The role of echocardiography in patients after ischemic stroke

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F16%3AN0000112" target="_blank" >RIV/00098892:_____/16:N0000112 - isvavai.cz</a>

Výsledek na webu

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DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

The role of echocardiography in patients after ischemic stroke

Popis výsledku v původním jazyce

• Therapy of acute phase of ischemic central vascular accident is focused on immediate actions to suppress the severity of damage with the earliest possible initiation of reperfusion strategy together with initiation and maintenance of adequate therapy to prevent further cerebral reinfarctions. The key factor for adequate and effective secondary prevention is elucidation of the etiology of ischemic central vascular accident because the risk of brain reinfarction is the highest in the first weeks after the primary event. The exclusion of potential cardiac or vascular sources of embolization into the cerebrovascular system is essential in choosing adequate secondary prevention. Origins of embolization are important to identify because they represent different thromboembolic risks. Transesophageal echocardiography is a frequently used diagnostic method after ischemic stroke. However, because of the variability in the frequency of cardiac findings between studies of similar populations, the lack of correlation between cardiac abnormalities thought to be associated with each other and cryptogenic stroke, it is unclear if routine use of echocardiography in patients with cryptogenic stroke should be recommended. Its routine use to elucidate the causes of stroke has a role in some patient groups, especially in young patients who present with cryptogenic stroke and no cardiovascular risk factors, as well as in the setting of a deep venous thrombosis, and older patients with a suspicion for structural heart disease or left ventricular or left atrial thrombus.

Název v anglickém jazyce

The role of echocardiography in patients after ischemic stroke

Popis výsledku anglicky

• Therapy of acute phase of ischemic central vascular accident is focused on immediate actions to suppress the severity of damage with the earliest possible initiation of reperfusion strategy together with initiation and maintenance of adequate therapy to prevent further cerebral reinfarctions. The key factor for adequate and effective secondary prevention is elucidation of the etiology of ischemic central vascular accident because the risk of brain reinfarction is the highest in the first weeks after the primary event. The exclusion of potential cardiac or vascular sources of embolization into the cerebrovascular system is essential in choosing adequate secondary prevention. Origins of embolization are important to identify because they represent different thromboembolic risks. Transesophageal echocardiography is a frequently used diagnostic method after ischemic stroke. However, because of the variability in the frequency of cardiac findings between studies of similar populations, the lack of correlation between cardiac abnormalities thought to be associated with each other and cryptogenic stroke, it is unclear if routine use of echocardiography in patients with cryptogenic stroke should be recommended. Its routine use to elucidate the causes of stroke has a role in some patient groups, especially in young patients who present with cryptogenic stroke and no cardiovascular risk factors, as well as in the setting of a deep venous thrombosis, and older patients with a suspicion for structural heart disease or left ventricular or left atrial thrombus.

Druh

J_x - Nezařazeno - Článek v odborném periodiku (Jimp, Jsc a Jost)

CEP obor

FA - Kardiovaskulární nemoci včetně kardiochirurgie

OECD FORD obor

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Projekt

<a href="/cs/project/NT14288" target="_blank" >NT14288: Identifikace vztahu mezi kryptogenní ischemickou cévní mozkovou příhodou a poruchami srdečního rytmu s kardioembolizačním potenciálem u mladých jedinců do 45 let.</a><br>

Návaznosti

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Rok uplatnění

2016

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Cor et Vasa

ISSN

0010-8650

e-ISSN

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Svazek periodika

58

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

12

Strana od-do

e261-e272

Kód UT WoS článku

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EID výsledku v databázi Scopus

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