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Significant Association of Atrial Vulnerability With Atrial Septal Abnormalities in Young Patients With Ischemic Stroke of Unknown Cause
Author(s) -
Karine Berthet,
Thomas Lavergne,
Ariel Cohen,
L Guize,
MarieGermaine Bousser,
JeanYves Le Heuzey,
Pierre Amarenco
Publication year - 2000
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/01.str.31.2.398
Subject(s) - medicine , atrial fibrillation , patent foramen ovale , cardiology , stroke (engine) , paradoxical embolism , embolism , odds ratio , thrombus , migraine , mechanical engineering , engineering
Atrial septal abnormalities have been associated with cryptogenic ischemic stroke in young patients, but the causal link has not yet been established. Paradoxical embolism is considered the most likely mechanism but is rarely proven. It can be hypothesized that, in those patients, paroxysmal atrial arrhythmias, potentially favored by the anatomic abnormalities, can be another cause of thrombus formation and subsequent embolism to the brain. In this study we assessed the relationship between atrial vulnerability, reflecting arrhythmogenic properties of the atria, and atrial septal abnormalities in young patients with cryptogenic ischemic stroke.

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