The Role of Echocardiography in the Management of Stroke

Kolo, PM; Sanya, Emmanuel; Omotoso, Ayodele; Chijioke, A.; Dada, Samuel Ayokunle

doi:10.4314/wajm.v29i4.68243

Cited by 2 publications

(2 citation statements)

References 19 publications

(17 reference statements)

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“…Although there are many studies on echocardiogram findings and acute stroke diagnosis, they were all focused on echocardiogram findings and cause of stroke (16,17). Relationship between echocardiogram findings and infarct localization and volume has been investigated for the first time in this study.…”

Section: Discussionmentioning

confidence: 99%

Left atrial dilatation in undetermined group according to TOAST classification: echocardiographic assessment of stroke patients

Takoğlu¹,

Can²

2013

Turk J Med Sci

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Th is paper presents the author's integrated regional studies during the last decade. Th e main purpose is to present an overall understanding of the geological structure, sedimentary basins and hydrocarbon systems of the whole Western Black Sea Zone (WBSZ). Th is study is based on original data from boreholes, seismic and gravity-magnetic surveys and hydrocarbon accumulations.Many geophysical borehole data obtained for WBSZ during the last 3-4 decades were interpreted mostly at a national level using diff erent approaches, terminology and nomenclature for the same or similar lithostratigraphic and tectonic units. Th erefore, a unifi ed approach to interpretation of borehole-seismic data and correlation of stratigraphic, sedimentological and tectonic units has a key importance for overall clarifi cation of the deep geological structure and the hydrocarbon challenges.A set of regional geological cross-sections along good quality basic seismic lines and basic boreholes was constructed. A detailed tectonic map of the WBSZ has been compiled by integrated interpretation of seismic borehole and gravitymagnetic data. Th e defi nition of hydrocarbon systems and promising exploration trends is made by source rock assessment, Oil-Oil and Oil-Source rock correlations, analyses of the reservoir/seal pairs and the hydrocarbon migration and accumulation. Genetic correlations are based on many Rock-Eval, Gas Chromatography/Mass Spectrometry (GC-MS) and carbon isotope analyses.Th e complex geological structure of the WBSZ is defi ned by four groups of tectonic units: (1) Western Black Sea basin (WBSB) -its western zone with the Kamchia and the Histria westward wedging branches (sub-basins); ( 2) portions of the Moesian, Scythian and East European platforms; (3) fragments of the North Dobrogea, Eastern Balkan, Eastern Srednogorie and Strandzha orogens; (4) Burgas and Babadag basins.Four diff erent oil genetic types have been identifi ed. Th ree main hydrocarbon systems with economic potential are defi ned, they relate to: WBSB and its Histria and Kamchia branches, the East-Varna trough and the Bourgas basin. Conceptual models for hydrocarbon systems and their prospect exploration trends are constructed.

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Section: Discussionmentioning

confidence: 99%

Left atrial dilatation in undetermined group according to TOAST classification: echocardiographic assessment of stroke patients

Takoğlu¹,

Can²

2013

Turk J Med Sci

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“…Apart from cardiac specific conditions, diverse systemic problems could also benefit from Echo, including stroke, Ehler-Danlos syndrome, Marfan's syndrome, adult polycystic kidney disease among others. [2][3][4][5] The presence of various risk factors among people groups and the recognition of various indices of cardiac dysfunction prompts referrals for echocardiography. Also, the anticipation of a possible change in cardiovascular status following an intervention like the administration of cytotoxic drugs may prompt referrals for ECHO.…”

Section: Introductionmentioning

confidence: 99%

2011 appropriate use criteria audit of an echocardiography lab in South Western Nigeria

Oni

Adeoye

Adebiyi

et al. 2021

Ann Clin Biomed Res

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Cardiovascular diseases are the major cause of death worldwide. Since its discovery in the 20th century, Echocardiography (ECHO) has become one of the pivotal tools in assessing cardiac structure and function. With the increase in requests for ECHO, there has risen an unwanted problem - inappropriate requests for ECHO. There has therefore arisen the need to audit ECHO labs for the appropriateness of ECHO requests. The patients referred from the outpatient clinics and in-patient wards for ECHO from June 1st, 2015 till September 30th, 2016 were recruited. Their request form data, clinical information, and ECHO results were analyzed as appropriate. The 2011 appropriate use criteria for Transthoracic ECHO was utilized. The most common indication out of the 2174 ECHOs reviewed was hypertension (16%), closely followed by hypertensive heart disease (12.4%). The percentage of appropriate, inappropriate, and uncertain indications according to the 2011 appropriate use criteria (AUC) for transthoracic echocardiography were 41.4%, 31.1%, and 0.1% respectively. Less than ten percent (9.3%) of the indications could not be classified by the 2011 AUC while 18.1% of the ECHOs had no indication. When indications of Hypertension, Hypertensive Heart Disease (HHD) and heart failure were compared, heart failure was significantly associated with eccentric Left Ventricular Hypertrophy (LVH), larger LV mass, lower BMI, larger cardiac dimensions, reduced ejection fraction, lower trans mitral A velocities than the other two indications. Concentric LVH was showed a trend towards being most in those with HHD (p= 0.072). The percentage of appropriate indications was low in this study as compared to others, largely because of large inappropriate indications. There is a need to ensure appropriate indications are filled for ECHO request forms. The 2011 AUC may need to be reviewed to expand the appropriate group of indications.

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The Role of Echocardiography in the Management of Stroke

Abstract: WEST AFRICAN JOURNAL OF MEDICINE The Role of Echocardiography in the Management of StrokeLe rôle de l'échocardiographie dans la gestion des maladies

Cited by 2 publications

References 19 publications

Left atrial dilatation in undetermined group according to TOAST classification: echocardiographic assessment of stroke patients

Left atrial dilatation in undetermined group according to TOAST classification: echocardiographic assessment of stroke patients

2011 appropriate use criteria audit of an echocardiography lab in South Western Nigeria

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