Yield of Echocardiography in the Evaluation of Cerebral Ischemic Events: A Single Center Cohort Study

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dc.contributor.authorBrunser, Alejandro M.
dc.contributor.authorIbañez-Arenas, Rodrigo
dc.contributor.authorLarico, Martín
dc.contributor.authorMansilla, Eloy
dc.contributor.authorAlmeida, Juan
dc.contributor.authorOlavarría, Verónica
dc.contributor.authorMuñoz Venturelli, Paula
dc.contributor.authorRojo, Alexis
dc.contributor.authorCavada, Gabriel
dc.contributor.authorLavados, Pablo
dc.date.accessioned2022-06-16T17:36:14Z
dc.date.available2022-06-16T17:36:14Z
dc.date.issued2019
dc.description.abstractBackground: Echocardiography (ECO) is frequently used as a screening test in patients with acute ischemic brain disease. We aimed to evaluate the additional information and therapeutic impact resulting from ECO in these patients. Methods: We conducted a prospective study performing ECO on consecutive patients with ischemic stroke or transient ischemic attacks, admitted to our centre between February 2013 and May 2017. Results: A total of 696 patients were included (female, 57.3%; mean age, 70 ± 15.3 years). Seven hundred thirty two echocardiographic examinations were performed (696 transthoracic and 36 transesophageal). Echocardiography yielded findings judged of clinical importance in 142 patients (20.4%, 95% CI 17.5-23.5). The most frequent of these were left atrial volume enlargement or a normal evaluation. Echocardiography findings resulted in changes in the management of 76 patients (10.7% 95% CI 8.8-13.4); initiation of anticoagulation therapy, administration of IV antibiotic therapy, cardiac surgeries, or other pharmacological therapies occurring in 42 cases (6%). The presence of coronary heart disease (OR: 2.64 95% CI 1.34-5.25), atrial fibrillation (OR: 0.24; 95% CI, 0.2-0.69), and admission NIHSS (OR: 1.04; 95% CI, 1.01-1.09), were the variables associated with changes in management. Conclusions: In unselected patients with acute ischemic stroke ECO had a low yield of additional information, and it changed management in a small percentage of patients.es
dc.description.versionVersión Publicadaes
dc.identifier.citationBrunser AM, Ibañez-Arenas R, Larico M, Mansilla E, Almeida J, Olavarría VV, Muñoz P, Rojo A, Cavada G, Lavados PM. Yield of Echocardiography in the Evaluation of Cerebral Ischemic Events: A Single Center Cohort Study. J Stroke Cerebrovasc Dis. 2019 Mar;28(3):562-568. doi: 10.1016/j.jstrokecerebrovasdis.2018.10.042.es
dc.identifier.urihttp://doi.org/10.1016/j.jstrokecerebrovasdis.2018.10.042es
dc.identifier.urihttp://hdl.handle.net/11447/6238
dc.language.isoenes
dc.subjectAcute strokees
dc.subjectIschemic strokees
dc.subjectEchocardiographyes
dc.subjectDiagnosises
dc.titleYield of Echocardiography in the Evaluation of Cerebral Ischemic Events: A Single Center Cohort Studyes
dc.typeArticlees
dcterms.sourceJournal of Stroke and Cerebrovascular Diseaseses

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