NDLI: The utility of transoesophageal echocardiography to determine management in suspected embolic stroke.

Please wait, while we are loading the content...

CD38 as a prognostic marker in chronic lymphocytic leukaemia at a single New Zealand centre: patient survival in comparison to age- and sex-matched population data.

Cautionary tales in the interpretation of studies of tools for predicting risk and prognosis.

High sensitivity troponins and better patient care.

Not a high-sensitivity troponin T assay.

Sexual health medicine: what is it?

Cardiovascular risk modification in participants with coronary disease screened by the Kidney Early Evaluation Program.

The epidemiology and characteristics of type 2 diabetes in urban, community-based young people.

Fixed dose (555 MBq; 15 mCi) radioiodine for the treatment of hyperthyroidism: outcome and its predictors.

Gastrointestinal Kaposi's sarcoma: a rare cause of vomiting with a dramatic response to treatment.

Factor V Leiden mutation with retinal vascular occlusion.

Pneumocytoma: an unusual epithelioid lung neoplasm.

Fibrodysplasia ossificans progressiva presenting as ankylosing spondylitis.

Chemotherapy for hormone-refractory prostate cancer: a physician's dilemma.

The future of clinical genetics.

Can faecal lactoferrin be used as a discriminator for referral for colonoscopy?

Radiology images.

Year: 2010 Volume: 40 Issue: 11

Year: 2010 Volume: 40 Issue: 10

Year: 2010 Volume: 40 Issue: 9

Year: 2010 Volume: 40 Issue: 8

Year: 2010 Volume: 40 Issue: 7

Year: 2010 Volume: 40 Issue: 6

Year: 2010 Volume: 40 Issue: 5

Year: 2010 Volume: 40 Issue: 4

Year: 2010 Volume: 40 Issue: 3

Year: 2010 Volume: 40 Issue: Supplementary 3

Year: 2010 Volume: 40 Issue: 2

Year: 2010 Volume: 40 Issue: Supplementary 2

Year: 2010 Volume: 40 Issue: 1

Year: 2010 Volume: 40 Issue: Supplementary 1

Year: 2009 Volume: 39

Year: 2008 Volume: 38

Year: 2007 Volume: 37

Year: 2006 Volume: 36

The utility of transoesophageal echocardiography to determine management in suspected embolic stroke.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Galougahi, K. K. Stewart, T. Choong, C. Y. P. Storey, C. E. Yates, M. Tofler, G. H.
Description	Country affiliation: Australia Author Affiliation: Galougahi KK ( Department of Cardiology, Royal North Shore Hospital, University of Sydney, Sydney, New South Wales, Australia. keyvan.karimi@gmail.com)
Abstract	BACKGROUND: Assessment for source of stroke is a common indication for transoesophageal echocardiography (TOE). Although an abnormality is frequently found, it remains uncertain how frequently the findings alter patient management. Also, the role of transthoracic echocardiography (TTE) prior to or instead of TOE is not well defined. We sought to determine the use of TTE prior to TOE, the outcome of the TOE and its impact on management. METHODS: We retrospectively reviewed the records and echocardiography results of 100 consecutive patients who underwent TOE for any reason at a tertiary hospital. In 35 subjects (35%), the indication was evaluation for source of stroke. Among these, we determined clinical risk factors for stroke, if a TTE was performed prior to their TOE, the results of the TOE and its effect on management. RESULTS: The mean age of the stroke patients was 64.6 years (17-90) and 49% were women. Eighty per cent had at least one risk factor for stroke and 17% had atrial fibrillation. A TTE, performed in 40% prior to the TOE, found an abnormality in 14% (2/14). The TOE showed an abnormality in 71% of patients; 54% had aortic atheroma; 17% PFO; 14% spontaneous echo contrast; 6% left atrial appendage thrombus, 3% left ventricular thrombus and 3% vegetation. In only one patient (3%) the management was altered based on the abnormal TOE findings. CONCLUSION: An abnormality on TOE, although common (71%) and more sensitive than TTE, altered management in only 3% of subjects referred for stroke assessment. Its role requires further consideration.
File Format	HTM / HTML
ISSN	14440903
Issue Number	12
Volume Number	40
e-ISSN	14455994
Journal	Internal Medicine Journal
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2010-12-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Therapy Stroke Echocardiography, Transesophageal Echocardiography Comparative Study Humans Middle Aged Discipline Internal Medicine Male Aged, 80 And Over Embolism Standards Journal Article Utilization Female Aged Disease Management Retrospective Studies
Content Type	Text
Resource Type	Article
Subject	Internal Medicine

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Study of compliance with a clinical pathway for suspected pulmonary embolism.

Prevalence of pulmonary embolism in patients with suspected cardioembolic ischemic stroke.

Transesophageal echocardiography findings in lacunar stroke.

Appropriate use of echocardiography in an Australian regional centre.

Echocardiography for the detection of cardiac sources of embolism in patients with stroke or transient ischemic attack.

Discordance in Grading Methods of Aortic Stenosis by Pre-Cardiopulmonary Bypass Transesophageal Echocardiography.

Transoesophageal echocardiography should be considered in patients with ischaemic stroke or transient ischaemic attack.

Morphologic features of carcinoid heart disease as assessed by three-dimensional transesophageal echocardiography.

Septal pouch in the left atrium: a new anatomical entity with potential for embolic complications.

The utility of transoesophageal echocardiography to determine management in suspected embolic stroke.

Similar Documents

Study of compliance with a clinical pathway for suspected pulmonary embolism.

Prevalence of pulmonary embolism in patients with suspected cardioembolic ischemic stroke.

Transesophageal echocardiography findings in lacunar stroke.

Appropriate use of echocardiography in an Australian regional centre.

Echocardiography for the detection of cardiac sources of embolism in patients with stroke or transient ischemic attack.

Discordance in Grading Methods of Aortic Stenosis by Pre-Cardiopulmonary Bypass Transesophageal Echocardiography.

Transoesophageal echocardiography should be considered in patients with ischaemic stroke or transient ischaemic attack.

Morphologic features of carcinoid heart disease as assessed by three-dimensional transesophageal echocardiography.

Septal pouch in the left atrium: a new anatomical entity with potential for embolic complications.

The utility of transoesophageal echocardiography to determine management in suspected embolic stroke.