Indikation der transösophagealen Echokardiographie nach zerebraler Ischämie

Autor:	Dissmann R, Rolf Schröder, Dingerkus H, Gast D, Klaus Schröder, H. Völler
Rok vydání:	2008
Předmět:	medicine.medical_specialty Heart disease business.industry Ischemia Atrial fibrillation General Medicine Disease Odds ratio medicine.disease Intracardiac injection Left atrial Internal medicine cardiovascular system medicine Cardiology Sinus rhythm cardiovascular diseases business
Zdroj:	DMW - Deutsche Medizinische Wochenschrift. 118:1509-1514
ISSN:	1439-4413 0012-0472
DOI:	10.1055/s-2008-1059478
Popis:	Possible intracardiac sources of emboli were looked for by transoesophageal echocardiography (TOE) in 271 patients (149 men, 122 women; mean age 60 +/- 11 years) a mean of 12 +/- 8 days after suffering an episode of cerebral ischaemia. Left atrial thrombi were revealed in 9 patients: they were more frequent in those with atrial fibrillation (odds ratio [OD] 25.2; P < 0.0001) or known cardiac disease (OD 3.5; P = 0.06). Using the two factors together, the 9 left atrial thrombi could be predicted in 96 patients, while in the remaining 175 patients without cardiac abnormalities no left atrial thrombi were found. Overall, TOE is not an essential investigation additional to transthoracic echocardiography to exclude left atrial thrombi in patients without heart disease who are in sinus rhythm. But in those with atrial fibrillation and/or organic heart disease, TOE can in many instances facilitate the indication for anticoagulation.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::1d9d9dd1338a22c3f5db9b797a89fd0d https://doi.org/10.1055/s-2008-1059478 Zobrazit plný text záznamu