Do you routinely screen for sleep apnea in patients with acute ischemic stroke?  

We at least ask the patient and family about sleep apnea symptoms. In patients who answer positively, or in those who deny symptoms but have obvious risk factors such as obesity, we do make the referral to our sleep clinic.

It depends on what you mean by "screen". The 2021 AHA Guidelines on secondary stroke prevention simply state that an evaluation for OSA "may be considered." OSA is associated with increased cardiovascular risk including stroke and OSA is comorbid in about 40% of stroke patients. Whether treating OSA...

Definitely on OBESE patients or who fail STOPGANG questions.