Document Detail

Transesophageal echocardiography for the evaluation and management of patients with cerebral ischemia.
MedLine Citation:
PMID:  10376177     Owner:  NLM     Status:  MEDLINE    
To prevent recurrent strokes and transient ischemic attacks, considerable attention is devoted to investigating the etiology of acute cerebral ischemia in the large subpopulation of patients without an easily identifiable cause. In general, transthoracic echocardiography is an insensitive tool for the evaluation of patients with cerebral ischemia, unless clinical signs and/or symptoms of cardiac disease are present. Transesophageal echocardiography (TEE), because of its increased sensitivity for aortic arch atheromata, atrial septal pathology, left atrial thrombi, and valvular abnormalities, is the preferred cardiac imaging modality, especially in young patients, older patients with hypertension or systemic atherosclerosis, and patients with prosthetic heart valves. This paper reviews the prognostic and therapeutic impact of TEE in patients with cerebral ischemia, specifically focusing on the ability of information obtained by this technique to alter patient management and improve risk stratification.
A F Rahmatullah; P S Rahko; J H Stein
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical cardiology     Volume:  22     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-07-28     Completed Date:  1999-07-28     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  391-6     Citation Subset:  IM    
Adult Echocardiography Laboratory, University of Wisconsin Medical School, Madison, USA.
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MeSH Terms
Brain Ischemia / etiology*
Cardiovascular Diseases / ultrasonography
Cost-Benefit Analysis
Echocardiography, Transesophageal* / economics
Risk Assessment

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