Routine Transesophageal Echocardiography for the Evaluation of Cerebral Emboli in Elderly Patients

Vitebskiy, Sergey; Fox, Keith; Hoit, Brian D.

doi:10.1111/j.1540-8175.2005.00079.x

Cited by 36 publications

(22 citation statements)

References 25 publications

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“…Consequently, echocardiography might rarely influence clinical decisions unless performed for evaluation of a specific clinical problem. This is supported by the findings of a recent study by Vitebskiy et al, 24 who found no benefit of routine TEE in elderly patients with stroke.…”

Section: Impact Of Agesupporting

confidence: 73%

Should Routine Echocardiography Be Performed in All Patients With Stroke?

Wölber

Maeder

Atefy

et al. 2007

Journal of Stroke and Cerebrovascular Diseases

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Section: Impact Of Agesupporting

confidence: 73%

Should Routine Echocardiography Be Performed in All Patients With Stroke?

Wölber

Maeder

Atefy

et al. 2007

Journal of Stroke and Cerebrovascular Diseases

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“…Currently, TEE is considered the reference standard modality for the identification of the cardiac and aortogenic source of embolism. However, TEE is a relatively invasive test and requires special skills for proper performance and interpretation, which is not always feasible in acute stroke settings (8).…”

Section: Discussionmentioning

confidence: 99%

Predictors of Recurrent Stroke in Patients with Ischemic Stroke: Comparison Study between Transesophageal Echocardiography and Cardiac CT

Lee¹,

Hur²,

Hong³

et al. 2015

Radiology

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“…163 Another study of TEE in 491 patients Ͼ65 years of age found a preponderance of aortic arch atheroma and atrial septal aneurysms, in contrast to PFO and left atrial clot, leading the authors to conclude that TEE in the elderly would not commonly change management because there are no clear treatments for the detected abnormalities. 164 Stroke subtype may play a role in the decision to perform cardiac evaluation. A study of 175 patients with stroke or TIA found that PFO was twice as common in patients than control subjects and that PFO was found more often with nonlacunar stroke than lacunar.…”

Section: Cardiac and Other Testingmentioning

confidence: 99%

Definition and Evaluation of Transient Ischemic Attack

Easton

Saver²,

Albers³

et al. 2009

Stroke

1,556

563

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Abstract-Thishours of symptom onset, preferably with magnetic resonance imaging, including diffusion sequences; noninvasive imaging of the cervical vessels should be performed and noninvasive imaging of intracranial vessels is reasonable; electrocardiography should occur as soon as possible after TIA and prolonged cardiac monitoring and echocardiography are reasonable in patients in whom the vascular etiology is not yet identified; routine blood tests are reasonable; and it is reasonable to hospitalize patients with TIA if they present within 72 hours and have an ABCD 2 score Ն3, indicating high risk of early recurrence, or the evaluation cannot be rapidly completed on an outpatient basis. Key Words: AHA Scientific Statements Ⅲ brain Ⅲ brain ischemia Ⅲ cerebral ischemia Ⅲ ischemia Ⅲ stroke Ⅲ transient ischemic attack Ⅲ acute stroke syndromes Ⅲ acute cerebrovascular syndromes R ecent scientific studies have revised our understanding of 3 key aspects of transient ischemic attack (TIA): how it is best defined, what the early risk of stroke and other vascular outcomes is, and how it is best evaluated. This statement reviews and synthesizes recent scientific advances regarding the definition, urgency, and evaluation of TIA and is designed to aid the clinician in the short-and long-term management of patients with TIA. DefinitionTIAs are brief episodes of neurological dysfunction resulting from focal cerebral ischemia not associated withThe American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on January 16, 2009. A copy of the statement is available at http://www.americanheart.org/presenter.jhtml?identifierϭ3003999 by selecting either the "topic list" link or the "chronological list" link (No. LS-2037). To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.Expert peer review of AHA Scientific Statements is conducted at the AHA National Center. For more on AHA statements and guidelines development, visit http://www.americanheart.org/presenter.jhtml?identifierϭ3023366.Permissions: Multiple copies, modification, alteration, enhancement, and/or distribution of this document are not permitted without the express permission of the American Heart Association. Instructions for obtaining permission are located at http://www.americanheart.org/presenter.jhtml?identifierϭ4431. A link to the "Permission Request Form" appears on the right side of the page.© 2009 American Heart Association, Inc. UrgencyLarge cohort and population-based studies reported in the last 5 years have demonstrated a higher risk ...

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Routine Transesophageal Echocardiography for the Evaluation of Cerebral Emboli in Elderly Patients

Cited by 36 publications

References 25 publications

Should Routine Echocardiography Be Performed in All Patients With Stroke?

Should Routine Echocardiography Be Performed in All Patients With Stroke?

Predictors of Recurrent Stroke in Patients with Ischemic Stroke: Comparison Study between Transesophageal Echocardiography and Cardiac CT

Definition and Evaluation of Transient Ischemic Attack

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