Recommendations for echocardiography use in the diagnosis and management of cardiac sources of embolism: European Association of Echocardiography (EAE) (a registered branch of the ESC).

Recommendations for echocardiography use in the diagnosis and management of cardiac sources of embolism: European Association of Echocardiography (EAE) (a registered branch of the ESC).
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关于超声心动图用于诊断和治疗心脏栓塞来源的建议:欧洲超声心动图协会 (EAE)(ESC 的注册分支机构)。

DOI:
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发表时间:
2010
期刊:
European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology
影响因子:
--
通讯作者:
P. Caso
P. Caso
中科院分区:
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文献类型:
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作者:
M. Pepi;A. Evangelista;P. Nihoyannopoulos;F. Flachskampf;G. Athanassopoulos;P. Colonna;G. Habib;E. Ringelstein;R. Sicari;J. Zamorano;M. Sitges;P. Caso

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心源性血栓约占缺血性卒中的15-30%。心脏栓塞症引起的中风通常很严重,早期和长期复发率和死亡率都很高。卒中的心脏栓塞源的诊断常常是不确定的,依赖于在没有明显的自发性脑血管闭塞疾病的情况下识别潜在的心脏栓塞源。在这方面,超声心动图(包括经胸和/或经食道)是评估、诊断和处理这些患者的基石。因此,清楚地了解与心源性卒中相关的各种心脏疾病及其内在风险是非常重要的。本文回顾了潜在的心脏栓塞源,并讨论了超声心动图在临床实践中的作用。建议使用超声心动图诊断心脏栓塞源,包括与栓塞风险相关的主要和次要情况。
Embolism of cardiac origin accounts for around 15-30% of ischaemic strokes. Strokes due to cardioembolism are generally severe and early and long-term recurrence and mortality are high. The diagnosis of a cardioembolic source of stroke is frequently uncertain and relies on the identification of a potential cardiac source of embolism in the absence of significant autochthone cerebrovascular occlusive disease. In this respect, echocardiography (both transthoracic and/or transoesophageal) serves as a cornerstone in the evaluation, diagnosis, and management of these patients. A clear understanding of the various types of cardiac conditions associated with cardioembolic stroke and their intrinsic risk is therefore very important. This article reviews potential cardiac sources of embolism and discusses the role of echocardiography in clinical practice. Recommendations for the use of echocardiography in the diagnosis of cardiac sources of embolism are given including major and minor conditions associated with the risk of embolism.
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