Cardiac workup of ischemic stroke: Can we improve our diagnostic yield?

Stroke

Volumn 40, Issue 8, 2009, Pages 2893-2898

  Morris, Jane G ^a   Duffis, E Jesus ^a   Fisher, Marc ^a  

^a UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

Author keywords

Diagnostic method; Echocardiography; Electrocardiography; Stroke

Indexed keywords

ALGORITHM; ARTICLE; CEREBROVASCULAR ACCIDENT; DIAGNOSTIC IMAGING; DIAGNOSTIC VALUE; ELECTROCARDIOGRAM; HEART DISEASE; HEART RHYTHM; HOLTER MONITORING; HUMAN; PRIORITY JOURNAL; TELEMETRY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; TRANSTHORACIC ECHOCARDIOGRAPHY;

ADULT; BRAIN ISCHEMIA; ELECTROCARDIOGRAPHY; HUMANS; MALE; MIDDLE AGED; SPREADING CORTICAL DEPRESSION; STROKE;

EID: 68749109552     PISSN: 00392499     EISSN: None     Source Type: Journal    
DOI: 10.1161/STROKEAHA.109.551226     Document Type: Article

References (49)

1. Adams HP, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, Grubb RL, Higashida RT, Jauch EC, Kidwell C, Lyden PD, Morgenstern LB, Qureshi AI, Rosenwasser RH, Scott PA, Wijdicks E. Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Group. Stroke. 2007;38:1655-1711.
2. Bozluolcay M, Ince B, Celik Y, Harmanci H, Ilerigelen B, Pelin Z. Electrocardiographic findings and prognosis in ischemic stroke. Neurol India. 2003;51:500-502.
3. Khechinashvili G. Asplund K. Electrocardiographic changes in patients with acute stroke: a systematic review. Cerebrovascular Diseases. 2002;14:67-76.
4. Marini C. De Santis F. Sacco S. Russo T. Olivieri L. Totaro R. Carolei A. Contribution of atrial fibrillation to incidence and outcome of ischemic stroke: results from a population-based study. Stroke. 2005;36: 1115-1119.
5. Douen AG, Pageau N, Medic S. Serial electrocardiographic assessments significantly improve detection of atrial fibrillation 2.6-fold in patients with acute stroke. Stroke. 2008;39:480-482.
6. Chiarella F, Santoro E, Domenicucci S, Maggioni A, Vecchio C. Predischarge two-dimensional echocardiographic evaluation of left ventricular thrombosis after acute myocardial infarction in the GISSI-3 study. Am J Cardiol. 1998;81:822-827.
7. Doufekias E, Segal AZ, Kizer JR. Cardiogenic and aortogenic brain embolism. J Am Coll Cardiol. 2008;51:1049-1059.
8. Ikram MA, Hollander M, Bos MJ, Kors JA, Koudstaal PJ, Hofman A, Witteman JC, Breteler MM. Unrecognized myocardial infarction and the risk of stroke: the Rotterdam Study. Neurology. 2006;67:1635-1639.
9. Kohsaka S, Sciacca RR, Sugioka K, Sacco RL, Homma S, Di Tullio MR. Electrocardiographic left atrial abnormalities and risk of ischemic stroke. Stroke. 2005;36:2481-2483.
10. Kohsaka S, Sciacca RR, Sugioka K, Sacco RL, Homma S, Di Tullio MR. Additional impact of electrocardiographic over echocardiographic diagnosis of left ventricular hypertrophy for predicting the risk of ischemic stroke. Am Heart J. 2005;149:181-186.
11. Goldstein D. The electrocardiogram in stroke: relationship to pathophysiological type and comparison with prior tracings. Stroke. 1979;10: 253-259.
12. Wong KY, MacWalter RS, Douglas D, Fraser HW, Ogston SA, Struthers AD. Long QTc predicts future cardiac death in stroke survivors. Heart. 2003;89:377-381.
13. Fure B, Wyller TB, Thommessen B. Electrocardiographic and troponin T changes in acute ischemic stroke. J Int Med. 2006;259:592-597.
14. Lavy S, Yaar I, Melamed E, Stern S. The effect of acute stroke on cardiac functions as observed in an intensive stroke care unit. Stroke. 1974;5: 775-780.
15. Fogh CH, Boysen CA. Abnormalities on ECG and telemetry predict stroke outcome at 3 months. J Neurol Sci. 2005;234:99-103.
16. Bansil S, Karim H. Detection of atrial fibrillation in patients with acute stroke. J Stroke Cerebrovasc Dis. 2004;13:12-15.
17. Tagawa M, Takeuchi S, Chinushi M, Saeki M, Taniguchi Y, Nakamura Y, Ohno H, Kitazawa K, Aizawa Y. Evaluating patients with acute ischemic stroke with special reference to newly developed atrial fibrillation in cerebral embolism. Pacing Clin Electrophysiol. 2007;30: 1121-1128.
18. Enseleit F, Duru F. Long-term continuous external electrocardiographic recording: a review. Europace. 2006;8:255-266.
19. Liao J, Khalid Z, Scallan C, Morillo C, O'Donnell M. Noninvasive cardiac monitoring for detecting paroxysmal atrial fibrillation or flutter after acute ischemic stroke: a systematic review. Stroke. 2007;38: 2935-2940.
20. Bell C, Kapral M. Use of ambulatory electrocardiography for the detection of paroxysmal atrial fibrillation in patients with stroke. Canadian Task Force on Preventive Health Care. Can J Neurol Sci. 2000;27:25-31.
21. Schaer BA, Zellweger MJ, Cron TA, Kaiser CA, Osswald S. Value of routine Holter monitoring for the detection of paroxysmal atrial fibrillation in patients with cerebral ischemic events. Stroke. 2004;35: e68-e70.
22. Wallmann D, Tuller D, Wustmann K, Isenegger J, Arnold M. Mattle HP. Delacretaz E. Frequent atrial premature beats predict paroxysmal atrial fibrillation in stroke patients: an opportunity for a new diagnostic strategy. Stroke. 2007;38:2292-2294.
23. Reiffel JA, Schwarzberg R, Murry M. Comparison of autotriggered memory loop recorders versus standard loop recorders versus 24-hour Holter monitors for arrhythmia detection. Am J Cardiol. 2005;95: 1055-1059.
24. Jabaudon D, Sztajzel J, Sievert K, Landis T, Sztajzel R. Usefulness of ambulatory 7-day ECG monitoring for the detection of atrial fibrillation and flutter after acute stroke and transient ischemic attack. Stroke. 2004;35:1647-1651.
25. Barthelemy JC, Feasson-Gerard S, Garnier P, Gaspoz JM, Da Costa A, Michel D, Roche F. Automatic cardiac event recorders reveal paroxysmal atrial fibrillation after unexplained strokes or transient ischemic attacks. Ann Noninvasive Electrocardiol. 2003;8:194-199.
26. Tayal AH, Tian M, Kelly KM, et al. Atrial fibrillation detected by mobile cardiac outpatient telemetry in cryptogenic TIA or stroke. Neurology. 2008;71:1696-1701.
27. Spring M, Dorian P, Fry B, Buck B, Sahlas DJ, Hopyan J, Korley V, Black SE, Gladstone DJ. A 30-day cardiac event monitor belt for recording paroxysmal atrial fibrillation after a cerebral ischemic event: the EMBRACE pilot study. Stroke. 2008. Abstract.
28. Egeblad H, Andersen K, Hartiala J, Lindgren A, Marttila R, Petersen P, Roijer A, Russell D, Wranne B. Role of echocardiography in systemic arterial embolism. A review with recommendations. Scand Cardiovasc J. 1998;32:323-342.
29. Peterson GE, Brickner ME, Reimold SC. Transesophageal echocardiography: clinical indications and applications. Circulation. 2003;107: 2398-2402.
30. Christin F, Bouffard Y, Rossi R, Delafosse B. Paradoxical symptomatic air embolism after saline contrast transesophageal echocardiography. Echocardiography. 2007;24:867-869.
31. Shephard T, Shebelski H. Precipitous decrease in blood pressure in acute ischemic stroke patients during transesophageal echocardiography: a case study from the adult brain attack database. J Neurosci Nursing. 1998;30: 261-264.
32. Sansoy V, Abbott RD, Jayaweera AR, Kaul S. Low yield of transthoracic echocardiography for cardiac source of embolism. Am J Cardiol. 1995;75:166-169.
33. de Abreu TT, Mateus S, Correia J. Therapy implications of transthoracic echocardiography in acute ischemic stroke patients. Stroke. 2005;36: 1565-1566.
34. Harloff A, Handke M, Reinhard M, Geibel A, Hetzel A. Therapeutic strategies after examination by transesophageal echocardiography in 503 patients with ischemic stroke. Stroke. 2006;37:859-864.
35. de Bruijn S, Agema W, Lammers GJ, van der Wall EE, Wolterbeek R, Holman ER, Bollen E, Bax JJ. Transesophageal echocardiography is superior to transthoracic echocardiography in management of patients of any age with TIA or stroke. Stroke. 2006;37:2531-2534.
36. Dawn B, Hasnie A, Calzada N, Longaker RA, Stoddard MF. Transesophageal echocardiography impacts management and evaluation of patients with stroke, transient ischemic attack or peripheral embolism. Echocardiography. 2006;23:202-207.
37. Omran H, Rang B, Schmidt H, Illien S, Schimpf R, MacCarter D, Kubini R, von der Recke G, Tiemann K, Becher H, Lüderitz B. Incidence of left atrial thrombi in patients in sinus rhythm and with a recent neurologic deficit. Am Heart J. 2000;140:658-662.
38. Sadanandan S, Sherrid MV. Clinical and echocardiographic characteristics of left atrial spontaneous echo contrast in sinus rhythm. J Am Coll Cardiol. 2000;35:1932-1938.
39. Tunick PA, Nayar AC, Goodkin GM, Mirchandani S, Francescone S, Rosenzweig BP, Freedberg RS, Katz ES, Applebaum RM, Kronzon I Effect of treatment on the incidence of stroke and other emboli in 519 patients with severe thoracic aortic plaque. Am J Cardiol. 2002;90: 1320-1325.
40. de Belder MA, Lovat LB, Tourikis L, Leech G, Camm AJ. Limitations of transesophageal echocardiography in patients with focal cerebral ischaemic events. Br Heart J. 1992;67:297-303.
41. Warner MF, Momah KI. Routine Transesophageal echocardiography for cerebral ischemia: Is it really necessary? Arch Int Med. 1996;156: 1719-1723.
42. Vitebskiy S, Fox K, Hoit BD. Routine Transesophageal Echocardiography for the evaluation of cerebral emboli in elderly patients. Echocardiography. 2005;22:770-774.
43. Leung DY, Black IW, Cranney GB. Selection of patients for transesophageal echocardiography after stroke and systemic embolic events: role of transthoracic echocardiography. Stroke. 1995;26:1820-1824.
44. Strandberg M, Marttila RJ, Helenius H, Hartiala J. Transoesophageal echocardiography in selecting patients for anticoagulation after ischaemic stroke or transient ischaemic attack. J Neurol Neruosurg Psychiatry. 2002;73:29-33.
45. Strandberg M, Marttila RJ, Heleniuw H, Hartiala J. Transoesophageal echocardiography should be considered in patients with ischaemic stroke or transient ischaemic attack. Clin Physiol Funct Imaging. 2008;28: 156-160.
46. Handke M, Harloff A, Hetzel A, Olschewski MBode C, Geibel A. Predictors of left atrial spontaneous echocardiographic contrast or thrombus formation in stroke patients with sinus rhythm and reduced left ventricular function. Am J Cardiol. 2005;96:1342-1344.
47. Kapral MK, Silver FL. with the Canadian Task Force on Preventive Health Care. Preventive health care, 1999 update: 2. Echocardiography for the detection of a cardiac source of embolus in patients with stroke. CMAJ. 1999;161:989-996.
48. McNamara RL, Lima J, Whelton PK, Powe NR. Echocardiographic identification of cardiovascular sources of emboli to guide clinical management of stroke: a cost-effectiveness analysis. Ann Intern Med. 1997;127:775-787.
49. Meenan RT, Somnath S, Chou R, Swarztrauber K, Krages KP, O'Keeffe-Rosetti MC, McDonagh M, Chan B, Hornbrook MC, Helfand M. Costeffectiveness of echocardiography to identify intracardiac thrombus among patients with first stroke or transient ischemic attack. Med Decis Making. 2007;27:161-177.