Stroke echocardiography and ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maryam Hadipour, M.D.[2] Khizer Yaseen, M.B.B.S.[3]

Overview

There are no echocardiography and ultrasound findings associated with stroke.

Echocardiography and ultrasound

Echocardiographic evaluation may identify structural cardiac abnormalities associated with embolic stroke mechanisms, including patent foramen ovale. Transesophageal echocardiography with contrast may be used to detect right-to-left shunting.

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

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)