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Transesophageal Echocardiography in Cardiogenic Embolic Cerebral Infarction

Wen Chu1, Hua Wang2

  • 1Wen Chu, Ultrasonic Department, Luoyang Central Hospital Affiliated to Zhengzhou University, Henan, 471000, China.

Pakistan Journal of Medical Sciences
|April 13, 2018
PubMed

Insights

Transesophageal echocardiography (TEE) is more accurate than transthoracic echocardiography (TTE) for diagnosing cardiogenic embolic cerebral infarction. TEE identified significantly more cardiac sources of embolism, highlighting its diagnostic advantage.

Area of Science:

  • Cardiology
  • Neurology
  • Diagnostic Imaging

Background:

  • Cardiogenic embolic cerebral infarction is a significant cause of stroke.
  • Accurate identification of cardiac sources is crucial for effective treatment and prevention.

Purpose of the Study:

  • To compare the diagnostic efficacy of transesophageal echocardiography (TEE) and transthoracic echocardiography (TTE) in identifying cardiac sources of cerebral infarction.
  • To evaluate the clinical value of TEE versus TTE in patients with suspected cardiogenic embolic stroke.

Main Methods:

  • A cohort of 50 patients with occult cerebral infarction was studied.
  • Both TEE and TTE were performed to diagnose potential cardiac embolic sources.
  • Diagnostic findings from TEE and TTE were compared.

Main Results:

  • TEE diagnosed cardiogenic embolic cerebral infarction in 32% of patients (16/50), identifying various cardiac abnormalities.
  • TTE diagnosed cardiogenic embolic cerebral infarction in only 8% of patients (4/50).
  • TEE detected significantly more embolic sources, including aortic plaques and atrial septal lesions, which were missed by TTE.

Conclusions:

  • Transesophageal echocardiography demonstrates superior accuracy and diagnostic value for cardiogenic embolic cerebral infarction compared to transthoracic echocardiography.
  • TEE is recommended for widespread clinical application in the diagnosis of cardioembolic stroke.
Abstract

Keywords:
Cardiogenic embolic cerebral infarctionTransesophageal echocardiographyTransthoracic echocardiography

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