Are cardiologists and neurologists finally working together to find consensus on the role of patent foramen ovale (PFO) closure after stroke?

The decision to close a PFO after a stroke should certainly only be made after extensive testing and collaboration by patients and clinicians working closely together.  From my experience being involved as a stroke patient advocate and following the stories of cryptogenic stroke patients with PFO over time, I’ve learned first hand that part of the obstacle presented in this collaboration  is that cardiologists and neurologists often couldn’t do the same to reach consensus.   The data is now showing that pfo closure is effective compared to medical therapy.  Will these new studies make the decision process any easier for the patient now that cardiologists and neurologists might have found common ground ?

I’m not able to answer that question, but I did find this quote very interesting, because after all this time I can attest as patients, this is all we ever wanted!

“The most important lesson from the recently published PFO trials is that cardiologists and neurologists working together is the key to identifying patients most likely to benefit from PFO closure,” wrote Andrew Farb.

Source:  American Academy of Neurology’s Neurology Today Online

Read the full article:

doi: 10.1097/01.NT.0000527087.95934.30

In the Clinic-Patent Foramen Ovale Closure and Stroke: PFO Closure Associated with Fewer Recurrent Ischemic Strokes Compared to Medical Therapy

Click for Study Details!



Published by David Dansereau

Licensed Physical Therapist, Nutritionist and Author in private consulting practice at PTC Physical Therapy Consulting and SmartMovesPT. is my blog and members resource to raise stroke awareness and educate the public about reducing stroke risk as well as provide tips, tools and review new technologies for stroke recovery. Learn about my book, Body in Balance sold on Amazon at Liten to the Know Stroke Podcast here:

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  1. Great article, everyone please keep posting your results with exercise. If we can’t learn from doctors or manufacturers, let’s learn from each other. I am healthy, 52, stroke victim (is that the right word?). Large p
    PFO getting closed Tuesday. Been spinning on my trainer 45 minutes to an hour a day. Keeping hr around 100, and walks as it warms up here in NY post COVID winter. I feel Better for having exercised than if I hadn’t. I am mad I had a stroke and my heart failed me, but I am demanding my life not change, and places like this help. Come back and give updates, remember being fearful and in the dark, and help those that follow!


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