Predictors of Left Atrial Thrombi and Spontaneous Echocardiographic Contrast in the Acute Phase After Cardioembolic Stroke in Patients With Atrial Fibrillation.
Aged
Aged, 80 and over
Atrial Fibrillation
/ diagnostic imaging
Cerebral Angiography
Databases, Factual
Disability Evaluation
Echocardiography, Transesophageal
Electrocardiography
Female
Humans
Hypertrophy, Left Ventricular
/ diagnostic imaging
Intracranial Embolism
/ diagnostic imaging
Japan
/ epidemiology
Male
Middle Aged
Predictive Value of Tests
Prevalence
Retrospective Studies
Risk Assessment
Risk Factors
Stroke
/ diagnostic imaging
Thrombosis
/ diagnostic imaging
Atrial fibrillation
Left ventricular hypertrophy
Stroke
Thrombus
Journal
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
16
01
2019
revised:
21
02
2019
accepted:
01
03
2019
pubmed:
2
4
2019
medline:
14
6
2019
entrez:
2
4
2019
Statut:
ppublish
Résumé
The underlying mechanism of the residual left atrial thrombus (LAT)/spontaneous echo contrast (SEC) after the onset of cardioembolic stroke (CES) is unknown. This study aims to investigate the utility of CHADS This retrospective study included 124 patients who were admitted with the acute phase of CES at our center. The clinical, echocardiographic variables, the CHADS Of 124 patients, LAT or SEC was detected in 39 patients (31.5%, 17 LAT and 38 SEC). Univariate analysis showed that the LAT/SEC group had a higher prevalence of nonparoxysmal atrial fibrillation (AF), left ventricular (LV) hypertrophy, hypertension, the rate of anticoagulation before admission, higher National Institutes of Health Stroke Scale score, larger left atrial diameter, and elevated E wave. In contrast, the CHADS Nonparoxysmal atrial fibrillation and left ventricular hypertrophy were associated with residual left atrial thrombus/spontaneous echo contrast in the acute phase after cardioembolic stroke that was independent of the CHADS
Identifiants
pubmed: 30930240
pii: S1052-3057(19)30098-9
doi: 10.1016/j.jstrokecerebrovasdis.2019.03.003
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1571-1577Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.