What question did this study set out to answer?

March 1, 1988StrokeOpen Access

Transesophageal two-dimensional echocardiography in young patients with cerebral ischemic events.

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Why the study?

Does transesophageal echocardiography improve the detection of mitral valve prolapse and other cardiac abnormalities compared to transthoracic echocardiography in young patients with cerebral ischemic events?

Population

40 young patients with cerebral ischemic events and 29 age-matched controls.

Comparison

Transesophageal echocardiography (TEE) vs Transthoracic echocardiography (TTE)

Design

Case-control

Authors

GZG ZenkerJoanneum Research RERaimund ErbelInterventional Cardiology GKGünter KrämerSwiss Epilepsy Center

Discussion

Member takes

Implication

May support TEE for detecting missed sources in young stroke patients with normal TTE; hypothesis-generating and requires prospective confirmation.

Key Points

The study aims to evaluate the efficacy of transesophageal echocardiography in detecting mitral valve prolapse and other cardiac abnormalities in young patients with cerebral ischemic events compared to transthoracic echocardiography.
Evaluated 40 young patients with cerebral ischemic events and 29 age-matched controls.
Used both transesophageal and transthoracic echocardiography to assess cardiac structures.
Compared the incidence of mitral valve prolapse and other cardiac abnormalities between groups.
Transesophageal echocardiography identified mitral valve prolapse in the patient group at a significantly higher rate (p<0.001) compared to controls.
Showed significant bulging of mitral leaflets in patients (p<0.001) alongside increased leaflet thickness.
Detected pathologic findings in 45% of patients with normal transthoracic echocardiograms.

Structured PICO

Population

40 young patients with cerebral ischemic events (mean age 35.2 years) and 29 age-matched controls (mean age 30.4 years).

Intervention

Transesophageal echocardiography (TEE)

Comparator

Transthoracic echocardiography (TTE)

Outcome

Detection of mitral valve prolapse and other cardiac abnormalitiessurrogate

Transesophageal echocardiography is a sensitive method for detecting mitral valve prolapse and other cardiac abnormalities missed by conventional transthoracic echocardiography in young stroke patients.

Cite This Study

Zenker et al. (1988) studied this question.

synapsesocial.com/papers/6a208dcbbb4ba07152cc440d https://doi.org/10.1161/01.str.19.3.345

Topics

Echocardiography

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Implication

May support TEE for detecting missed sources in young stroke patients with normal TTE; hypothesis-generating and requires prospective confirmation.

Transesophageal two-dimensional echocardiography in young patients with cerebral ischemic events.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Transesophageal two-dimensional echocardiography in young patients with cerebral ischemic events.

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Topics

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