Transesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 years
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2005000600007 |
Resumo: | Cerebral embolism from cardiac source is an important cause of stroke, specially in patients younger than 45 years old. OBJECTIVE: To describe the transesophageal echocardiography (TEE) findings in young and non-young stroke patients without any prior evidence of cardiac source for cerebral embolism. METHOD: Transversal study: 523 patients (267 men and 256 women) with ischemic stroke, without any evidence of cardiac abnormality, underwent to TEE. RESULTS: Ten percent were aged 45 years; or less. Left ventricle hypertrophy, left atrial enlargement, spontaneous contrast in aorta, interatrial septum aneurysm, mitral and aortic valve calcification, aortic valve regurgitation, and atherosclerotic plaques in aorta were significantly more frequent in patients aged more than 45 years; 2.8% of non-young patients had thrombus in left heart. CONCLUSION: TEE is widely used to diagnose cardiac source of cerebral embolism in young patients, but it seems to be as useful for older ones, in whom cerebral embolism risk is underestimated; atherogenic and cardioembolic causes may actually coexist, and both should be treated. |
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Transesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 yearsstrokecardiac embolismtransesophageal echocardiogramCerebral embolism from cardiac source is an important cause of stroke, specially in patients younger than 45 years old. OBJECTIVE: To describe the transesophageal echocardiography (TEE) findings in young and non-young stroke patients without any prior evidence of cardiac source for cerebral embolism. METHOD: Transversal study: 523 patients (267 men and 256 women) with ischemic stroke, without any evidence of cardiac abnormality, underwent to TEE. RESULTS: Ten percent were aged 45 years; or less. Left ventricle hypertrophy, left atrial enlargement, spontaneous contrast in aorta, interatrial septum aneurysm, mitral and aortic valve calcification, aortic valve regurgitation, and atherosclerotic plaques in aorta were significantly more frequent in patients aged more than 45 years; 2.8% of non-young patients had thrombus in left heart. CONCLUSION: TEE is widely used to diagnose cardiac source of cerebral embolism in young patients, but it seems to be as useful for older ones, in whom cerebral embolism risk is underestimated; atherogenic and cardioembolic causes may actually coexist, and both should be treated.Academia Brasileira de Neurologia - ABNEURO2005-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2005000600007Arquivos de Neuro-Psiquiatria v.63 n.4 2005reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/S0004-282X2005000600007info:eu-repo/semantics/openAccessFukujima,Marcia MaiumiTatani,Solange BernardesAguiar,Alexandre SantosFerraz,Maria Elisabeth Matta de RezendeFrancisco,SilvioFerreira,Luiz DarcyMonaco,Cláudia G.Ortiz,JuarezLima,João Augusto CostaGabbai,Alberto AlainPrado,Gilmar Fernandes doeng2006-01-09T00:00:00Zoai:scielo:S0004-282X2005000600007Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2006-01-09T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Transesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 years |
title |
Transesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 years |
spellingShingle |
Transesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 years Fukujima,Marcia Maiumi stroke cardiac embolism transesophageal echocardiogram |
title_short |
Transesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 years |
title_full |
Transesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 years |
title_fullStr |
Transesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 years |
title_full_unstemmed |
Transesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 years |
title_sort |
Transesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 years |
author |
Fukujima,Marcia Maiumi |
author_facet |
Fukujima,Marcia Maiumi Tatani,Solange Bernardes Aguiar,Alexandre Santos Ferraz,Maria Elisabeth Matta de Rezende Francisco,Silvio Ferreira,Luiz Darcy Monaco,Cláudia G. Ortiz,Juarez Lima,João Augusto Costa Gabbai,Alberto Alain Prado,Gilmar Fernandes do |
author_role |
author |
author2 |
Tatani,Solange Bernardes Aguiar,Alexandre Santos Ferraz,Maria Elisabeth Matta de Rezende Francisco,Silvio Ferreira,Luiz Darcy Monaco,Cláudia G. Ortiz,Juarez Lima,João Augusto Costa Gabbai,Alberto Alain Prado,Gilmar Fernandes do |
author2_role |
author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Fukujima,Marcia Maiumi Tatani,Solange Bernardes Aguiar,Alexandre Santos Ferraz,Maria Elisabeth Matta de Rezende Francisco,Silvio Ferreira,Luiz Darcy Monaco,Cláudia G. Ortiz,Juarez Lima,João Augusto Costa Gabbai,Alberto Alain Prado,Gilmar Fernandes do |
dc.subject.por.fl_str_mv |
stroke cardiac embolism transesophageal echocardiogram |
topic |
stroke cardiac embolism transesophageal echocardiogram |
description |
Cerebral embolism from cardiac source is an important cause of stroke, specially in patients younger than 45 years old. OBJECTIVE: To describe the transesophageal echocardiography (TEE) findings in young and non-young stroke patients without any prior evidence of cardiac source for cerebral embolism. METHOD: Transversal study: 523 patients (267 men and 256 women) with ischemic stroke, without any evidence of cardiac abnormality, underwent to TEE. RESULTS: Ten percent were aged 45 years; or less. Left ventricle hypertrophy, left atrial enlargement, spontaneous contrast in aorta, interatrial septum aneurysm, mitral and aortic valve calcification, aortic valve regurgitation, and atherosclerotic plaques in aorta were significantly more frequent in patients aged more than 45 years; 2.8% of non-young patients had thrombus in left heart. CONCLUSION: TEE is widely used to diagnose cardiac source of cerebral embolism in young patients, but it seems to be as useful for older ones, in whom cerebral embolism risk is underestimated; atherogenic and cardioembolic causes may actually coexist, and both should be treated. |
publishDate |
2005 |
dc.date.none.fl_str_mv |
2005-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2005000600007 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2005000600007 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0004-282X2005000600007 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.63 n.4 2005 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212759142137856 |