Clinical impact of transesophageal echocardiography in patients with stroke without clinical evidence of cardiovascular sources of emboli
OBJECTIVE: The purpose of this study is to evaluate the impact of transeophageal echocardiography on management of patients at low-risk for cardiogenic embolism to prevent new potential cardiovascular sources of emboli. METHODS: We studied 69 patients with ischemic stroke at low-risk for cardiogenic embolism. Transeophageal echocardiography was performed to access: left atrium enlargement; communication or aneurysm of the interatrial septum; patent foramen ovale; spontaneous echo contrast or intracavitary thrombi; the presence of intraaortic atherosclerotic plaques or thrombi; significant valvar morphologic alteration or dysfunction; left ventricle enlargement, hypertrophy, or contractile abnormality. Transesophageal echocardiography altered clinical management, and we adopted anticoagulant therapy or another procedure apart from the use of acetylsalicylic acid. RESULTS: Transeophageal echocardiography detected at least one abnormality in 40 cases (58%). Clinical conduct was adjusted after the performance of transesophageal echocardiography in 11 patients (15.9%); anticoagulation was added in 10 cases and surgical correction in one patient. CONCLUSION: Transeophageal echocardiography was a very useful tool in the secondary prevention for stroke in patients at low risk for cardiogenic embolism.
Main Authors: | , , , , , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Sociedade Brasileira de Cardiologia - SBC
2001
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000600003 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0066-782X2001000600003 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0066-782X20010006000032001-06-13Clinical impact of transesophageal echocardiography in patients with stroke without clinical evidence of cardiovascular sources of emboliTatani,Solange BernardesFukujima,Márcia MaiumiLima,João Augusto CostaFerreira,Luiz Darcy CortezGhefter,Claudia G. MonacoPrado,Gilmar FernandesBabayan,ZaraAzevedo,Lyamara Apostólico de transeophageal echocardiography stroke embolism OBJECTIVE: The purpose of this study is to evaluate the impact of transeophageal echocardiography on management of patients at low-risk for cardiogenic embolism to prevent new potential cardiovascular sources of emboli. METHODS: We studied 69 patients with ischemic stroke at low-risk for cardiogenic embolism. Transeophageal echocardiography was performed to access: left atrium enlargement; communication or aneurysm of the interatrial septum; patent foramen ovale; spontaneous echo contrast or intracavitary thrombi; the presence of intraaortic atherosclerotic plaques or thrombi; significant valvar morphologic alteration or dysfunction; left ventricle enlargement, hypertrophy, or contractile abnormality. Transesophageal echocardiography altered clinical management, and we adopted anticoagulant therapy or another procedure apart from the use of acetylsalicylic acid. RESULTS: Transeophageal echocardiography detected at least one abnormality in 40 cases (58%). Clinical conduct was adjusted after the performance of transesophageal echocardiography in 11 patients (15.9%); anticoagulation was added in 10 cases and surgical correction in one patient. CONCLUSION: Transeophageal echocardiography was a very useful tool in the secondary prevention for stroke in patients at low risk for cardiogenic embolism.info:eu-repo/semantics/openAccessSociedade Brasileira de Cardiologia - SBCArquivos Brasileiros de Cardiologia v.76 n.6 20012001-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000600003en10.1590/S0066-782X2001000600003 |
institution |
SCIELO |
collection |
OJS |
country |
Brasil |
countrycode |
BR |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-br |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
Tatani,Solange Bernardes Fukujima,Márcia Maiumi Lima,João Augusto Costa Ferreira,Luiz Darcy Cortez Ghefter,Claudia G. Monaco Prado,Gilmar Fernandes Babayan,Zara Azevedo,Lyamara Apostólico de |
spellingShingle |
Tatani,Solange Bernardes Fukujima,Márcia Maiumi Lima,João Augusto Costa Ferreira,Luiz Darcy Cortez Ghefter,Claudia G. Monaco Prado,Gilmar Fernandes Babayan,Zara Azevedo,Lyamara Apostólico de Clinical impact of transesophageal echocardiography in patients with stroke without clinical evidence of cardiovascular sources of emboli |
author_facet |
Tatani,Solange Bernardes Fukujima,Márcia Maiumi Lima,João Augusto Costa Ferreira,Luiz Darcy Cortez Ghefter,Claudia G. Monaco Prado,Gilmar Fernandes Babayan,Zara Azevedo,Lyamara Apostólico de |
author_sort |
Tatani,Solange Bernardes |
title |
Clinical impact of transesophageal echocardiography in patients with stroke without clinical evidence of cardiovascular sources of emboli |
title_short |
Clinical impact of transesophageal echocardiography in patients with stroke without clinical evidence of cardiovascular sources of emboli |
title_full |
Clinical impact of transesophageal echocardiography in patients with stroke without clinical evidence of cardiovascular sources of emboli |
title_fullStr |
Clinical impact of transesophageal echocardiography in patients with stroke without clinical evidence of cardiovascular sources of emboli |
title_full_unstemmed |
Clinical impact of transesophageal echocardiography in patients with stroke without clinical evidence of cardiovascular sources of emboli |
title_sort |
clinical impact of transesophageal echocardiography in patients with stroke without clinical evidence of cardiovascular sources of emboli |
description |
OBJECTIVE: The purpose of this study is to evaluate the impact of transeophageal echocardiography on management of patients at low-risk for cardiogenic embolism to prevent new potential cardiovascular sources of emboli. METHODS: We studied 69 patients with ischemic stroke at low-risk for cardiogenic embolism. Transeophageal echocardiography was performed to access: left atrium enlargement; communication or aneurysm of the interatrial septum; patent foramen ovale; spontaneous echo contrast or intracavitary thrombi; the presence of intraaortic atherosclerotic plaques or thrombi; significant valvar morphologic alteration or dysfunction; left ventricle enlargement, hypertrophy, or contractile abnormality. Transesophageal echocardiography altered clinical management, and we adopted anticoagulant therapy or another procedure apart from the use of acetylsalicylic acid. RESULTS: Transeophageal echocardiography detected at least one abnormality in 40 cases (58%). Clinical conduct was adjusted after the performance of transesophageal echocardiography in 11 patients (15.9%); anticoagulation was added in 10 cases and surgical correction in one patient. CONCLUSION: Transeophageal echocardiography was a very useful tool in the secondary prevention for stroke in patients at low risk for cardiogenic embolism. |
publisher |
Sociedade Brasileira de Cardiologia - SBC |
publishDate |
2001 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2001000600003 |
work_keys_str_mv |
AT tatanisolangebernardes clinicalimpactoftransesophagealechocardiographyinpatientswithstrokewithoutclinicalevidenceofcardiovascularsourcesofemboli AT fukujimamarciamaiumi clinicalimpactoftransesophagealechocardiographyinpatientswithstrokewithoutclinicalevidenceofcardiovascularsourcesofemboli AT limajoaoaugustocosta clinicalimpactoftransesophagealechocardiographyinpatientswithstrokewithoutclinicalevidenceofcardiovascularsourcesofemboli AT ferreiraluizdarcycortez clinicalimpactoftransesophagealechocardiographyinpatientswithstrokewithoutclinicalevidenceofcardiovascularsourcesofemboli AT ghefterclaudiagmonaco clinicalimpactoftransesophagealechocardiographyinpatientswithstrokewithoutclinicalevidenceofcardiovascularsourcesofemboli AT pradogilmarfernandes clinicalimpactoftransesophagealechocardiographyinpatientswithstrokewithoutclinicalevidenceofcardiovascularsourcesofemboli AT babayanzara clinicalimpactoftransesophagealechocardiographyinpatientswithstrokewithoutclinicalevidenceofcardiovascularsourcesofemboli AT azevedolyamaraapostolicode clinicalimpactoftransesophagealechocardiographyinpatientswithstrokewithoutclinicalevidenceofcardiovascularsourcesofemboli |
_version_ |
1756381439181455360 |