[Systematic implementation of transthoracic echocardiography, transesophageal echocardiography and 24-hour Holter ECG for the detection of cardiac sources of embolism in patients with stroke or transient ischemic attack. A retrospective study of 220 patients.]

Ulric Vinsonneau; Amélie Leblanc; J.-F. Buchet; V. Pangnarind-Heintz; Grégoire Le Gal; G. Rohel; Nicolas Paleiron; Marie Piquemal; Christian Blanchard; Fabien Zagnoli; Philippe Paule

doi:10.1016/j.ancard.2014.01.006

[Systematic implementation of transthoracic echocardiography, transesophageal echocardiography and 24-hour Holter ECG for the detection of cardiac sources of embolism in patients with stroke or transient ischemic attack. A retrospective study of 220 patients.]

Ulric Vinsonneau ^{1, *} Amélie Leblanc ² J.-F. Buchet ¹ V. Pangnarind-Heintz ¹ Grégoire Le Gal ³ G. Rohel ¹ Nicolas Paleiron ¹ Marie Piquemal ¹ Christian Blanchard ² Fabien Zagnoli ² Philippe Paule ¹

* Auteur correspondant

1 HIA BREST - Cardio - Service de Cardiologie

2 Service de Neurologie [Brest]

3 CIC - Brest - Centre d'Investigation Clinique

Abstract : INTRODUCTION: Embolism of cardiac origin accounts for around 20% of ischemic strokes. ECG and transthoracic echocardiography (TTE) are commonly obtained during the evaluation of patient of ischemic stroke but specific indications for the transesophageal (TEE) echocardiography and 24-hour Holter ECG (Holter) remain uncertain. OBJECTIVES: The aim of this study is to report the contribution of TTE, TEE and Holter performed as a routine during the evaluation of patients with ischemic stroke (IS) or transient ischemic attack (TIA). METHODS: This is a retrospective single-center study of 220 patients hospitalized between 1st January 2007 and 31st December 2010 for a first IS or TIA. RESULTS: One hundred and forty-three IS and 77 TIA are identified. The average age of patients was 66 years (18-88 years). TTE/TEE/24-hour Holter allowed the diagnosis of cardiac sources of embolism in 135 patents (61.3%). TTE/TEE identified potential source of cardiogenic embolism in 126 patients (52.2%). Twenty four-hour Holter ECG tracked supraventricular arrhythmia in 15 patients (6.7%), 9 (4%) which had non-contributory ultrasound assessment. CONCLUSION: The systematic implementation of TTE/TEE/Holter is useful for identifying potential sources of cardiogenic embolism. The performance of TEE remains above the TTE. Holter should be recommended because it is a cost effective and non-invasive tool.

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Article dans une revue

Annales de Cardiologie et d'Angéiologie, Elsevier Masson, 2014, epub ahead of print. 〈10.1016/j.ancard.2014.01.006〉

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Sciences du Vivant [q-bio]

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http://hal.univ-brest.fr/hal-01030830
Contributeur : Ghislaine Calvez <>
Soumis le : mardi 22 juillet 2014 - 15:09:12
Dernière modification le : vendredi 27 octobre 2017 - 14:08:02

Ulric Vinsonneau, Amélie Leblanc, J.-F. Buchet, V. Pangnarind-Heintz, Grégoire Le Gal, et al.. [Systematic implementation of transthoracic echocardiography, transesophageal echocardiography and 24-hour Holter ECG for the detection of cardiac sources of embolism in patients with stroke or transient ischemic attack. A retrospective study of 220 patients.]. Annales de Cardiologie et d'Angéiologie, Elsevier Masson, 2014, epub ahead of print. 〈10.1016/j.ancard.2014.01.006〉. 〈hal-01030830〉

[Systematic implementation of transthoracic echocardiography, transesophageal echocardiography and 24-hour Holter ECG for the detection of cardiac sources of embolism in patients with stroke or transient ischemic attack. A retrospective study of 220 patients.]

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[Systematic implementation of transthoracic echocardiography, transesophageal echocardiography and 24-hour Holter ECG for the detection of cardiac sources of embolism in patients with stroke or transient ischemic attack. A retrospective study of 220 patients.]

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