The emergence and spread of the highly contagious novel coronavirus disease (COVID-19) have triggered the greatest public health challenge of the last century. Aside from being a primary respiratory disease, acute ischemic stroke has emerged as a complication of the disease. While current evidence shows COVID-19 could cause ischemic stroke especially in severe disease, there are similarities in the risk factors for severe COVID-19 as well as ischemic stroke, underscoring the complex relationship between these two conditions. The pandemic has created challenges for acute stroke care. Rapid assessment and time-sensitive interventions required for optimum outcomes in acute stroke care have been complicated by COVID-19 due to the need for disease transmission preventive measures. The purpose of this article is to explore the putative mechanisms of ischemic stroke in COVID-19 and the clinical characteristics of COVID-19 patients who develop ischemic stroke. In addition, we discuss the challenges of managing acute ischemic stroke in the setting of COVID-19 and review current management guidelines. We also highlighted potential areas for future research.
【초록키워드】 COVID-19, public health, pandemic, severe COVID-19, Clinical characteristics, stroke, Intervention, outcome, novel coronavirus disease, risk factor, Spread, management, Respiratory disease, Research, Rapid, preventive measures, Care, disease transmission, Evidence, severe disease, similarity, COVID-19 patient, complex, contagious, while, develop, addition, the disease, required, triggered, conditions, Aside, putative mechanism, 【제목키워드】 clinical, Ischemic,