Ischemic stroke echocardiography: Difference between revisions
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*Echocardiography may help assess the structural cause and source of emboli in ischemic stroke.<ref name="pmid18629351">{{cite journal| author=de Abreu TT, Mateus S, Carreteiro C, Correia J| title=Therapeutic implications of transesophageal echocardiography after transthoracic echocardiography on acute stroke patients. | journal=Vasc Health Risk Manag | year= 2008 | volume= 4 | issue= 1 | pages= 167-72 | pmid=18629351 | doi= | pmc=2464746 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18629351 }} </ref><ref name="pmid21804776">{{cite journal| author=Ustrell X, Pellisé A| title=Cardiac workup of ischemic stroke. | journal=Curr Cardiol Rev | year= 2010 | volume= 6 | issue= 3 | pages= 175-83 | pmid=21804776 | doi=10.2174/157340310791658721 | pmc=2994109 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21804776 }} </ref> | *Echocardiography may help assess the structural cause and source of emboli in ischemic stroke.<ref name="pmid18629351">{{cite journal| author=de Abreu TT, Mateus S, Carreteiro C, Correia J| title=Therapeutic implications of transesophageal echocardiography after transthoracic echocardiography on acute stroke patients. | journal=Vasc Health Risk Manag | year= 2008 | volume= 4 | issue= 1 | pages= 167-72 | pmid=18629351 | doi= | pmc=2464746 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18629351 }} </ref><ref name="pmid21804776">{{cite journal| author=Ustrell X, Pellisé A| title=Cardiac workup of ischemic stroke. | journal=Curr Cardiol Rev | year= 2010 | volume= 6 | issue= 3 | pages= 175-83 | pmid=21804776 | doi=10.2174/157340310791658721 | pmc=2994109 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21804776 }} </ref> | ||
*It may also help assess risk factors for recurrent stroke such as [[atrial fibrillation]], valvular heart disease and atherosclerosis.<ref name="pmid18629351">{{cite journal| author=de Abreu TT, Mateus S, Carreteiro C, Correia J| title=Therapeutic implications of transesophageal echocardiography after transthoracic echocardiography on acute stroke patients. | journal=Vasc Health Risk Manag | year= 2008 | volume= 4 | issue= 1 | pages= 167-72 | pmid=18629351 | doi= | pmc=2464746 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18629351 }} </ref><ref name="pmid21804776">{{cite journal| author=Ustrell X, Pellisé A| title=Cardiac workup of ischemic stroke. | journal=Curr Cardiol Rev | year= 2010 | volume= 6 | issue= 3 | pages= 175-83 | pmid=21804776 | doi=10.2174/157340310791658721 | pmc=2994109 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21804776 }} </ref><ref name="pmid20931511">{{cite journal| author=Kolo PM, Sanya EO, Omotosho AB, Chijoke A, Dada SA| title=The role of echocardiography in the management of stroke. | journal=West Afr J Med | year= 2010 | volume= 29 | issue= 4 | pages= 239-43 | pmid=20931511 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20931511 }} </ref> | *It may also help assess risk factors for recurrent stroke such as [[atrial fibrillation]], valvular heart disease and atherosclerosis.<ref name="pmid18629351">{{cite journal| author=de Abreu TT, Mateus S, Carreteiro C, Correia J| title=Therapeutic implications of transesophageal echocardiography after transthoracic echocardiography on acute stroke patients. | journal=Vasc Health Risk Manag | year= 2008 | volume= 4 | issue= 1 | pages= 167-72 | pmid=18629351 | doi= | pmc=2464746 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18629351 }} </ref><ref name="pmid21804776">{{cite journal| author=Ustrell X, Pellisé A| title=Cardiac workup of ischemic stroke. | journal=Curr Cardiol Rev | year= 2010 | volume= 6 | issue= 3 | pages= 175-83 | pmid=21804776 | doi=10.2174/157340310791658721 | pmc=2994109 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21804776 }} </ref><ref name="pmid20931511">{{cite journal| author=Kolo PM, Sanya EO, Omotosho AB, Chijoke A, Dada SA| title=The role of echocardiography in the management of stroke. | journal=West Afr J Med | year= 2010 | volume= 29 | issue= 4 | pages= 239-43 | pmid=20931511 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20931511 }} </ref> | ||
== 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<ref name="pmid34024117">{{cite journal| author=Kleindorfer DO, Towfighi A, Chaturvedi S, Cockroft KM, Gutierrez J, Lombardi-Hill D | display-authors=etal| title=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. | journal=Stroke | year= 2021 | volume= 52 | issue= 7 | pages= e364-e467 | pmid=34024117 | doi=10.1161/STR.0000000000000375 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34024117 }}</ref> == | |||
=== Recommendations for Diagnostic Evaluation Referenced studies that support recommendations are summarized in online Data Supplements 1 and 2 === | |||
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| colspan="1" style="text-align:center; background:LightGreen" |[[EHS ESC guidelines classification scheme#Classification of Recommendations|Class I]] | |||
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| bgcolor="LightGreen" |3. In patients with symptomatic anterior circulation cerebral infarction or TIA who are candidates for revascularization, noninvasive cervical carotid imaging with carotid ultrasonography, CT angiography (CTA), or magnetic resonance angiography (MRA) is recommended to screen for stenosis.([[ACC AHA guidelines classification scheme#Level of Evidence|''Level of Evidence: B-NR'']]) | |||
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'''For AHA/ASA guidelines for cardiac monitoring in patients with ischemic stroke, please''' [[AHA/ASA guideline recommendations for of Early management of acute ischemic stroke#General Supportive Care and Treatment of Acute Complications|click here]] | '''For AHA/ASA guidelines for cardiac monitoring in patients with ischemic stroke, please''' [[AHA/ASA guideline recommendations for of Early management of acute ischemic stroke#General Supportive Care and Treatment of Acute Complications|click here]] | ||
Revision as of 14:11, 12 January 2023
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Ischemic Stroke Microchapters |
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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 I |
| 3. In patients with symptomatic anterior circulation cerebral infarction or TIA who are candidates for revascularization, noninvasive cervical carotid imaging with carotid ultrasonography, CT angiography (CTA), or magnetic resonance angiography (MRA) is recommended to screen for stenosis.(Level of Evidence: B-NR) |
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
|pmid=value (help).