| Transesophageal echocardiographic findings in stroke subtypes. | |
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MedLine Citation:
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PMID: 8266377 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: Transesophageal echocardiography has a high yield for detecting potential cardiac sources of embolism in patients with clinical risk factors for cardioembolism or unexplained stroke. The yield in other stroke subtypes is unknown. METHODS: We classified 145 consecutively admitted patients into stroke subtypes based on clinical findings, brain imaging, and carotid ultrasound. Both transesophageal and transthoracic echocardiography were performed to detect left atrial thrombi, spontaneous echo contrast, atrial septal aneurysm, interatrial shunts, ventricular thrombus or aneurysm, and myxomatous mitral valve. RESULTS: Transesophageal echocardiography documented at least one of these findings in 46% of the patients compared with an 8% yield on the transthoracic study (P = .002). The yield of transesophageal echocardiography was substantial in all stroke subgroups. Patients with clinical risk factors for cardiac embolism had the highest frequency of spontaneous echo contrast (P = .001). Atrial septal aneurysms were most frequent in patients with lacunar syndromes (P = .012), and interatrial shunts were common in all stroke subtypes. CONCLUSIONS: Transesophageal echocardiographic findings vary considerably between stroke subgroups. |
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Authors:
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G W Albers; K A Comess; F A DeRook; P Bracci; J E Atwood; A Bolger; J Hotson |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Stroke; a journal of cerebral circulation Volume: 25 ISSN: 0039-2499 ISO Abbreviation: Stroke Publication Date: 1994 Jan |
Date Detail:
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Created Date: 1994-01-27 Completed Date: 1994-01-27 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 0235266 Medline TA: Stroke Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 23-8 Citation Subset: IM |
Affiliation:
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Stanford Stroke Center, Palo Alto, CA 94304-1705. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Cerebrovascular Disorders / classification, complications, ultrasonography* Coronary Thrombosis / complications, ultrasonography Echocardiography / methods Echocardiography, Transesophageal* Female Heart Aneurysm / complications, ultrasonography Heart Atria Heart Septum Humans Male Middle Aged Thorax |
| Grant Support | |
ID/Acronym/Agency:
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P5OHL-42270/OH/NIOSH CDC HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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