Document Detail

Echocardiographic evaluation of young adults with nonhemorrhagic cerebral infarction.
MedLine Citation:
PMID:  3738939     Owner:  NLM     Status:  MEDLINE    
We reviewed echocardiographic findings in patients aged 15 to 45 years with acute nonhemorrhagic cerebral infarction (NHCI). Among 132 patients with NHCI, 96 (72.7%) had M-mode and two-dimensional echocardiography, including contrast echocardiography with intravenous saline injection when clinically indicated. Echocardiograms were abnormal in 33 patients. Of these, 7 had other conditions that could cause NHCI. Echocardiography corroborated the clinical diagnosis of a cardiogenic source for cerebral infarction in 17 others. The other 9 had no other clues for cardiovascular disease. Potential etiologies of NHCI diagnosed by echocardiography in these 9 cases included: paradoxical embolism, 5 patients; right atrial myxoma, 1; rheumatic mitral valve vegetation, 1; myxomatous mitral valve (marantic endocarditis at postmortem), 1; and left atrial enlargement associated with decreased left ventricular function, 1. Routine echocardiography frequently conveys useful information in patients under age 45 with NHCI. In young patients with cerebral embolism of unknown etiology if routine M-mode and two dimensional echocardiographic studies are normal, contrast echocardiographic studies should be performed to rule out intracardiac shunts and the possibility of paradoxical cerebral embolism.
J Biller; M R Johnson; H P Adams; R E Kerber; G J Toffol; M J Butler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  17     ISSN:  0039-2499     ISO Abbreviation:  Stroke     Publication Date:    1986 Jul-Aug
Date Detail:
Created Date:  1986-09-17     Completed Date:  1986-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  608-12     Citation Subset:  IM    
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MeSH Terms
Cardiomyopathy, Dilated / complications
Cerebral Hemorrhage / complications
Cerebral Infarction / etiology*
Endocarditis / complications
Heart Diseases / complications*,  physiopathology
Heart Valve Diseases / complications
Middle Aged
Rheumatic Heart Disease / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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