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Transesophageal echocardiography in stroke
C Rodriguez1, S Homma, M Di Tullio
1Department of Medicine/Division of Cardiology, New York Presbyterian Hospital, PH 3-342, 630 West 168th Street, New York, NY 10032, USA.
Cardiology in Review
|February 15, 2001
Summary
Transesophageal echocardiography (TEE) is crucial for diagnosing cardioembolic stroke, a common cause of ischemic events. This review details TEE's role in identifying stroke risk factors.
Area of Science:
- Cardiology
- Neurology
- Medical Imaging
Background:
- Cardioembolic stroke accounts for 15-20% of all ischemic strokes.
- Transesophageal echocardiography (TEE) has been clinically applied since 1976.
- TEE has become indispensable in diagnosing cardioembolic stroke.
Purpose of the Study:
- To summarize the current role of TEE in the diagnostic workup of stroke.
- To highlight TEE's effectiveness in identifying cardioembolic stroke risk factors.
Main Methods:
- Literature review of studies on TEE in stroke diagnosis.
- Analysis of TEE's visualization capabilities for stroke risk factors.
Main Results:
- TEE provides superior visualization of established risk factors like apical thrombus and endocarditis.
- TEE identifies newer risk factors such as patent foramen ovale and aortic arch plaques.
- Comprehensive literature supports TEE's value in cardioembolic stroke diagnosis.
Conclusions:
- TEE is an invaluable tool in the diagnostic evaluation of patients with suspected cardioembolic stroke.
- The application of TEE in stroke workup continues to expand due to its diagnostic yield.