Systemic embolism in mitral valve disease.

Coulshed, N; Epstein, Eric J.; McKendrick, C S; Galloway, R. W.; Walker, E

doi:10.1136/hrt.32.1.26

Cited by 259 publications

(89 citation statements)

References 19 publications

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“…The combined number of patients was 63, with 37 events in 237 patient-years of follow-up, giving an average of 15.6%/year. Three retrospective, nonrandomized studies from the 1960s revealed a relatively low recurrence rate on warfarin with an average of 2.3%/year [3,42,43]. There are no published data available for the use of aspirin (Fig.…”

Section: Recurrent Strokementioning

confidence: 99%

Role of routine transthoracic echocardiography in evaluation and management of stroke

Beattie

Cohen

Manning³

et al. 1998

Journal of Internal Medicine

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Objective. To determine the value of routine transthoracic echocardiography in patients with cerebral ischemia without known cardiac disease. Design. The literature from 1990 to 1995 was searched and relevant bibliographies from these papers reviewed. Articles reporting the prevalence and/or risk of stroke for myxoma, vegetation, mitral stenosis, left atrial thrombus, left ventricular thrombus or cardiomyopathy, patent foramen ovale, and atrial septal aneurysm were used. Prevalences and recurrent stroke risk were examined for adult patients less than and greater than 45 years.Results. Both the prevalence of transthoracic echocardiographic findings and recurrent risk of stroke differ by age. The finding of a patent foramen ovale can be expected in nearly half of younger patients with stroke, whilst transthoracic echo can be expected to yield no relevant lesion in three quarters of patients > 45 years. Warfarin anticoagulation appears beneficial in patients with mitral stenosis, left atrial thrombus, left ventricular thrombus, and left ventricular dysfunction, but is of unproven benefit for patent foramen ovale, atrial septal aneurysm, or in the absence of a risk-associated abnormality. Conclusion. For most transthoracic echo findings in stroke, optimal management strategies have not been well defined. Future research is needed to evaluate the appropriate therapeutic approaches.

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Section: Recurrent Strokementioning

confidence: 99%

Role of routine transthoracic echocardiography in evaluation and management of stroke

Beattie

Cohen

Manning³

et al. 1998

Journal of Internal Medicine

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“…The possibility of occurrence of a thromboembolic event in patients with atrial fibrillation and rheumatic valvular disease is high 1 .…”

Section: Introductionmentioning

confidence: 99%

Sangramento durante a anticoagulação oral: alerta sobre um mal maior

Lavitola

Spina

Sampaio

et al. 2009

Arq. Bras. Cardiol.

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“…7 The installation of atrial fibrillation marks an evolutionary turning point in the disease: it It increases the risk of thromboembolic complications -in particular, the occurrence of ischemic stroke that affects the functional prognosis of valvular patients, often in an early age. [8][9][10] Radiographically, the presence of cardiomegaly is noted in all patients in our sample. This pattern indicates that all patients were operated on at an advanced stage, with valvular defects having had time to ring significantly on the heart chambers.…”

Section: Discussionmentioning

confidence: 99%

Rheumatic mitral valve surgery: about 1025 cases

et al. 2017

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Background: Rheumatic mitral valvulopathy is often associated with other valvulopathies. It remains endemic in developing countries where it is the leading cause of heart failure and cardiovascular death.Methods: This study provides a retrospective analysis of 1025 cases involving patients who underwent mitral valve surgery at Ibn Sina Hospital in Rabat, Morocco between the dates of January 2, 2001 and April 5, 2012. Preoperatively a clinical and paraclinical assessment has been established.Results: The predominant valvular defects are mitral stenosis, functional tricuspid insufficiency. The gesture was a first intervention in 93% of the cases, with mitral valve replacement in 90% of cases and plasty in 10% of the cases.Conclusions: These patients deserve more accurate evaluation in the choice of the surgical strategy which strongly impacts the post-operative outcomes. This report discusses the factors supporting mitral repair surgery in rheumatic disease, according to the patients' characteristics and the effectiveness of the current repair techniques compared to prosthetic valve replacement in developing countries.

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Systemic embolism in mitral valve disease.

Cited by 259 publications

References 19 publications

Role of routine transthoracic echocardiography in evaluation and management of stroke

Role of routine transthoracic echocardiography in evaluation and management of stroke

Sangramento durante a anticoagulação oral: alerta sobre um mal maior

Rheumatic mitral valve surgery: about 1025 cases

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