The transesophageal echocardiogram in the evaluation of cerebrovascular diseases.
Autor(a) principal: | |
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Data de Publicação: | 1994 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2860 |
Resumo: | We evaluated the diagnostic sensitivity and clinical value of transesophageal echocardiogram in 72 patients with a potential cardiogenic embolic stroke or transient ischemic attacks at the Neurological Department/Cerebrovascular disorders out-patient clinic of Santa Maria Hospital between February 1991 - February 1993. The transesophageal echocardiogram was performed in UTIC-Arsénio Cordeiro after current diagnostic evaluation. Eighteen patients had previous cardiac disease and in 58 the transthoracic echocardiogram was normal. Transesophageal echocardiography detected the presence of cardiac abnormalities in 49 patients (68%) and a potential cardiac embolic source in 38 (53%). Twenty-eight patients were started on anticoagulants. The most frequent cardiogenic embolic sources were: patent foramen ovale, atrial septal aneurysm and a left auricular/auricular appendicular dilatation. Twelve of these patients, who had a non cardiac cause for their stroke, were considered as a control group. The remaining cases (n = 60) had significantly more (+32%; 95% CI = 2-62) cardiac abnormalities than this control group. We performed a separate analysis of 3 subgroups of patients: 1--without and 2--with cardiac disease; 3--age < or = 45 years. No significant differences were found between group 1 and 2. Among the subjects aged < or = 45 years, undiagnosed cardiopathy was less frequent (-21%; 95% CI = 1-43). These results confirm the diagnostic sensitivity and the clinical value of transesophageal echocardiogram in detecting potential embolic sources in patients with stroke/transient ischemic attacks irrespective of age or previous cardiac disease. |
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The transesophageal echocardiogram in the evaluation of cerebrovascular diseases.O ecocardiograma transesofágico na avaliação dos acidentes vasculares cerebrais.We evaluated the diagnostic sensitivity and clinical value of transesophageal echocardiogram in 72 patients with a potential cardiogenic embolic stroke or transient ischemic attacks at the Neurological Department/Cerebrovascular disorders out-patient clinic of Santa Maria Hospital between February 1991 - February 1993. The transesophageal echocardiogram was performed in UTIC-Arsénio Cordeiro after current diagnostic evaluation. Eighteen patients had previous cardiac disease and in 58 the transthoracic echocardiogram was normal. Transesophageal echocardiography detected the presence of cardiac abnormalities in 49 patients (68%) and a potential cardiac embolic source in 38 (53%). Twenty-eight patients were started on anticoagulants. The most frequent cardiogenic embolic sources were: patent foramen ovale, atrial septal aneurysm and a left auricular/auricular appendicular dilatation. Twelve of these patients, who had a non cardiac cause for their stroke, were considered as a control group. The remaining cases (n = 60) had significantly more (+32%; 95% CI = 2-62) cardiac abnormalities than this control group. We performed a separate analysis of 3 subgroups of patients: 1--without and 2--with cardiac disease; 3--age < or = 45 years. No significant differences were found between group 1 and 2. Among the subjects aged < or = 45 years, undiagnosed cardiopathy was less frequent (-21%; 95% CI = 1-43). These results confirm the diagnostic sensitivity and the clinical value of transesophageal echocardiogram in detecting potential embolic sources in patients with stroke/transient ischemic attacks irrespective of age or previous cardiac disease.We evaluated the diagnostic sensitivity and clinical value of transesophageal echocardiogram in 72 patients with a potential cardiogenic embolic stroke or transient ischemic attacks at the Neurological Department/Cerebrovascular disorders out-patient clinic of Santa Maria Hospital between February 1991 - February 1993. The transesophageal echocardiogram was performed in UTIC-Arsénio Cordeiro after current diagnostic evaluation. Eighteen patients had previous cardiac disease and in 58 the transthoracic echocardiogram was normal. Transesophageal echocardiography detected the presence of cardiac abnormalities in 49 patients (68%) and a potential cardiac embolic source in 38 (53%). Twenty-eight patients were started on anticoagulants. The most frequent cardiogenic embolic sources were: patent foramen ovale, atrial septal aneurysm and a left auricular/auricular appendicular dilatation. Twelve of these patients, who had a non cardiac cause for their stroke, were considered as a control group. The remaining cases (n = 60) had significantly more (+32%; 95% CI = 2-62) cardiac abnormalities than this control group. We performed a separate analysis of 3 subgroups of patients: 1--without and 2--with cardiac disease; 3--age < or = 45 years. No significant differences were found between group 1 and 2. Among the subjects aged < or = 45 years, undiagnosed cardiopathy was less frequent (-21%; 95% CI = 1-43). These results confirm the diagnostic sensitivity and the clinical value of transesophageal echocardiogram in detecting potential embolic sources in patients with stroke/transient ischemic attacks irrespective of age or previous cardiac disease.Ordem dos Médicos1994-02-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2860oai:ojs.www.actamedicaportuguesa.com:article/2860Acta Médica Portuguesa; Vol. 7 No. 2 (1994): Fevereiro; 95-102Acta Médica Portuguesa; Vol. 7 N.º 2 (1994): Fevereiro; 95-1021646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2860https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2860/2245Pinto, A NFerro, J MSá, A BPais, Finfo:eu-repo/semantics/openAccess2022-12-20T11:01:14Zoai:ojs.www.actamedicaportuguesa.com:article/2860Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:18:01.553713Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The transesophageal echocardiogram in the evaluation of cerebrovascular diseases. O ecocardiograma transesofágico na avaliação dos acidentes vasculares cerebrais. |
title |
The transesophageal echocardiogram in the evaluation of cerebrovascular diseases. |
spellingShingle |
The transesophageal echocardiogram in the evaluation of cerebrovascular diseases. Pinto, A N |
title_short |
The transesophageal echocardiogram in the evaluation of cerebrovascular diseases. |
title_full |
The transesophageal echocardiogram in the evaluation of cerebrovascular diseases. |
title_fullStr |
The transesophageal echocardiogram in the evaluation of cerebrovascular diseases. |
title_full_unstemmed |
The transesophageal echocardiogram in the evaluation of cerebrovascular diseases. |
title_sort |
The transesophageal echocardiogram in the evaluation of cerebrovascular diseases. |
author |
Pinto, A N |
author_facet |
Pinto, A N Ferro, J M Sá, A B Pais, F |
author_role |
author |
author2 |
Ferro, J M Sá, A B Pais, F |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Pinto, A N Ferro, J M Sá, A B Pais, F |
description |
We evaluated the diagnostic sensitivity and clinical value of transesophageal echocardiogram in 72 patients with a potential cardiogenic embolic stroke or transient ischemic attacks at the Neurological Department/Cerebrovascular disorders out-patient clinic of Santa Maria Hospital between February 1991 - February 1993. The transesophageal echocardiogram was performed in UTIC-Arsénio Cordeiro after current diagnostic evaluation. Eighteen patients had previous cardiac disease and in 58 the transthoracic echocardiogram was normal. Transesophageal echocardiography detected the presence of cardiac abnormalities in 49 patients (68%) and a potential cardiac embolic source in 38 (53%). Twenty-eight patients were started on anticoagulants. The most frequent cardiogenic embolic sources were: patent foramen ovale, atrial septal aneurysm and a left auricular/auricular appendicular dilatation. Twelve of these patients, who had a non cardiac cause for their stroke, were considered as a control group. The remaining cases (n = 60) had significantly more (+32%; 95% CI = 2-62) cardiac abnormalities than this control group. We performed a separate analysis of 3 subgroups of patients: 1--without and 2--with cardiac disease; 3--age < or = 45 years. No significant differences were found between group 1 and 2. Among the subjects aged < or = 45 years, undiagnosed cardiopathy was less frequent (-21%; 95% CI = 1-43). These results confirm the diagnostic sensitivity and the clinical value of transesophageal echocardiogram in detecting potential embolic sources in patients with stroke/transient ischemic attacks irrespective of age or previous cardiac disease. |
publishDate |
1994 |
dc.date.none.fl_str_mv |
1994-02-27 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2860 oai:ojs.www.actamedicaportuguesa.com:article/2860 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2860 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/2860 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2860 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2860/2245 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 7 No. 2 (1994): Fevereiro; 95-102 Acta Médica Portuguesa; Vol. 7 N.º 2 (1994): Fevereiro; 95-102 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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