دورية أكاديمية
The role of echocardiography in the management of stroke.
| العنوان: | The role of echocardiography in the management of stroke. |
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| المؤلفون: | Kolo PM; Department of Medicine, University of Ilorin Teaching Hospital, P.M.B. 1459, Ilorin, Nigeria. etsumanma@yahoo.com, Sanya EO, Omotosho AB, Chijoke A, Dada SA |
| المصدر: | West African journal of medicine [West Afr J Med] 2010 Jul-Aug; Vol. 29 (4), pp. 239-43. |
| نوع المنشور: | Evaluation Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: West African College Of Physicians And West African College Of Surgeons Country of Publication: Nigeria NLM ID: 8301891 Publication Model: Print Cited Medium: Print ISSN: 0189-160X (Print) Linking ISSN: 0189160X NLM ISO Abbreviation: West Afr J Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Lagos : West African College Of Physicians And West African College Of Surgeons Original Publication: [Yaba, Lagos, Nigeria] : West African College of Physicians and West African College of Surgeons, [1981- |
| مواضيع طبية MeSH: | Embolism/*diagnostic imaging , Ischemic Attack, Transient/*diagnostic imaging , Stroke/*diagnostic imaging, Adult ; Aged ; Case-Control Studies ; Echocardiography, Doppler ; Female ; Heart Valve Diseases/diagnostic imaging ; Humans ; Ischemic Attack, Transient/etiology ; Ischemic Attack, Transient/prevention & control ; Male ; Middle Aged ; Prospective Studies ; Risk Factors ; Stroke/etiology ; Thrombosis/diagnostic imaging |
| مستخلص: | Background: Echocardiography is increasingly being used as a screening test to identify sources of cardiogenic embolism in patients with ischemic stroke or transient ischaemic attack (TIA). However, no consensus exists presently on the utilization of this imaging facility in individuals with stroke. Objective: To evaluate the yield of transthoracic echocardiography in patients with ischaemic stroke with a view to providing guidance in its use in clinical management of stroke. Methods: One hundred and twenty-six consecutive stroke patients with 90 controls were recruited prospectively. Patients were examined echocardiographically for evidence of intramural thrombus, congenital defects, valvular heart disease, wall motion abnormalities and intra-cardiac masses using two-dimensional, m-Mode and Doppler facilities. Results: Potential cardiac source of emboli (CSE) was identified in 23.0% of the stroke patients. Those who had CSE identified aged 53.0(20.8) years were younger (p=0.0001) than those who did not have CSE, 57.2 (13.5) years. Five (4.0%) patients had rheumatic valvular heart disease with demonstrable clots in the left atrium. On the other hand, four(3.2%) patients had RHD without thrombi seen. Two patients had biventricular thrombi. One of these patients had giant clots within the ventricles and multiple freely mobile thrombi in right ventricle without obvious cardiac structural defect. Conclusion: Young stroke or transient ischaemic attacks patients who have clinical signs suggesting the heart as the potential CSE should have low threshold for echocardiography. However, there is a need for rationalisation of request for echocardiography where such clinical signs are absent. |
| تواريخ الأحداث: | Date Created: 20101009 Date Completed: 20110215 Latest Revision: 20191210 |
| رمز التحديث: | 20221213 |
| DOI: | 10.4314/wajm.v29i4.68243 |
| PMID: | 20931511 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0189-160X |
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| DOI: | 10.4314/wajm.v29i4.68243 |