ArticleJournal of community hospital internal medicine perspectives2026
Echocardiography in Stroke Management: Necessary or Overused?
Article in Journal of community hospital internal medicine perspectives, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Stroke remains a leading cause of morbidity and mortality worldwide, leading to the development of efficient and evidence-based management strategies. Echocardiography is a crucial diagnostic tool for identifying cardiac sources of embolism, particularly in cardioembolic and cryptogenic strokes, yet its routine use in all stroke patients remains controversial. While evidence-based guidelines recommend a patient-specific approach, rigid hospital quality metrics have incentivized widespread echocardiography, even in low-yield cases such as large artery atherosclerotic strokes. This disconnect raises concerns regarding cost-effectiveness, resource allocation, and potential over-testing, delaying discharges and prolonging hospital length of stay. A more tailored approach, focusing on guideline-driven indications, is necessary to optimize stroke care. Future research should refine diagnostic criteria and align quality metrics with evidence-based practices to ensure high-value, patient-centered stroke management.
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