Stroke, Vol 16, 118-120, Copyright © 1985 by American Heart Association
R Gagliardi, L Benvenuti, F Frosini, F Ammannati, GA Barletta and F Fantini
Eighty-eight consecutive patients referred to a neurosurgical Department
(63 men and 25 women) aged from 14 to 68 years, with cerebral ischemia in
the carotid territory were subjected to M-mode and two-dimensional
echocardiography, carotid angiography and assessment of risk factors. There
were 27 patients (average age 54 years) in whom carotid angiography
demonstrated a probable source for the ischemia. Carotid angiography was
normal in 51 of the remaining 61 (average age 39 years) while 10 revealed
distant emboli. Although the incidence of "abnormal echocardiograms" was
similar in the two groups (56% and 54% respectively) the spectrum of
abnormalities were different. Only 5 (18%) of the 27 patients with abnormal
angiograms had a potential cardiac source of emboli while 24 (39%) out of
the remaining 61 patients had a potential cardiac source demonstrated at
echocardiography. There was a high incidence of mitral valve prolapse (34%)
in this latter group of patients. Mitral valve prolapse was not seen in the
present series in patients with a probable carotid source on angiography.
ARTICLES
Frequency of echocardiographic abnormalities in patients with ischemia of the carotid territory--a preliminary report
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