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색전성 뇌졸중의 선별진단을 위한 경흉부심초음파의 유용성

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Affiliated Author(s)
이형김지언이상도박영춘
Alternative Author(s)
Lee, HyungKim, Ji EunYi, Sang DoPark, Young Chun
Journal Title
Keimyung Medical Journal
Issued Date
1997
Keyword
Transesophageal echocardiographyTransthoracic echocardiographyEmbolic stroke
Abstract
Background and Objective : We examined whether patients suffering from suspicious embolic strole may be selected for transeophageal echocardiography (TEE) on the basis of abnormal transthoracic echocardiographic (TTE) findings.
Methods : We performed TTE and TEE on 63 patients after suspected embolic stroke. Patients were classified into group A if they were in sinus rhythm and had a normal TTE, and group B consisted of all other patients. Abnormal TEE findings such as left ateial spontaneous contrast, left atrial thrombus. complex aortic atheroma, and interatrial septal anomalies were correlated with clinical and abnormal TTE results.
Results : Abnormal TEE findings were in 30 patients (48%) : left atrial spontaneous contrast in 12 patients (19%), left atrial thrombus in 1 patient (2%), complex aortic atheroma in 10 patients (16%) and interatrial septal anomalies in 7 patients(11%). In group A (n=17), none had left atrial spontaneous contrast, left atrial thrombus, and interatrial septal anomalies, only 2 patients(7%) had complex atheroma. In group B (n=36), 12 patients(33%) had left atrial spontaneous contrast, 8 patients (22%) had aortic atheroma, 7 patients (19%) had interatrial septal anomalies and 1 patient(3%) had left atrial thrombus. There were no significant correlations between age and abnormal TEE findings. Multivariate analysis identified an abnormal TTE to be independent predictors of TEE findings of left atrial spontaneous contrast and interatrial anomalies.
Conclusion : TTE is sensitive and noninvasive screening tool in patients with suspected embolic stroke.
Alternative Title
Transthoracic
Echocardiography as A Screening Tool for Suspected Embolic Stroke
Department
Dept. of Neurology (신경과학)
Institute for Medical Science (의과학 연구소)
Publisher
Keimyung University School of Medicine
Citation
김태완 et al. (1997). 색전성 뇌졸중의 선별진단을 위한 경흉부심초음파의 유용성. Keimyung Medical Journal, 16(4), 513–522.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15056
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 1997
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
3. Research Institutues (연구소) > Institute for Medical Science (의과학연구소)
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