Transesophageal echocardiography impacts management and evaluation of patients with stroke, transient ischemic attack, or peripheral embolism

Echocardiography
Buddhadeb DawnMarcus F Stoddard

Abstract

The relative impact of transesophageal echocardiography (TEE) on the management of patients with specific embolic events, namely nonhemorrhagic cerebrovascular accident (CVA), transient ischemic attack (TIA), or peripheral embolism is controversial. The impact of TEE in 234 adult subjects with CVA (n = 141), TIA (n = 59), or peripheral embolism (n = 34) was determined. TEE was diagnostic of a potential embolic source in 61%, 51%, and 62% of patients with CVA, TIA, and peripheral embolism, respectively (P = NS). TEE results changed medication or surgical treatment in 32%, 22%, and 32% of patients with CVA, TIA, and peripheral embolism, respectively (P = NS). Anticoagulation was started on the basis of TEE findings in 11%, 12%, and 18% of patients with CVA, TIA, and peripheral embolism, respectively (P = NS). In 77% of all patients, TEE findings confirmed as appropriate the empiric decision made prior to TEE, to anticoagulate (60%; 12/20) or not to anticoagulate (79%; 168/214). These data demonstrate that TEE findings have a significant and similar impact on the clinical management of patients with various types of potential embolism. Future studies addressing the effectiveness of treatment, guided by TEE findings, in the prevent...Continue Reading

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Citations

Dec 3, 2014·The American Journal of Cardiology·Yevgeniy KharitonMichael L Main
Feb 27, 2016·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Christina A WilsonBrett L Cucchiara
May 15, 2013·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Mohannad Y AbushoraMarcus F Stoddard
Sep 4, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Kate C Young, Curtis G Benesch
Jul 1, 2008·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Andre G DouenNicole Pageau
Sep 12, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Thabele M Leslie-MazwiJames F Meschia
Jan 19, 2008·Clinical Physiology and Functional Imaging·Marjatta StrandbergJaakko Hartiala
May 14, 2011·Echocardiography·Jeffrey OgbaraJames N Kirkpatrick
Feb 27, 2016·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·A H KatsanosG Tsivgoulis
Nov 8, 2008·Journal of the Neurological Sciences·Yohei TateishiKatsumi Eguchi
Dec 3, 2014·American Heart Journal·Emer R McGrathMartin J O'Donnell
May 30, 2009·Stroke; a Journal of Cerebral Circulation·Jane G MorrisMarc Fisher
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Jul 21, 2020·Journal of Atherosclerosis and Thrombosis·Ayako KurikiTakao Urabe
Jul 22, 2018·Neural Regeneration Research·Mohamed Al-KhaledToralf Brüning
Mar 12, 2021·Minerva Cardiology and Angiology·Gaston A Rodriguez-GranilloPedro Lylyk

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