{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T10:12:48Z","timestamp":1788603168619,"version":"build-2803163510"},"reference-count":0,"publisher":"Greater Baltimore Medical Center","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Community Hospital Internal Medicine Perspectives"],"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.55729\/2000-9666.1624","type":"journal-article","created":{"date-parts":[[2026,7,19]],"date-time":"2026-07-19T00:52:02Z","timestamp":1784422322000},"source":"Crossref","is-referenced-by-count":0,"title":["Echocardiography in Stroke Management: Necessary or Overused?"],"prefix":"10.55729","volume":"16","author":[{"given":"Nicole Ann","family":"Tesoro","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, NYC Health + Hospitals\/South Brooklyn Health, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasvin Kurundrayil","family":"Manha","sequence":"additional","affiliation":[{"name":"Government Medical College, Ernakulam, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerold","family":"Fleishman","sequence":"additional","affiliation":[{"name":"Department of Neurology, MedStar Harbor Hospital, Baltimore, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumanth","family":"Bandaru","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, MedStar Harbor Hospital, Baltimore, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"34701","published-online":{"date-parts":[[2026,7,17]]},"container-title":["Journal of Community Hospital Internal Medicine Perspectives"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T09:52:51Z","timestamp":1788601971000},"score":1,"resource":{"primary":{"URL":"https:\/\/scholarlycommons.gbmc.org\/jchimp\/vol16\/iss4\/9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,17]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,7,17]]}},"URL":"https:\/\/doi.org\/10.55729\/2000-9666.1624","relation":{},"ISSN":["2000-9666"],"issn-type":[{"value":"2000-9666","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,17]]}}}