Cardiac complications such as myocardial infarction, heart failure, cardiomyopathy, and arrhythmias are common after acute stroke and are associated with increased morbidity and mortality. Cardiac disease shares a similar burden of risk factors with stroke. Patients with pre-existing cardiac disease have both larger and more severe strokes. Notably, cardiovascular disease is the most common cause of death in 1-year stroke survivors. Hence, timely recognition and prompt treatment of cardiac complications early on in their course is needed, particularly in high-risk patients with comorbidities (such as diabetes, chronic heart failure, and renal insuffi ciency), in order to improve overall prognosis and prevent cardiac related mortality post-acute stroke.