Transesophageal echocardiography in diagnosing cardioembolic stroke

Clinical Cardiology
A M Husain, M Alter

Abstract

Stroke is a disease with high morbidity and mortality that afflicts older people. The most common type of stroke is ischemic, and 15-20% of these strokes are cardioembolic. Because clinical features are not very specific for the type of stroke, diagnostic aides are needed to identify the mechanism of stroke so that appropriate therapy can be initiated. Numerous studies have shown that transesophageal echocardiography (TEE) is a more sensitive tool for diagnosing cardioembolic stroke than transthoracic echocardiography (TTE). However TTE and TEE are still considered complementary as they both provide unique information. The many abnormalities that can be identified by TEE and their therapy are discussed in this review, along with indications and complications of TEE. TEE has demonstrated that cardioembolic causes of stroke are much more common than previously thought. With a more precise diagnosis, appropriate therapy can be provided to help prevent cardiogenic stroke.

References

Oct 1, 1992·Chest·H J LevineM H Eckman
Dec 1, 1992·Annals of Internal Medicine·F A DeRookR L Popp
Jan 11, 1991·Journal of the American College of Cardiology·D G KaralisG S Mintz
Jun 1, 1991·Stroke; a Journal of Cerebral Circulation·R J LeeI Schnittger
Jul 1, 1988·Current Problems in Cardiology·W J PennyV Fuster
May 5, 1988·The New England Journal of Medicine·P LechatY Grosgogeat
Mar 1, 1986·Archives of Neurology·J BogousslavskyH J Barnett
Jun 1, 1993·Clinical Cardiology·R S MoreA H Gershlick

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Citations

Jan 10, 2006·Arquivos de neuro-psiquiatria·Marcia Maiumi FukujimaGilmar Fernandes do Prado
Jun 18, 2005·Stroke; a Journal of Cerebral Circulation·Mark J AlbertsUNKNOWN Brain Attack Coalition

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