Patent foramen ovale increases the risk of acute ischemic stroke in patients with acute pulmonary embolism leading to right ventricular dysfunction

Goliszek, Sylwia; Wiśniewska, Małgorzata; Kurnicka, Katarzyna; Lichodziejewska, Barbara; Ciurzyński, Michał; Kostrubiec, Maciej; Gołębiowski, Marek; Babiuch, Marek; Paczyńska, Marzanna; Koć, Marcin; Palczewski, Piotr; Wyzgał, Anna; Pruszczyk, Piotr

doi:10.1016/j.thromres.2014.09.013

Cited by 36 publications

(33 citation statements)

References 15 publications

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“…In addition to RV dysfunction, echocardiography can identify right-to-left shunt through a patent foramen ovale and the presence of right heart thrombi, both of which are associated with increased mortality in patients with acute PE [67,158]. A patent foramen ovale also increases the risk of ischaemic stroke due to paradoxical embolism in patients with acute PE and RV dysfunction [182,183].…”

Section: Mramentioning

confidence: 99%

2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS)

et al. 2019

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Section: Mramentioning

confidence: 99%

2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS)

et al. 2019

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“…Several studies have found that embolism caused by PFO is related to the size and shunt volume of PFO [29,30] . The larger the diameter of PFO, the greater the shunt volume, and the higher the probability of cerebral embolism [31] .…”

Section: Discussionmentioning

confidence: 99%

The research of the relationships between patent foramen ovale and ischemic stroke in elderly patients

Xiao-jian¹,

Jiang²,

Zhao³

et al. 2020

Preprint

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Background Research indicates that abnormal embolism caused by patent foramen ovale (PFO) may play an important role in cryptogenic stroke (CS). However, most researches has focused on young patients, and whether abnormal embolism caused by PFO also plays an important role in elderly CS is uncertain. The purpose of this study is to analyze the clinical characteristics of elderly patients with PFO, and to explore the correlation between elderly PFO and ischemic stroke.Methods 62 elderly patients diagnosed with ischemic stroke admitted to Qilu Hospital of Shandong University from April 2014 to April 2019 were selected as the Test Group. 62 non-stroke patients in our hospital's physical examination center and outpatient clinic were selected as the Control Group. Collect clinical data of patients for retrospective analysis.Results The incidence of PFO in the Test Group was significantly higher than that in the Control Group, the difference was statistically significant (p < 0.05). The proportion of large and medium shunt patients in the Test Group was significantly higher than that in the Control Group (p < 0.05). The proportion of patients with migraine in the PFO (+) group in the Test Group was significantly higher than the stroke patients in the PFO (-) group (p < 0.05).Conclusions The shunt volume of the PFO is related to ischemic stroke and may be a risk factor for ischemic stroke.

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“…All strokes were observed in patients with PFO (4 of 19 patients), whereas no cerebral incident was noticed in subjects with excluded PFO (21% vs 0%, p=0.02). Moreover, all stroke episodes were detected in patients with PFO and RVD (right ventricular dysfunction), while none of patients with PFO and preserved RV function (50% vs 0%, p=0.038) [16].…”

Section: The Risk Of Stroke After Thromboembolic Eventmentioning

confidence: 92%

Cancer and atherosclerosis – high risk diseases associated with venous thromboembolic disease

Kostrubiec¹

2017

Blood Heart Circ

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Patent foramen ovale increases the risk of acute ischemic stroke in patients with acute pulmonary embolism leading to right ventricular dysfunction

Cited by 36 publications

References 15 publications

2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS)

2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS)

The research of the relationships between patent foramen ovale and ischemic stroke in elderly patients

Cancer and atherosclerosis – high risk diseases associated with venous thromboembolic disease

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