Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN PATIENTS LESS-THAN-60 YEARS OF AGE WITHOUT OBVIOUS CARDIAC SOURCE OF EMBOLISM
Autore:
NIGHOGHOSSIAN N; PERINETTI M; BARTHELET M; ADELEINE P; TROUILLAS P;
Indirizzi:
HOP NEUROL,SERV NEUROL PR TROUILLAS URGENCES NEUROVASC,59 BD PINEL F-69003 LYON FRANCE HOP CARDIOL,ECHOCARDIOG DOPPLER LAB LYON FRANCE LAB INFORMAT MED UFR ALEXIS CARREL FRANCE
Titolo Testata:
Neurological research
fascicolo: 5, volume: 17, anno: 1995,
pagine: 368 - 372
SICI:
0161-6412(1995)17:5<368:TEIPLY>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
ATRIAL SEPTAL ANEURYSM; MITRAL-VALVE PROLAPSE; STROKE; PREVALENCE; INFARCTS; EVENTS;
Keywords:
ATRIAL SEPTAL ANEURYSM; PATENT FORAMEN OVALE; CRYPTOGENIC STROKE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
28
Recensione:
Indirizzi per estratti:
Citazione:
N. Nighoghossian et al., "TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN PATIENTS LESS-THAN-60 YEARS OF AGE WITHOUT OBVIOUS CARDIAC SOURCE OF EMBOLISM", Neurological research, 17(5), 1995, pp. 368-372

Abstract

Minor potential cardioembolic sources of stroke such as atrial septalaneurysms (ASA) or patent foramen ovale (PFO) are important risk factors for cryptogenic stroke. We aim to determine the prevalence of these abnormalities through an exhaustive etiological workup including transesophageal echocardiography and cervical arteries assessment in stroke patients younger than 60 years of age who had no evidence of a significant source of embolism. We classified 118 stroke patients into four groups according to transesophageal echocardiography (TEE) and cervical arteries assessment findings. Group A, consisted of 30 (25.4%) patients who had an arteriopathy likely related to stroke without any cardiac abnormality; Group B, 49 (41%) patients who had only a potential cardiac source; Group C, 9 (7.6%) patients who had an obvious arterialsource of stroke and incidental cardiac abnormalities, and Group D, 30 (25.4%) patients who had neither cardiac nor arterial source. Data were analysed with X(2) test for the comparison of risk factors betweengroups. Variance analysis was used to compare age between groups. Significance was assessed as p < 0.05. ASA represented 56.8% of the cardiac abnormalities and was diagnosed in 35.4% of the 79 patients who hadan unexplained stroke (B and D). A PFO was found in 34.1% of the patients who had a cryptogenic stroke (B and D). According to Fisher's exact test, ASA was significantly associated to PFO (p much less than 0.001). According to this selection one fourth of the patients might havea truly cryptogenic stroke as the etiological workup failed to demonstrate any source of stroke. Comparison between groups showed that the patients in whom an arterial source was detected also had a potential cardioembolic source in 23% of the cases (C) versus 62% in patients who had no arterial source (B and D) (p = 0.0007). Our study confirmed the strong association between ASA, PFO and stroke. Although there was a lower incidence of minor potential cardioembolic sources in patientswho had a cervical artery disease, we suggest a systematic TEE screening in all patients with stroke without major cardiac source, in orderto ensure a better prevention.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/09/20 alle ore 20:29:13