SOL ATR�UMDAK� SPONTAN EKO KONTRASTIN �NMEDEK� PROGNOST�K ANLAMI

K���KO�LU, Hayriye; CEYHAN, Ayten; K���KO�LU, Serdar; KALEL�, �zlem; KAR�IDA�, Sibel; BAYBA�, Sevim; KIRBA�, Dursun

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SOL ATR�UMDAK� SPONTAN EKO KONTRASTIN �NMEDEK� PROGNOST�K ANLAMI [T�rk Beyin Damar Hast Derg]

T�rk Beyin Damar Hast Derg. 1997; 3(1): 43-45

SOL ATR�UMDAK� SPONTAN EKO KONTRASTIN �NMEDEK� PROGNOST�K ANLAMI

Hayriye K��KO�LU¹, Ayten CEYHAN¹, Serdar K��KO�LU¹, �zlem KALEL�¹, Sibel KAR�IDA�¹, Sevim BAYBA�¹, Dursun KIRBA�¹
Bak�rk�y Ruh ve Sinir Hastal�klar� Hastanesi, 2. N�roloji Klini�i, Bak�rk�y, �stanbul

Sol atriumda spontan eko kontrast (SEK), trans�zefagial ekokardiyografinin (T�E) kullan�ma girmesi ile tan�mlanan sigara duman� benzeri dinamik bir sinyal olup, tromboembolik olaylarda risk fakt�r� olarak bildirilmektedir. Ancak, iskemik inme ge�iren olgular�n prognozuna etkisi hen�z yeterince bilinmemektedir. Bu �al��mada akut iskemik inmeli, TOE'leri yap�lm�� ard��k 76 olgunun, klinik ve ekokardiyografik �zellikleri kaydedilmi�, SEK g�r�lenlerle g�r�lmeyenler aras�nda kar��la�t�rma yap�larak, ortalama 11 ayl�k izlem s�resinde SEK'in inme tekrar� ve �l�m �zerine etkisi ara�t�r�lm��t�r. �zlem s�resinde �� inme ve biri ge�ici iskemik atak (G�A) olmak �zere toplam 4 olguda yeni serebrovask�ler olay g�zlenmi�, inme geli�en 2 olgu kaybedilmi�tir.Yeni olay g�zlenen olgular�n t�m� SEK(+) gruptan olup (p<0.05), bu sonu�, SEK saptanan iskemik inmeli olgular�n yak�n takibi gerekti�ini d��nd�rmektedir.

Anahtar Kelimeler: �skemik �nme, Trans�zefagial Ekokardiyografi, Spontan Eko Kontrast.

PROGNOSTIC IMPLICATIONS OF LEFT ATRIAL SPONTANEOUS ECHO CONTRAST IN STROKE

Hayriye K��KO�LU¹, Ayten CEYHAN¹, Serdar K��KO�LU¹, �zlem KALEL�¹, Sibel KAR�IDA�¹, Sevim BAYBA�¹, Dursun KIRBA�¹
Bak�rk�y Psychiatric and Neurological Diseases Hospital, 2nd Neurology Clinic, �stanbul, Turkey

Left atrial spontaneous echo contrast (LASEC) is a dynamic smoke like echo signal recognized by transesophageal echocardiography (TEE) and is seen in conditions associated with stasis of blood in the left atrium like mitral stenosis, atrial fibrillation and prosthetic mitral valves. it has been shown to be associated with a history of thromboembolism, however prognostic implications of LASEC in stroke patients is not clear. We studied the influence of LASEC on the subsequent cerebrovascular events (CVE) and on survival in patients with ischemic stroke. 76 ischemic stroke patients with or without LASEC according to TEE findings were followed up foran average of 11 months. During follow up 4 new CVE (3 stroke, 1 transient ischemic attack) were detected, all in LASEC (+) patients (p<0.05). Two of these patients with new CVE died, there were no deaths in the LASEC (-) group. Stroke patients with LASEC, detected by TEE, have a significantly higher risk of developing subsequent CVE, and may represent a subgroup whom must be followed up more intensively.

Keywords: Ischemic Stroke, Transesophageal Echocardiography, Spontaneous Echo Contrast.

Hayriye K��KO�LU, Ayten CEYHAN, Serdar K��KO�LU, �zlem KALEL�, Sibel KAR�IDA�, Sevim BAYBA�, Dursun KIRBA�. PROGNOSTIC IMPLICATIONS OF LEFT ATRIAL SPONTANEOUS ECHO CONTRAST IN STROKE. T�rk Beyin Damar Hast Derg. 1997; 3(1): 43-45
Makale Dili: T�rk�e

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SOL ATR�UMDAK� SPONTAN EKO KONTRASTIN �NMEDEK� PROGNOST�K ANLAMI

PROGNOSTIC IMPLICATIONS OF LEFT ATRIAL SPONTANEOUS ECHO CONTRAST IN STROKE