Transesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 years

Detalhes bibliográficos
Autor(a) principal: Fukujima,Marcia Maiumi
Data de Publicação: 2005
Outros Autores: 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
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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spelling 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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