Clinical Neuroscience

[Transoesophageal echocardiography after stroke]

NAGY Lajos1, SÁMOCYI Marianna2, TARJÁN Jenő1, GARZULY Ferenc3

SEPTEMBER 20, 1996

Clinical Neuroscience - 1996;49(09-10)

[40 stroke patients were studied by both transoesophageal and transthoracic echocardiography. The diagnosis of stroke was based on medical history, physical examination and computerized tomographic brain scan. 39 patients underwent carotid duplex scan as well. Transoesphageal echocardiography was used to examine 40 patients of whom 19 had cardiac source of embolism. Out of these, 7 patients had definitive, whereas 12 had possible cardiac source of embolism. Transthoracic echocardiography was diagnostic only in 8 cases. Using carotid duplex scan, carotid stenosis was detected in 8 patients and sclerosis without significant stenosis in 8 others. From each of these two groups 4 patients had coexistent cardiac source of embolism as well. In the 8 patients with atrial fibrillation the left atrial thrombus and spontaneous echo contrast were more frequent than in patients with sinus rhythm. The transoesophageal echocardiography altered the management of antico agulation in 3 patients. The authors concluded that transoesophageal echocardiography is necessary in stroke patients.]

AFFILIATIONS

  1. Vas Megyei Markusovszky Kórház, III. Belgyógyászati Osztály, Szombathely
  2. Vas Megyei Markusovszky Kórház, III. Belgyógyászati Osztály, Szombathely
  3. Vas Megyei Markusovszky Kórház, Ideggyógyászati Osztály*, Szombathely

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