Document Detail


Liquid crystal thermography as a screening test for deep vein thrombosis in patients with cerebral infarction.
MedLine Citation:
PMID:  1752294     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulmonary embolism secondary to deep vein thrombosis is a frequent cause of death in stroke patients. In a multicentre study of deep vein thrombosis prophylaxis, 112 patients with cerebral infarction and leg paresis were given aspirin 300 mg three times a day (t.d.s.) alone or with dipyridamole 100 mg t.d.s. To screen for deep vein thrombosis liquid crystal thermography of the legs was performed daily for 15 days on all patients. Those patients with positive thermography underwent immediate X-ray venography of the appropriate limb as the definitive investigation for venous thrombosis. Twenty-two patients had positive thermograms, of whom 16 had confirmed deep vein thrombosis as demonstrated by X-ray venography. Only 8 of the 22 had clinical signs of deep vein thrombosis and 2 of those had a negative venogram. Of the 14 patients with positive thermography but negative clinical signs 10 had positive venograms. Difference in the incidence of deep vein thrombosis in the two treatment groups was not demonstrated. It is concluded that occult deep venous thrombosis is common after ischaemic stroke and it can occur without clinical signs. Liquid crystal thermography is a simple, rapid and cheap screening test that will allow the detection of clinically unrecognized thrombosis.
Authors:
E W Cameron; D Sachdev; P Gishen; J F Martin
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of clinical investigation     Volume:  21     ISSN:  0014-2972     ISO Abbreviation:  Eur. J. Clin. Invest.     Publication Date:  1991 Oct 
Date Detail:
Created Date:  1992-01-27     Completed Date:  1992-01-27     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0245331     Medline TA:  Eur J Clin Invest     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  548-50     Citation Subset:  IM    
Affiliation:
Department of Medicine, King's College School of Medicine and Dentistry, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Cerebral Infarction / complications*
Diagnostic Errors
Evaluation Studies as Topic
Female
Humans
Male
Middle Aged
Phlebography
Pulmonary Embolism / prevention & control
Thermography / methods*
Thrombophlebitis / complications*,  diagnosis*

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


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