Key result
2D echo identifies intracardiac thrombus in ~7% of focal cerebral ischemia patients, indicating low yield.
Why the study?
The utility of two-dimensional echocardiography to identify a cardiac source of cerebral embolization in patients with focal cerebral ischemia was uncertain.
Does two-dimensional echocardiography effectively identify a cardiac source for cerebral embolization in patients with focal cerebral ischemia?
Observational (n=138)
Does two-dimensional echocardiography effectively identify a cardiac source for cerebral embolization in patients with focal cerebral ischemia?
Routine use of 2D echocardiography is not warranted in all patients with unexplained cerebral ischemic events due to low overall yield, though it has value in those with known cardiac disease.
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Low 2D echo yield for cardiac sources in cerebral ischemia; leaves open routine use and requires prospective validation before practice change.
JULIA L. LOVETT (1981) conducted an observational in Focal cerebral ischemia (n=138). Two-dimensional echocardiography was evaluated on Cardiac source for cerebral embolization. Two-dimensional echocardiography identified intracardiac thrombus in 6.5% and other possible cardiac sources in 23.2% of patients with focal cerebral ischemia, indicating a low overall yield.
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