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dc.contributor.authorFukujima, Marcia Maiumi [UNIFESP]
dc.contributor.authorTatani, Solange Bernardes [UNIFESP]
dc.contributor.authorAguiar, Alexandre Santos
dc.contributor.authorFerraz, Maria Elisabeth Matta de Rezende [UNIFESP]
dc.contributor.authorFrancisco, Silvio [UNIFESP]
dc.contributor.authorFerreira, Luiz Darcy
dc.contributor.authorMonaco, Cláudia G.
dc.contributor.authorOrtiz, Juarez
dc.contributor.authorLima, João Augusto Costa
dc.contributor.authorGabbai, Alberto Alain [UNIFESP]
dc.contributor.authorPrado, Gilmar Fernandes do [UNIFESP]
dc.date.accessioned2015-06-14T13:31:49Z
dc.date.available2015-06-14T13:31:49Z
dc.date.issued2005-12-01
dc.identifierhttp://dx.doi.org/10.1590/S0004-282X2005000600007
dc.identifier.citationArquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 63, n. 4, p. 941-945, 2005.
dc.identifier.issn0004-282X
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/2775
dc.description.abstractCerebral embolism from cardiac source is an important cause of stroke, specially in patients younger than 45 years old. OBJECTIVE: To describe the transesophageal echocardiography (TEE) findings in young and non-young stroke patients without any prior evidence of cardiac source for cerebral embolism. METHOD: Transversal study: 523 patients (267 men and 256 women) with ischemic stroke, without any evidence of cardiac abnormality, underwent to TEE. RESULTS: Ten percent were aged 45 years; or less. Left ventricle hypertrophy, left atrial enlargement, spontaneous contrast in aorta, interatrial septum aneurysm, mitral and aortic valve calcification, aortic valve regurgitation, and atherosclerotic plaques in aorta were significantly more frequent in patients aged more than 45 years; 2.8% of non-young patients had thrombus in left heart. CONCLUSION: TEE is widely used to diagnose cardiac source of cerebral embolism in young patients, but it seems to be as useful for older ones, in whom cerebral embolism risk is underestimated; atherogenic and cardioembolic causes may actually coexist, and both should be treated.en
dc.description.abstractEmbolia cerebral de fonte cardíaca é frequentemente relacionada a acidente vascular cerebral (AVC) em jovem. OBJETIVO: Descrever achados ecocardiográficos em jovens e não jovens com AVC isquêmico, sem suspeita de fonte cardíaca. MÉTODO: Estudo transversal; 523 pacientes (267 homens e 256 mulheres) com AVC isquêmico sem evidência de fonte cardíaca submeteram-se ao ecocardiograma transesofágico (ECOTE). RESULTADOS: 10% dos pacientes tinha 45 anos; ou menos. Hipertrofia do ventrículo esquerdo, aumento do átrio esquerdo, contraste espontâneo na aorta, aneurisma do septo interatrial, calcificação da válvula mitral e aórtica, insuficiência aórtica e placas de ateroma na aorta foram significantemente mais frequentes nos pacientes com mais que 45 anos; 2.8% dos não-jovens apresentaram trombo nas câmaras esquerdas. CONCLUSÃO: ECOTE é amplamente sugerido na investigação de embolia em pacientes jovens, porém parece ser tão importante também no grupo de pacientes mais velhos, nos quais o risco de embolia cerebral é subestimado; etiologia cardioembólica e aterosclerótica coexistem, e ambas devem ser identificadas e tratadas para melhor prognóstico.pt
dc.format.extent941-945
dc.language.isoeng
dc.publisherAcademia Brasileira de Neurologia - ABNEURO
dc.relation.ispartofArquivos de Neuro-Psiquiatria
dc.rightsAcesso aberto
dc.subjectstrokeen
dc.subjectcardiac embolismen
dc.subjecttransesophageal echocardiogramen
dc.subjectacidente vascular cerebralpt
dc.subjectembolia cardíacapt
dc.subjectecocardiograma transesofágicopt
dc.titleTransesophageal echocardiography discloses unexpected cardiac sources of embolus in stroke patients aged more than 45 yearsen
dc.title.alternativeEcocardiograma transesofágico revela fonte cardíaca de embolia cerebral em pacientes com AVC e mais que 45 anospt
dc.typeArtigo
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionOMNI - Non-invasive Cardiological Diagnosis Center
dc.contributor.institutionJohns Hopkins University Division of Cardiology
dc.description.affiliationSão Paulo Federal University Division of Neurological Emergencies
dc.description.affiliationUNIFESP Division of Cardiology
dc.description.affiliationOMNI - Non-invasive Cardiological Diagnosis Center
dc.description.affiliationJohns Hopkins University Division of Cardiology
dc.description.affiliationUnifespSão Paulo Federal University Division of Neurological Emergencies
dc.description.affiliationUnifespUNIFESP, Division of Cardiology
dc.identifier.fileS0004-282X2005000600007.pdf
dc.identifier.scieloS0004-282X2005000600007
dc.identifier.doi10.1590/S0004-282X2005000600007
dc.description.sourceSciELO


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