Transesophageal echocardiography for diagnosis of ischemic stroke subtypes: A hospital-based study of 120 patients

Kuriki, Ayako; Ichikawa, Hiroo; Kato, Hirotaka; Kamiya, Yuki; Takazakura, Tatsuya; Yano, Satoshi; Ohnaka, Youhei; Nakajima, Masashi; Kawamura, Mitsuru

doi:10.3995/jstroke.33.326

Cited by 1 publication

(1 citation statement)

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“…Few all -inclusive reports of TEE findings have been published in Japan. Kuriki et al 7) demonstrated TEE findings of stroke inpatients in Japan and reported more cases of PFO than ours.…”

Section: Discussionmentioning

confidence: 78%

Risk Factors for Left Atrial Thrombus From Transesophageal Echocardiography Findings in Ischemic Stroke Patients

Kumagai

Matsuura

Yamamoto

et al. 2014

FJMS

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: Background :To identify the cause of cerebral embolism, we performed transesophageal echocardiography (TEE) in patients suspected of embolic brain infarction including transient ischemic attack (TIA). We analyzed TEE findings and investigated factors associated with left atrial thrombus (LAT) detected by TEE. Methods : We enrolled 98 consecutive patients who underwent TEE and had acute brain infarction or TIA that was possibly due to embolism. We assessed age, sex, presence of atrial fibrillation (AF), days from admission to TEE and TEE findings, including the prevalence of LAT, spontaneous echo contrast (SEC), left atrial appendage (LAA) slow flow velocity, patent foramen ovale (PFO), atrial septal aneurysm and aortic plaque (ASA). Results : LAT was detected with TEE in 20 patients (20%). The factors that were significantly associated with the presence of LAT were male sex (unadjusted odds ratio (OR), 3.94 ; 95% confidence interval (CI), 1. (adjusted OR, 8.97 ; 95% CI, p=0.041) and SEC (adjusted OR, 10.87 ; 95% CI, 1.001 -118.0 ; p=0.049) were independently associated with LAT, but LAA slow flow velocity was not. Conclusion : SEC is an important risk factor associated with LAT in patients suspected of embolic brain infarction that is independent of AF.

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“…Few all -inclusive reports of TEE findings have been published in Japan. Kuriki et al 7) demonstrated TEE findings of stroke inpatients in Japan and reported more cases of PFO than ours.…”

Section: Discussionmentioning

confidence: 78%