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November 1, 1997Stroke

Influence of Oxygen Ventilation on Doppler Microemboli Signals in Patients With Artificial Heart Valves

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Key result

Inhalation of 100% oxygen led to an exponential decrease in microembolic signal counts in 42 of 43 patients with baseline counts ≥10, suggesting nitrogen bubbles as the embolic material.

Why the study?

Does 100% oxygen ventilation reduce Doppler microemboli signals in patients with artificial heart valves?

Population

134 outpatients with artificial cardiac valves

Comparison

Noninvasive positive pressure ventilation with… vs Resting conditions

Design

Cohort

Follow-up

Acute monitoring (up to 95 minutes)

Authors

DGDimitrios GeorgiadisHarokopio University of AthensAWAndreas WenzelFraunhofer Institute of Optronics, System Technologies and Image ExploitationDLDirk J. LehmannOstfalia University of Applied Sciences

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Implication

May indicate nitrogen bubbles as embolic source in prosthetic valves; leaves open whether oxygen alters clinical events.

Structured PICO

Does 100% oxygen ventilation reduce Doppler microemboli signals in patients with artificial heart valves?

P
Population
134 outpatients with artificial cardiac valves monitored with transcranial Doppler to evaluate the influence of 100% oxygen inhalation on microembolic signals.
I
Intervention
Noninvasive positive pressure ventilation with 100% oxygen for at least 20 minutes
C
Comparator
Resting conditions (baseline monitoring for 45 minutes and subsequent resting for 30 minutes)
O
Outcome
Microembolic signal (MES) counts measured by transcranial Dopplersurrogate

The exponential reduction of microembolic signals during 100% oxygen inhalation suggests that nitrogen bubbles are the underlying embolic material in patients with prosthetic valves.

Cite This Study

Georgiadis et al. (1997) studied Artificial cardiac valves (n=134). 100% oxygen inhalation vs. Resting conditions was evaluated on Microembolic signal (MES) counts. Inhalation of 100% oxygen led to an exponential decrease in microembolic signal counts in 42 of 43 patients with baseline counts ≥10, suggesting nitrogen bubbles as the embolic material.

synapsesocial.com/papers/6a9cbf263c308413cc57afc8https://doi.org/10.1161/01.str.28.11.2189
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevalence and characteristics of intracranial microemboli signals in patients with different types of prosthetic cardiac valves.1994 · 124 citations
  2. 2Transcranial Doppler detection of microemboli in prosthetic heart valve patients: dependency upon valve type1996 · 31 citations
  3. 3Quantification of ultrasound emboli signals in patients with cardiac and carotid disease.1993 · 84 citations
  4. 4VIII. <i>On the pressure developed in a liquid during the collapse of a spherical cavity</i>1917 · 3,270 citations
  5. 5Cerebral Microembolism and the Risk of Ischemia in Asymptomatic High-Grade Internal Carotid Artery Stenosis1995 · 176 citations