Transoesophageal echocardiographic findings in patients with ischemic lacunar and nonlacunar stroke

Çokar, Özlem; Ozturk, Oya; Aydemir, Tuba; Tiras, Raziye; Özer, Feriha; Hakyemez, Hüsniye Aylin

doi:10.1016/j.jocn.2007.02.093

Cited by 5 publications

(3 citation statements)

References 37 publications

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“…The detection rate in patients with a negative 24-hour Holter result, 9%, is in the same order of magnitude as the 5%-20% rates reported from long-duration monitoring techniques. 10,11 Abbreviations: AEB ϭ premature atrial ectopic beat; CI ϭ confidence interval; DWI ϭ diffusion-weighted MRI; OR ϭ odds ratio; PAF ϭ paroxysmal atrial fibrillation. The main advantages of TTM are that it is completely noninvasive, simple, and the amount of transmitted data are small.…”

Section: Resultsmentioning

confidence: 99%

Detection of paroxysmal atrial fibrillation with transtelephonic EKG in TIA or stroke patients

Gaillard

Deltour²,

Vilotijevic³

et al. 2010

Neurology

110

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Section: Resultsmentioning

confidence: 99%

Detection of paroxysmal atrial fibrillation with transtelephonic EKG in TIA or stroke patients

Gaillard

Deltour²,

Vilotijevic³

et al. 2010

Neurology

110

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“…yaptığı çalışmada bu oranı %10.8 olarak bulunurken, Wolber ve ark. %8 oranında SEK rastlamışlardır (13). Bizim çalışma-mızda %5.5 SEK görülürken %2.2 LV trombüsü görüldü.…”

Section: Discussionunclassified

The Role and Significance of Cardiac and Carotid Pathologies in Ischemic Stroke Etiology

Koyuncu¹,

Cander²,

Girisgin³

et al. 2011

JAEM

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GirişSerebro vasküler hastalıklar (SVH) beynin bir veya birden çok kan damarının katıldığı patolojik süreçler sonucu oluşan ani başlangıçlı, fokal veya global nörolojik semptomlar olarak tanımlanır. Patolojik süreç, damar duvarının herhangi bir lezyonu veya permiabilite değişik-liği, lümenin emboli veya trombüs ile tıkanması, damarların rüptürü, kan viskozitesinde artış veya diğer kan içeriğindeki değişiklikler, ateroskleroz, hipertansif aterosklerotik değişiklikler, anevrizmal dilatasyon, arterit, gelişimsel malformasyonlar gibi durumlarda gelişir (1, 2).Akut inme tedavisindeki gelişmelere rağmen, inme nedenli ölümler halen birçok ülkede 3. sırada yer almaktadır. İnme ayrıca önde gelen engelli olma nedenidir. Yaşayanların %20'si, 3 hafta hastane bakımına ihtiyaç duymakta %15-33 kadarı sürekli özürlü kalmaktadır. Bu durum hastanın ve ailesinin ekonomik, sosyal, psikolojik hayatı ve genel yaşam kalitesi üzerine olumsuz etki oluşturmaktadır. Bu hastaların sürekli bakım ve tedavi masrafları, kişiye ve topluma ciddi mali yük getirmektedir. Aile bireylerinin neredeyse yarısı bu olayı ölümden kötü görmektedirler. Bu durumda inme açısından risk oluşturan faktörlerin epidemiyolojik çalışmalarla belirlenmesi ve önlenmesi önem kazanmaktadır (3).İnme, acil nöroloji servislerine başvuran bütün vakaların %50'sini, kronik bakım servislerinde yatan vakaların %15'ini oluş-turmaktadır (3). AbstractObjective: Stroke is the third leading cause of death and the commonest cause of adult disability in both developed and developing countries. Immediate mortality is high and approximately 30% of stroke patients die within a year and one in three of stroke patients become dependent on others. In this study on cardiac and carotid pathology, was designed to investigate the importance of ischemic stroke. Materials and Methods:The data of 91 patients with acute ischemic stroke who were admitted to the emergency department of Selcuk University from 01/2007 to 01/2008 were analyzed. All the patients were evaluated with echocardiography and carotid arterial doppler. Results: According to TOAST criteria, all patients with acute ischemic stroke are classified as; 29.7% large vessel disease, 40.7% cardioembolic stroke, 18.7% small vessel disease, 4.4% other known etiologies and 10.5% unknown causes. With echocardiographic evaluation, the high risk of cardioembolic stroke is 21.1% and intermediate risk of cardioembolic stroke is 76.6.% With carotid arterial doppler evaluation 38.5% patients have <50% stenosis, 18.7% patients have 50-70% stenosis, 7.7% patients have >70% stenosis and 3.3% have total occlusion. Conclusion: The echocardiographic evaluation is mandatory for the diagnosis and choice of treatment options for all patients who have ischemic stroke, and the carotid arterial doppler is an essential study mode for this population. (JAEM 2011; 10: 114-8)

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“…Vascular risk factors of LS and NLS relate directly to the underlying etiologies of the two subtypes (Kazui et al, 2000;Khan et al, 2012;Park et al, 2012). However, relatively little is known of the non-vascular risk factors contributing to ischemic stroke (Petty et al, 2000;Cokar et al, 2008;Prodan et al, 2008;Castilla-Guerra et al, 2009;Jackson et al, 2010;Zhang et al, 2011). Identifying the risk factors of ischemic stroke and the determinants of outcome (stroke recurrence and mortality) after onset of stroke is the basis for stroke prevention strategies.…”

Section: Introductionmentioning

confidence: 99%

Distinct non-cerebrovascular risk factors for ischemic lacunar stroke and non-lacunar stroke: preliminary results

Chen¹,

Luo²,

Liu³

et al. 2015

Genet. Mol. Res.

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ABSTRACT. Stroke is a non-communicable disease of increasing socioeconomic importance in aging populations. This study compared the risk factors implicated in two subtypes of ischemic stroke: lacunar stroke (LS) and non-lacunar stroke (NLS). A retrospective case control study was conducted on a total of 368 patients [220 cases (59.8%) of NLS and 148 cases (40.2%) of LS] with first-time onset of ischemic stroke. Multivariate logistic regression was performed to compare multiple non-cerebrovascular risk factors between the two groups. More patients with a history of diabetes were found in the NLS than the LS group (40.5 vs 26.4%), and that both fasting glucose and HbA1C levels before the onset of stroke were higher in NLS than LS patients. Multivariate analysis revealed that patients with a history of diabetes were 1.57 times more likely to have NLS than LS (OR = 1.57, 95%CI = 0.95-3.26). Moreover, male patients were more likely to develop Ischemic lacunar stroke and non-lacunar stroke NLS than females (OR = 1.46, 95%CI = 0.79-2.69), and patients with elevated fibrinogen levels were 1.4 times more likely to develop NLS than LS (OR = 1.40, 95%CI = 1.09-1.80). Additionally, patients who were heavy drinkers (OR = 1.39, 95%CI = 0.68-2.84) or smokers (OR = 1.62, 95%CI = 0.91-2.89) were more likely to develop NLS than LS. Other risk factors, such as hypertension, dyslipidemia, age, and average blood pressure, did not differ between the two types of stroke. Thus, distinct non-cerebrovascular risk factors (male gender, long history of diabetes, elevated fibrinogen, heavy smoking, and heavy drinking) are associated with a higher risk of developing non-lacunar stroke than lacunar stroke.

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Transoesophageal echocardiographic findings in patients with ischemic lacunar and nonlacunar stroke

Cited by 5 publications

References 37 publications

Detection of paroxysmal atrial fibrillation with transtelephonic EKG in TIA or stroke patients

Detection of paroxysmal atrial fibrillation with transtelephonic EKG in TIA or stroke patients

The Role and Significance of Cardiac and Carotid Pathologies in Ischemic Stroke Etiology

Distinct non-cerebrovascular risk factors for ischemic lacunar stroke and non-lacunar stroke: preliminary results

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