Ischemic stroke echocardiography
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Ischemic Stroke Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Ischemic stroke echocardiography On the Web |
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American Roentgen Ray Society Images of Ischemic stroke echocardiography |
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Risk calculators and risk factors for Ischemic stroke echocardiography |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
Echocardiography may be performed to determine the underlying etiology such as arrhythmias and the resultant clots in the heart that may spread to the brain vessels through the bloodstream.[1][2]
Echocardiography
- Echocardiography may help assess the structural cause and source of emboli in ischemic stroke.[1][2]
- It may also help assess risk factors for recurrent stroke such as atrial fibrillation, valvular heart disease and atherosclerosis.[1][2][3]
2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association[4]
Recommendations for Diagnostic Evaluation Referenced studies that support recommendations are summarized in online Data Supplements 1 and 2
| Class IIa |
| 6. In patients with cryptogenic stroke, echocardiography with or without contrast is reason-able to evaluate for possible cardiac sources of or transcardiac pathways for cerebral embolism.(Level of Evidence: B-R) |
| Class IIb |
| 13. In patients with ESUS, transesophageal echocardiography (TEE), cardiac CT, or cardiac MRI might be reasonable to identify possible cardioaortic sources of or transcardiac pathways for cerebral embolism.(Level of Evidence: C-LD)
14. In patients with ischemic stroke or TIA in whom patent foramen ovale (PFO) closure would be contemplated, TCD (transcranial Doppler) with embolus detection might be reasonable to screen for right-to-left shunt.(Level of Evidence: C-LD) |
For AHA/ASA guidelines for cardiac monitoring in patients with ischemic stroke, please click here
References
- ↑ 1.0 1.1 1.2 de Abreu TT, Mateus S, Carreteiro C, Correia J (2008). "Therapeutic implications of transesophageal echocardiography after transthoracic echocardiography on acute stroke patients". Vasc Health Risk Manag. 4 (1): 167–72. PMC 2464746. PMID 18629351.
- ↑ 2.0 2.1 2.2 Ustrell X, Pellisé A (2010). "Cardiac workup of ischemic stroke". Curr Cardiol Rev. 6 (3): 175–83. doi:10.2174/157340310791658721. PMC 2994109. PMID 21804776.
- ↑ Kolo PM, Sanya EO, Omotosho AB, Chijoke A, Dada SA (2010). "The role of echocardiography in the management of stroke". West Afr J Med. 29 (4): 239–43. PMID 20931511.
- ↑ Kleindorfer DO, Towfighi A, Chaturvedi S, Cockroft KM, Gutierrez J, Lombardi-Hill D; et al. (2021). "2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association". Stroke. 52 (7): e364–e467. doi:10.1161/STR.0000000000000375. PMID 34024117 Check
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