Evaluation of Transesophageal Echocardiography Findings in Acute Non Hemorrhagic Cerebrovascular Stroke
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- Category: Vol. 80, December 2012
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Evaluation of Transesophageal Echocardiography Findings in Acute Non Hemorrhagic Cerebrovascular Stroke,BASSEM WADIE
Abstract
Background: Preexisting cardiovascular disorder are established risk factors for ischemic cerebrovascular stroke and increases mortality in those patients. Aim to evaluate incidence of CVS in patients with with cardiovascular etiology using transesophageal echocardiography.
Patients and Methods: All patients with cerebrovascular stroke at Ain Shams University Specialized Hospital with acute ischemic stroke were included in the period between February 2010 and February 2011. After exclusion of recurrent stroke and cerebral haemorrage.
Methods: After general and local examination, history taking and 12 lead ECG was done for every patient. Then transthoracic and transesophageal echocardiography was done using VIVID 7 echo machine Using 3.5 and 6.5 MHZ probe.
Results:112 patients with the inclusion criteria mentioned above were studied with mean age 65±13. 60 male and 52 female. 80 patients were hypertensive, 22 were diabetic, 40 were smokers and 17 patients were hypecholestremic. Positive findings in 72% of patients including left atrial appendage thrombi, aortic atheroma, patent foramen ovale and. This findings were not detected by transthoracic echocardiography.
Conclusion: Transesophageal Echo is of value in eluci-dating a more wide range of findings in non hemorrhagic CVS with superiority over trans-thoracic echocardiography.