Document Detail


Transesophageal echocardiographic evaluation of coronary arteries for stenosis in the elderly patient.
MedLine Citation:
PMID:  11413934     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article documents the ability of transesophageal echocardiography to provide adequate images and clinically relevant information about the coronary anatomy of the elderly patient. Transesophageal echocardiography is commonly used to assess elderly patients who suffer cerebral vascular accidents. It is important to evaluate not only for the usually suspected causes of a cardiac source of emboli but also for direct and indirect evidence of coronary artery disease--the leading cause of death in the elderly stroke patient. Because atherosclerotic cardiovascular diseases identified in one vascular bed are prone to universally involve the other vascular territories to some degree, it is not surprising that the coronary arteries are often stenotic. As a sudden event with catastrophic symptoms, a stroke is commonly the first vascular event the elderly patient experiences. Depending on the degree of recovery, physical limitations may contribute to the lack of symptoms from coexistent peripheral or coronary artery disease. Transesophageal echocardiography may be the first, or only, coronary evaluation for high-risk elderly patients.
Authors:
V L Sorrell; N C Nanda
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The American journal of geriatric cardiology     Volume:  10     ISSN:  1076-7460     ISO Abbreviation:  Am J Geriatr Cardiol     Publication Date:    2001 Jan-Feb
Date Detail:
Created Date:  2001-06-20     Completed Date:  2001-07-12     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9215283     Medline TA:  Am J Geriatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  30-41, 49     Citation Subset:  IM    
Affiliation:
East Carolina University School of Medicine, Greenville, NC 27858, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Artery Bypass
Coronary Disease / surgery,  ultrasonography*
Coronary Vessels / ultrasonography
Echocardiography, Transesophageal*
Graft Occlusion, Vascular / ultrasonography
Humans
Intracranial Embolism / ultrasonography
Risk Factors
Sensitivity and Specificity

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


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