SCREENING OF EMBOLIC SOURCES BY POINT-OF-CARE ULTRASOUND IN THE ACUTE PHASE OF ISCHEMIC STROKE

被引：4

作者：

Juega, Jesus ^{[1
,2
]}

Pagola, Jorge ^{[1
,2
]}

Gonzalez-Alujas, Teresa ^{[3
]}

Rodriguez-Luna, David ^{[1
,2
]}

Rubiera, Marta ^{[1
]}

Rodriguez-Villatoro, Noelia ^{[1
]}

Garcia-Tornel, Alvaro ^{[1
]}

Requena, Manuel ^{[1
]}

Deck, Matias ^{[1
]}

Sero, Laia ^{[1
]}

Boned, Sandra ^{[1
,2
]}

Ribo, Marc ^{[1
,2
]}

Muchada, Marian ^{[1
]}

Olive, Marta ^{[1
]}

Sanjuan, Estela ^{[1
]}

Carvajal, Jaime ^{[4
]}

Alvarez-Sabin, Jose ^{[1
,2
]}

Evangelista, Arturo ^{[3
]}

Molina, Carlos ^{[1
,2
]}

机构：

[1] Vall dHebron Univ Hosp, Vall dHebron Res Inst, Dept Neurol, Stroke Unit, Barcelona, Spain

[2] Univ Autonoma Barcelona, Dept Med, Barcelona, Spain

[3] Vall dHebron Univ Hosp, Dept Cardiol, Lab Echocardiog, Barcelona, Spain

[4] Hosp Reg Coyha, Neurol Dept, Aysen, Chile

来源：

ULTRASOUND IN MEDICINE AND BIOLOGY | 2020年 / 46卷 / 09期

关键词：

Acute stroke; Echocardiography; Intracranial embolism; Diagnosis; Ultrasound; Secondary prevention; EUROPEAN ASSOCIATION; AMERICAN SOCIETY; ECHOCARDIOGRAPHY; RECOMMENDATIONS; GUIDELINES; MANAGEMENT; INFARCTION; DIAGNOSIS;

D O I：

10.1016/j.ultrasmedbio.2020.05.009

中图分类号：

O42 [声学];

学科分类号：

070206 ; 082403 ;

摘要：

Our objective was to evaluate hand-held echocardiography as point of care ultrasound scanning (POCUS) to detect sources of embolism in the acute phase of stroke. Prospective, unicentric observational cohort study of non-lacunar ischemic stroke patients evaluated by V Scan device. The main sources of embolism (MSEs) were classified into embolic valvulopathies and severe ventricular dysfunction. We looked for atrial fibrillation (AF) predictors in strokes of undetermined etiology. MSEs were detected in 19.23% (25/130). Large vessel occlusion (LVO) (odds ratio [OR]: 4.24, 95% confidence interval [CI]: 1.01-17.85) and chronic heart failure (OR: 13.25, 95% CI: 3.54-49.50) were independent predictors of MSEs. LVO (OR: 6.54, 95% CI: 1.62-26.27) and left atrial area 20 cm2 (OR: 7.01, 95% CI: 1.75-28.09) independently predicted AF. Patients with LVO and chronic heart disease may benefit from hand-held echocardiography as part of POCUS in the acute phase of ischemic stroke. Left atrial area measured was an independent predictor of AF in strokes of undetermined etiology. (C) 2020 World Federation for Ultrasound in Medicine & Biology. All rights reserved.

引用

页码：2173 / 2180

页数：8

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