Impacto clínico da ecocardiografia transesofágica em pacientes com acidente vascular cerebral sem evidência clínica de fonte emboligênica cardíaca / Clinical impact of transesophageal echocardiography in patients with stroke without clinical evidence of cardiovascular sources of emboli
Arq. bras. cardiol
;
76(6): 453-461, June 2001. ilus
Artigo
em Português, Inglês
| LILACS
| ID: lil-286363
ABSTRACT
OBJECTIVE:
The purpose of this study is to evaluate the impact of transeophageal echocardiography on management of patients at low-risk for cardiogenic embolism to prevent new potential cardiovascular sources of emboli.METHODS:
We studied 69 patients with ischemic stroke at low-risk for cardiogenic embolism. Transeophageal echocardiography was performed to access left atrium enlargement; communication or aneurysm of the interatrial septum; patent foramen ovale; spontaneous echo contrast or intracavitary thrombi; the presence of intraaortic atherosclerotic plaques or thrombi; significant valvar morphologic alteration or dysfunction; left ventricle enlargement, hypertrophy, or contractile abnormality. Transesophageal echocardiography altered clinical management, and we adopted anticoagulant therapy or another procedure apart from the use of acetylsalicylic acid.RESULTS:
Transeophageal echocardiography detected at least one abnormality in 40 cases (58 percent). Clinical conduct was adjusted after the performance of transesophageal echocardiography in 11 patients (15.9 percent); anticoagulation was added in 10 cases and surgical correction in one patient.CONCLUSION:
Transeophageal echocardiography was a very useful tool in the secondary prevention for stroke in patients at low risk for cardiogenic embolism
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Ecocardiografia Transesofagiana
/
Acidente Vascular Cerebral
/
Embolia
Tipo de estudo:
Estudo de etiologia
Limite:
Adolescente
/
Adulto
/
Aged80
/
Criança
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
/
Português
Revista:
Arq. bras. cardiol
Assunto da revista:
Cardiologia
Ano de publicação:
2001
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Universidade Federal de Säo Paulo/BR
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