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Titolo:
ULCERATED ATHEROSCLEROTIC PLAQUES IN THE THORACIC AORTA ARE ASSOCIATED WITH CRYPTOGENIC STROKE - A MULTIPLANE TRANSESOPHAGEAL ECHOCARDIOGRAPHIC STUDY
Autore:
STONE DA; HAWKE MW; LAMONTE M; KITTNER SJ; ACOSTA J; CORRETTI M; SAMPLE C; PRICE TR; PLOTNICK GD;
Indirizzi:
UNIV MARYLAND HOSP,DEPT MED,DIV CARDIOL,22 S GREENE ST,ROOM S2C22 BALTIMORE MD 21201 UNIV MARYLAND HOSP,DEPT MED,DIV CARDIOL BALTIMORE MD 21201 UNIV MARYLAND HOSP,DEPT NEUROL BALTIMORE MD 21201
Titolo Testata:
The American heart journal
fascicolo: 1, volume: 130, anno: 1995,
pagine: 105 - 108
SICI:
0002-8703(1995)130:1<105:UAPITT>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
PROTRUDING ATHEROMAS; CEREBRAL-ISCHEMIA; EMBOLIC STROKE; LESIONS; DEBRIS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
D.A. Stone et al., "ULCERATED ATHEROSCLEROTIC PLAQUES IN THE THORACIC AORTA ARE ASSOCIATED WITH CRYPTOGENIC STROKE - A MULTIPLANE TRANSESOPHAGEAL ECHOCARDIOGRAPHIC STUDY", The American heart journal, 130(1), 1995, pp. 105-108

Abstract

Atherosclerotic plaque ulcers greater than or equal to 2 mm in depth and width in the thoracic aorta have been implicated by autopsy study as a cause of unexplained or cryptogenic ischemic strokes. Transesophageal echocardiography (TEE) allows visualization of complex atherosclerotic lesions of the thoracic aorta. We compared the prevalence of thoracic aorta ulcerated plaques (ulcers greater than or equal to 2 mm inboth depth and width) in three age-matched groups undergoing multiplane TEE: group 1, 23 patients with cryptogenic ischemic stroke; group 2, 26 patients with known-cause strokes; and group 3, 57 control patients without strokes. TEEs were interpreted in a blinded fashion. Ulcerated plaques were found in 9 (39%) group 1 patients but in only 2 (8%) group 2 patients and in only 4 (7%) group 3 patients (p < 0.001). There was,an association between advancing age and the presence of ulcerated plaques (p < 0.02). We conclude that ulcerated atherosclerotic plaques in the thoracic aorta are associated with cryptogenic ischemic stroke and should be considered a potential source of cerebral emboli.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 17:50:44