English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

The cerebrovascular accident ranks among the main causes of mortality and morbidity worldwide. In the Czech Republic, the cerebrovascular disease was the direct cause of death in 10% of the cases in the year 2012 (Healthcare Annual CZ 2012).AimThe aim of our study was to evaluate the transoesophageal echocardiogram findings (TOE) in patients with suspicion for cardioembolic stroke or TIA who were indicated to this examination in our echocardiography laboratory.MethodologyDuring the period from July 2009 to March 2013 (45 months), 108 TOE had been realized in our echocardiographic laboratory that was indicated for ischaemic stroke or TIA. We monitored the occurrence of pathological findings that have the cardioembolic potential according to the literature.ResultsThe examination was performed for a suspect of an infective endocarditis 10 times, this was proven in 3 cases. 5 patients were holders of a mechanical valvular prosthesis, and its dysfunction was discovered in neither case. The most frequent diagnosis was foramen ovale patens in the other patients (30 patients, i.e. 37%); in 3 cases it occurred simultaneously with an atrial septal aneurysm. We found a haemodynamic little significant atrial septal defect in 3 patients and a presence of an endocardial thrombus in 2 patients. A left atrial dilation and a systolic dysfunction of a left atrium auricle can relate with an occurrence of an atrial fibrillation. A left atrium volume was determined in 86 cases; only 35 patients (i.e. 40.7%) have the normal left atrium volume. A pathology, which can be connected with a cerebral ischaemia that took place, was found in 56% of the patients.ConclusionTransoesophageal echocardiography is an independent method in examination of potential sources of cardioembolism. In our sample, a pathology in more than half of the patients was diagnosed that could refer to a suffered ischaemic stroke and the diagnosis led to a change in a treatment strategy in 17 cases of the total number of 95 patients (i.e. at 18%)

The findings of the oesophageal echocardiography in patients with acute cerebral ischaemia