Clinical impact of transesophageal echocardiography in patients with stroke without clinical evidence of cardiovascular sources of emboli
| Autor: | Zara Babayan, Solange Bernardes Tatani, Luiz Darcy Cortez Ferreira, Claudia G. Monaco Ghefter, Lyamara Apostólico de Azevedo, Marcia Maiumi Fukujima, Joao A.C. Lima, Gilmar Fernandes do Prado |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty Adolescent Embolism embolism Muscle hypertrophy Aneurysm Internal medicine Heart Septum medicine Humans cardiovascular diseases Child Stroke Aged transeophageal echocardiography Aged 80 and over business.industry Middle Aged medicine.disease stroke medicine.anatomical_structure lcsh:RC666-701 Ventricle Patent foramen ovale Cardiology Female Radiology Abnormality Cardiology and Cardiovascular Medicine business Echocardiography Transesophageal Interatrial septum |
| Zdroj: | Arquivos Brasileiros de Cardiologia v.76 n.6 2001 Arquivos Brasileiros de Cardiologia Sociedade Brasileira de Cardiologia (SBC) instacron:SBC Arquivos Brasileiros de Cardiologia, Volume: 76, Issue: 6, Pages: 458-461, Published: JUN 2001 Arquivos Brasileiros de Cardiologia, Vol 76, Iss 6, Pp 458-461 (2001) |
| ISSN: | 0066-782X |
| DOI: | 10.1590/s0066-782x2001000600003 |
| Popis: | OBJECTIVE: The purpose of this study is to evaluate the impact of transeophageal echocardiography on management of patients at low-risk for cardiogenic embolism to prevent new potential cardiovascular sources of emboli. METHODS: We studied 69 patients with ischemic stroke at low-risk for cardiogenic embolism. Transeophageal echocardiography was performed to access: left atrium enlargement; communication or aneurysm of the interatrial septum; patent foramen ovale; spontaneous echo contrast or intracavitary thrombi; the presence of intraaortic atherosclerotic plaques or thrombi; significant valvar morphologic alteration or dysfunction; left ventricle enlargement, hypertrophy, or contractile abnormality. Transesophageal echocardiography altered clinical management, and we adopted anticoagulant therapy or another procedure apart from the use of acetylsalicylic acid. RESULTS: Transeophageal echocardiography detected at least one abnormality in 40 cases (58%). Clinical conduct was adjusted after the performance of transesophageal echocardiography in 11 patients (15.9%); anticoagulation was added in 10 cases and surgical correction in one patient. CONCLUSION: Transeophageal echocardiography was a very useful tool in the secondary prevention for stroke in patients at low risk for cardiogenic embolism. |
| Databáze: | OpenAIRE |
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