Cardiac Causes of Thromboembolism into the Central
Nervous System
Holoubek D.1, Szabóová Ľ.1, Gavelová M.2, Horvátová D.2, Vaško P.2, Horváthová R.2
1Kardiologické ambulancie Železničnej nemocnice s poliklinikou, Košice 2Neurologické oddelenie Železničnej nemocnice s poliklinikou, Košice |
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Summary:
The authors investigated potential cardiac diseases as a source of cerebral thrombembolism
in a group of patients with acute cerebral ischaemia. In their echolaboratory,
using the method of echocardiography, 468 patients were investigated
during five-years’ period. Each patient was examined by transthoracic echocardiography.
In the cases with the possibility to administer anticoagulant therapy and
without any contraindications, transesophageal echocardiography was indicated,
which was performed successfully in 271 patients. Cardiac diseases as a potential
source of cerebral thrombembolism were found in 46 patients (17 %). The most
common diagnoses involved were non-valvular atrial fibrillation (47.8 %) and
a thrombus in the left atrium appendage (69 %). The objective of their investigation
is to emphasize that the problem of vascular cerebral diseases is an interdisciplinary
issue. The echocardiographic method highly contributes to the vascular
diseases diagnosing and underlines the necessity of close cooperation between cardiologist
and neurologist.
Key words:
cerebral ischaemia, cardiac diseases, echocardiography
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