Cross-sectional echocardiographic study on atrial septal defect. Pre- and postoperative considerations.

Hibi, Norio; Kambe, Tadashi; Itoh, Ken‐ichi; Nanki, Michio; Yokoi, Kiyoshi; Toguchi, Masao; Ichimiya, Shingo; Yanagisawa, Kiyoshi; Nishimura, Kinya; Sakamoto, Nobuo

doi:10.1536/ihj.23.147

Cited by 3 publications

(5 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…PFO length was greater in ESUS patients compared to migraine patients (Migraine: 10 mm [IQR: [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]; ESUS: 15 mm [IQR: 7-24], p=0.001), while PFO width was similar between the groups (Figure 1).…”

Section: Resultsmentioning

confidence: 99%

“…In 2D echocardiographic views, the central portion of the atrial septum, which is thin in normal cardiac anatomy, may not be clearly visualized (6). This "septal drop-out" phenomenon can lead to misinterpretation as PFO, especially in adults (7). Additionally, pulmonary vein flows projecting onto the IAS may be mistakenly perceived as color Doppler flow in the IAS, potentially resulting in misdiagnosis of PFO.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparative analysis of echocardiographic and clinical characteristics among patients afflicted by embolic stroke of undetermined source and migraine, both accompanied by patent foramen ovale

Polat,

Kaya,

yaylak

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: This study aimed to compare patients with migraine and embolic stroke of undetermined source (ESUS) with known patent foramen ovale (PFO) in terms of echocardiographic and clinical features. Methods: In this observational single-center study, we obtained 2-dimensional (2D) and color Doppler images using parasternal short axis (PSAX), apical 4-chamber (A4C), and subcostal 4-chamber (SC4C) transthoracic echocardiography (TTE) views for patients with Migraine and ESUS. In cases where a PFO was suspected, patients underwent transthoracic contrast echocardiography and transesophageal echocardiography (TEE). We compared the anatomical and functional high-risk characteristics of PFO, as assessed by TEE and the RoPe score, in both patient groups. Results: This research involved a cohort of 720 individuals with ages ranging from 18 to 60, and 73.2% of the participants were female. Among the participants, 43.5% had Migraine, and 56.5% had ESUS. The most common comorbidity was diabetes (26.1%). PFO characteristics were measured, and high-velocity shunting through the interatrial septum was observed in 35.5% of patients. ESUS patients had a higher median age, with a similar gender distribution. ESUS patients had higher rates of diabetes and hypertension, while active smoking was more common in Migraine patients. Basic echocardiographic parameters were similar, except for higher pulmonary artery systolic pressure in ESUS. In the ESUS group, as compared to the migraine group, there was a more substantial occurrence of large microbubble passage through the interatrial septum, and the PFO showed increased length, while the PFO width remained similar. The RoPe and High-risk PFO scores were similar between the groups. Conclusions: ESUS patients were older with higher rates of diabetes and hypertension, while Migraine patients had a higher prevalence of active smoking. ESUS patients showed elevated pulmonary artery pressure, increased large microbubble crossings through the interatrial septum, and longer PFO lengths.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparative analysis of echocardiographic and clinical characteristics among patients afflicted by embolic stroke of undetermined source and migraine, both accompanied by patent foramen ovale

Polat,

Kaya,

yaylak

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…PFO length was greater in ESUS patients compared to migraine patients (Migraine: 10 mm [IQR: [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]; ESUS: 15 mm [IQR: 7-24], p = .001), while PFO width was similar between the groups (Figure 2).…”

Section: Comparison Of Anatomical and Functional High-risk Pfo Criter...mentioning

confidence: 99%

“…6 This "septal drop-out" phenomenon can lead to misinterpretation as PFO, especially in adults. 7 Additionally, pulmonary vein flows projecting onto the IAS may be mistakenly perceived as color Doppler flow in the IAS, potentially resulting in misdiagnosis of PFO. Contrast echocardiography, utilizing the passage of microbubbles from the right atrium (RA) to the left atrium following peripheral venous injection of agitated saline during the strain phase of the Valsalva maneuver, can aid in establishing the diagnosis of PFO.…”

Section: Introductionmentioning

confidence: 99%

“…In Two‐dimensional (2D) echocardiographic views, the central portion of the atrial septum, which is thin in normal cardiac anatomy, may not be clearly visualized 6 . This “septal drop‐out” phenomenon can lead to misinterpretation as PFO, especially in adults 7 . Additionally, pulmonary vein flows projecting onto the IAS may be mistakenly perceived as color Doppler flow in the IAS, potentially resulting in misdiagnosis of PFO.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of echocardiographic and clinical characteristics in embolic stroke and migraine patients with patent foramen ovale

Polat,

Kaya,

Yaylak

et al. 2024

Echocardiography

View full text Add to dashboard Cite

BackgroundThis single‐center observational study aimed to compare the echocardiographic and clinical features in patients diagnosed with migraine and embolic stroke of undetermined source (ESUS) who presented with a known patent foramen ovale (PFO).MethodsTwo‐dimensional and color Doppler images were obtained using various transthoracic echocardiography views for both migraine and ESUS patients. Suspected PFO cases underwent further assessment through contrast echocardiography and transesophageal echocardiography (TEE). High‐risk PFO characteristics were evaluated using TEE, and the Risk of Paradoxical Embolism (RoPe) score was calculated.ResultsThe study included 310 participants (age range: 18–60, 73.2% female), with 43.5% diagnosed with migraine and 56.5% with ESUS. Common comorbidities included diabetes (26.1%). High‐velocity shunting through the interatrial septum was observed in 35.5% of patients. ESUS patients were older, with higher rates of diabetes and hypertension, while active smoking was more prevalent among migraine patients. Basic echocardiographic parameters were mostly similar, except for elevated pulmonary artery systolic pressure in ESUS. ESUS patients exhibited a greater occurrence of large microbubble passage through the interatrial septum and longer PFO lengths compared to migraine patients. However, the RoPe and High‐risk PFO scores were similar between the groups.ConclusionsESUS patients, characterized by older age and higher rates of diabetes and hypertension, demonstrated increased pulmonary artery pressure, more significant microbubble crossings, and longer PFO lengths. Conversely, migraine patients had a higher prevalence of active smoking. Despite differing clinical profiles, the risk scores for PFO‐related embolic events were comparable between the groups. These findings underscore potential distinctions between ESUS and migraine patients with PFO and their implications for management strategies.

show abstract

Atria

Seward

Tajik

Edwards

et al. 1987

Two-Dimensional Echocardiographic Atlas

View full text Add to dashboard Cite

Cross-sectional echocardiographic study on atrial septal defect. Pre- and postoperative considerations.

Cited by 3 publications

References 14 publications

Comparative analysis of echocardiographic and clinical characteristics among patients afflicted by embolic stroke of undetermined source and migraine, both accompanied by patent foramen ovale

Comparative analysis of echocardiographic and clinical characteristics among patients afflicted by embolic stroke of undetermined source and migraine, both accompanied by patent foramen ovale

Comparison of echocardiographic and clinical characteristics in embolic stroke and migraine patients with patent foramen ovale

Atria

Contact Info

Product

Resources

About