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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
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A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

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Clinical characteristics of cardioembolic transient ischemic attack: comparison with noncardioembolic transient

Takeshi Hayashi1, Yoshihide Sehara1, Yuji Kato1

  • 1Department of Neurology and Cerebrovascular Medicine, Saitama Medical University, International Medical Center, Hidaka, Japan.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|August 5, 2014
PubMed

Insights

Cardioembolic transient ischemic attacks (TIA) share clinical features with noncardioembolic TIA. The CHADS2 score effectively identifies patients with cardioembolic TIA, aiding prompt treatment.

Area of Science:

  • Neurology
  • Cardiology
  • Cerebrovascular Disease

Background:

  • Transient ischemic attacks (TIA) can stem from cardiogenic cerebral embolism (cardioembolic TIA), accounting for 6%-31% of cases.
  • Prompt TIA treatment is crucial to prevent subsequent strokes, necessitating accurate etiological diagnosis.

Purpose of the Study:

  • To identify distinguishing features of cardioembolic TIA.
  • To compare cardioembolic TIA with noncardioembolic TIA.

Main Methods:

  • Retrospective review of tissue-defined TIA patients (April 2007-August 2013).
  • Etiology categorized using Trial of Org 10172 in Acute Stroke Treatment criteria.
  • Comparison of demographic, comorbidity, ABCD2, and CHADS2 scores between cardioembolic and noncardioembolic TIA groups.

Main Results:

  • No significant differences in neurological symptoms or common comorbidities (hypertension, diabetes, dyslipidemia) between groups.
  • Coronary and peripheral artery diseases were more prevalent in the cardioembolic TIA group.
  • Higher CHADS2 scores were observed in the cardioembolic TIA group (P = .005).

Conclusions:

  • Clinical presentation of cardioembolic and noncardioembolic TIA is largely similar.
  • The CHADS2 score is a valuable tool for assessing the likelihood of cardioembolic TIA.
Abstract

Keywords:
Cardioembolismclinical scoreetiologytransient ischemic attack

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