroke.1 In the non-surgical setting, covert stroke is more common than overt stroke and is associated with cognitive decline.2 However, the incidence and sequelae of covert stroke in the perioperative setting remain unknown.

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