Echocardiographic features of nonbacterial thrombotic endocarditis

Lopez, J.Antonio; Fishbein, Michael C.; Siegel, Robert J.

doi:10.1016/0002-9149(87)90961-1

Cited by 63 publications

(12 citation statements)

References 5 publications

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“…Some patients were admitted to hospital because of malignancy. The stroke mechanism of such patients could be related to nonbacterial thrombotic endocarditis [15]. Second, we did not assess stroke recurrence and the cause of death, which could have been due to severe stroke, heart failure, renal failure, pneumonia, pulmonary embolism and malignancy.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of In-Hospital Onset Ischemic Stroke

Kimura

Minematsu²,

Yamaguchi³

2006

Eur Neurol

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Background and Purpose: The aim of the present study was to clarify the clinical characteristics of in-hospital onset stroke. Material and Methods: We analyzed 15,815 patients with acute brain infarction registered in the Japan Multicenter Stroke Investigators’ Collaboration (J-MUSIC) registry. Results: The in-hospital onset group included 694 (4.4%) patients and the out-of-hospital group included 15,121 (95.6%) patients. Atrial fibrillation (AF) was more common in the in-hospital onset group (34.6%) than in the out-of-hospital group (20.4%, p < 0.001). The admission NIHSS score (median, in-hospital 13 vs. out-of-hospital 5, p < 0.0001) and the mortality rate at discharge were higher in the in-hospital group than in the out-of-hospital group (in-hospital 19.2% vs. out-of-hospital 6.8%, p < 0.0001). On multivariate logistic regression analyses, female gender (OR 1.1, 95% CI 1.1–1.3), older age (OR 1.0, 95% CI 1.02–1.03), AF (OR 4.4, 95% CI 4.0–4.8), history of stroke (OR 1.3, 95% CI 1.2–1.4) and in-hospital stroke onset (OR 3.3, 95 %CI 2.7–3.9) were independent factors associated with severe stroke (NIHSS score ≧11), and older age (OR 1.03, 95% CI 1.02–1.04), the presence of AF (OR 1.21, 95% CI 1.0–1.5), in-hospital stroke onset (OR 1.01, 95% CI 1.01–1.02) and NIHSS score at initial evaluation (OR 1.15, 95% CI 1.14–1.17) were independent factors associated with death at discharge. Conclusion: In-hospital stroke onset was not uncommon. The neurological deficits in patients with in-hospital onset stroke were severer and the outcome was worse than in those with out-of-hospital stroke. Therefore, a strategy to reduce in-hospital stroke onset should be implemented.

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Section: Discussionmentioning

confidence: 99%

Characteristics of In-Hospital Onset Ischemic Stroke

Kimura

Minematsu²,

Yamaguchi³

2006

Eur Neurol

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“…Transesophageal echocardiography (TEE) was done to detect right-to-left shunt (RLS) and NBTE [2,3,4,11]. Venous ultrasonography of the lower limb was carried out to detect deep venous thrombus.…”

Section: Participants and Methodsmentioning

confidence: 99%

Acute Stroke Patients Have Occult Malignancy More Often than Expected

et al. 2010

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The aim of the present study was to investigate the frequency of having occult malignancy in patients with acute ischemic stroke and their clinical characteristics. We retrospectively enrolled 1,714 consecutive ischemic stroke patients within 7 days of onset. The patients were divided into two groups: the Non-M group had no malignancy, and the M group had malignancy. We compared the clinical characteristics of the two groups. Of 1,714 ischemic stroke patients, 51 patients (3.0%; M group) were newly diagnosed as having malignancy. The M group was significantly older than the Non-M group (p = 0.009). Hemoglobin (Hb) was less and D-dimer was higher in the M group than in the Non-M group (p < 0.001). The patients with both D-dimer ≧1.3 ng/dl and Hb <12.8 g/dl more frequently had occult malignancy than patients without (p = 0.0088).

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“…We (4,5). In the present case, the right atrium endocardium was impaired by the invasion of malignant cells, and thrombi formation occurred on the injured endocardium in the condition of platelet aggregation disorder and coagulopathy, which are frequently present in patients with cancer or myeloproliferative disease.…”

Section: P I C T U R E 2 T H R E E C Y S T I C T U Mo R S We R E O mentioning

confidence: 54%

Cystic Tumors of the Right Atrium Caused by Nonbacterial Thrombotic Endocarditis in a Patient with Large Cell Carcinoma

et al. 2009

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P i c t u r e 1 . T h e c y s t i c t u mo r h a d a p e d i c u l u s a t t a c h e d t o t h e r i g h t a t r i u m wa l l a b o v e t h e a n t e r i o r t r i c u s p i d v a l v e wh i c h mo v e d f r o m t h e r i g h t a t r i u m c a v i t y a t t h e d i a s t o l i c p h a s e ( P i c t u r e 1 -a , b ) t o t h e r i g h t v e n t r i c u l a r c a v i t y a t t h e s y s t o l i c p h a s e ( P i c t u r e 1 -c , d ) . T h e mo r p h o l o g y o f t h e t u mo r c h a n g e d f r o m c y c l e s h a p e a t p r e -s y s t o l i c ( P i c t u r e 1 -a ) a n d e a r l y -d i a s t o l i c p e r i o d s ( P i c t u r e 1 -c ) t o a p r e s s e d s h a p e a t s y s t o l i c ( P i

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Echocardiographic features of nonbacterial thrombotic endocarditis

Cited by 63 publications

References 5 publications

Characteristics of In-Hospital Onset Ischemic Stroke

Characteristics of In-Hospital Onset Ischemic Stroke

Acute Stroke Patients Have Occult Malignancy More Often than Expected

Cystic Tumors of the Right Atrium Caused by Nonbacterial Thrombotic Endocarditis in a Patient with Large Cell Carcinoma

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