Detection of Major Cardioembolic Sources in Real-World Patients with Ischemic Stroke or Transient Ischemic Attack of Undetermined Cause.

ABSTRACT:

Background/aim

Current guidelines recommend transthoracic echocardiography (TTE) and ambulatory rhythm monitoring following ischemic stroke or transient ischemic attack (TIA) of undetermined cause for identifying cardioembolic sources (CES). Due to ongoing controversies about this routine strategy, we evaluated its yield in a real-world setting.

Methods

In a tertiary medical center, we retrospectively evaluated consecutive patients with ischemic stroke or TIA of undetermined cause, who (after standard work-up) underwent TTE, ambulatory rhythm monitoring, or both. CES were classified as major if probably related to ischemic events and warranting a change of therapy.

Results

Between January 2014 and December 2017, 674 patients had ischemic stroke or TIA of undetermined

SUBMITTER: van der Maten G 

PROVIDER: S-EPMC7989814 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature