O papel da ecocardiografia transtorácica na avaliação do acidente vascular cerebral isquêmico e do ataque isquêmico transitório
| Autor: | Cidrão, Alan Alves de Lima |
|---|---|
| Přispěvatelé: | Rocha, Eduardo Arrais |
| Jazyk: | portugalština |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Repositório Institucional da Universidade Federal do Ceará (UFC) Universidade Federal do Ceará (UFC) instacron:UFC |
| Popis: | Defining the mechanism of ischemic stroke or transient ischemic attack (TIA) and instituting adequate secondary prophylaxis are essential to prevent recurrence of the event. Despite being commonly used, the routine use of echocardiography in this scenario has been questioned. Prospective cohort study, conducted between April/2020 and April/2021, in a tertiary public hospital, which aimed to evaluate the transthoracic echocardiogram (TTE) as a modifier of clinical conduct, with emphasis on the determination of secondary drug prophylaxis - indication of anticoagulation in detriment of antiaggregation in patients with ischemic stroke and TIA. The secondary objectives were to determine the frequency of clinical conditions and echocardiographic alterations and their associations with the mechanisms related to stroke. The variables were compared using the chi-squared and Fisher's exact tests, in addition to the Kruskal-Wallis test and the ROC curve. The significant p value was < 5%. Were analyzed 330 cases (93%) of ischemic stroke and 25 (7%) of TIA, 75 (21,1%) of which were cardioembolic. In 12 patients (3,4%) anticoagulation was indicated by echocardiographic criteria. In another 44 patients (12,4%), the TTE identified alterations that resulted in therapy optimization or redirection. Of the categorical variables, only the history of heart disease, 51 (14,4%), was associated with a specific mechanism - cardioembolism (p |
| Databáze: | OpenAIRE |
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