RT期刊文章SR电子T1诊断产生技术的超声心动图在中风年轻(P6.238)摩根富林明神经病学神经学乔FD Lippincott Williams &威尔金斯SP P6.238 VO 90 15 A1穆罕默德艾哈迈德A1哈里斯补充Kamal A1首页罗伯特·索耶,小岁2018 UL //www.ez-admanager.com/content/90/15_Supplement/P6.238.abstract AB目的:鉴于上述,我们试图1)评估三通的诊断产量作为中风的一部分年轻的检查和2)来确定病理结果不会被表面超声心动图。背景:缺血性中风(是)在不到50岁的构成残疾的主要原因。疑似cardioembolic源技术进一步评估患者超声心动图(TEE);然而,它的诊断产量仍不清楚。设计/方法:这是一个病例对照研究。图审查进行所有小于50岁的患者在2009年1月和2017年3月之间。栓子梗塞患者MRI上接受了三通进行了评估。三通的发现包括感染性心内膜炎(IE),卵圆孔未闭,左心房附件(LAA)血栓,心房中隔动脉瘤和疣状赘生物。结果:共有876名患者被纳入研究。113例(13%)接受了三通;没有一个有心房纤颤。年龄(平均±SD)是40.4±7.9;60(53%)是男性,53例(47%)是女性; 91 (81%) were Caucasian, 19 (17%) were African American and 3 (2%) others. Of these, 15 (13%) were found to have either one of a combination of IE, LAA thrombus, atrial septal aneurysm or vegetations. Stratification of these findings and the corresponding patient demographics were summarized in Table 1.Conclusions: In summary, transesophageal echocardiogram was performed on 13% of patients as part of stroke in the young workup. Of these, 13% had pathologic findings of cardioembolic source that were undiagnosed by surface echocardiogram. This suggests transesophageal echocardiogram may be a reasonable diagnostic tool when cardioembolic source is suspected.Disclosure: Dr. Ahmed has nothing to disclose. Dr. Kamal has nothing to disclose. Dr. Sawyer has nothing to disclose.

map