Stroke pearls valvular disease

infective endocarditis== high stroke risk, 20 % usu in first 48 hours, dramatically reduced c ABX, late stroke risk lower 5 %
 
mechanical valves-- stroke risk highest MV on anticoag rate 3-4 %, AV is 1.2 %, ASA + warfarin is superior

Mycotic aneurysms-- distal branch point serial reimaging, clip if no response to ABX

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