Stroke and intracardiac thrombus: A case series
Introduction: Cardioembolism may cause 20%–40% of all ischemic strokes. Up to 22% of cardioembolic strokes are associated with intracardiac thrombi and occur in patients with a high burden of comorbid cardiac disease. Aim and methods: To describe the in-hospital experience of stroke patients with in...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-07-01
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| Series: | Neurology Perspectives |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667049622000540 |
| _version_ | 1797691934515396608 |
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| author | C. Romero J. Achury M. Ortiz-Pereira |
| author_facet | C. Romero J. Achury M. Ortiz-Pereira |
| author_sort | C. Romero |
| collection | DOAJ |
| description | Introduction: Cardioembolism may cause 20%–40% of all ischemic strokes. Up to 22% of cardioembolic strokes are associated with intracardiac thrombi and occur in patients with a high burden of comorbid cardiac disease. Aim and methods: To describe the in-hospital experience of stroke patients with intracardiac thrombi. A retrospective 1 center study was carried out. Demographic, clinical, stroke, echocardiographic, and outcome data of stroke patients with intracardiac thrombi were extracted. Results: From 2018 to 2019, 530 stroke patients were admitted. Nine (1.7%) had intracardiac thrombi, 100% males with mean age 63.3 years. There were a high prevalence of cardiovascular risk factors, with anterior circulation stroke in 8 (88%) and large vessel occlusion in 8 (88%). Most had major echocardiographic findings and 8 (88%) had a discharge outcome Rankin scale score > 3. Conclusion: Intracardiac thrombus is not an uncommon cause of stroke. Cardiac ultrasound is a sensitive diagnostic method and should be sought in older patients with high prevalence of cardiovascular risk factors and history of cardiac disease. Resumen: Introducción: Los cardioembolismos son la causa de entre el 20% y el 40% de los ictus isquémicos. Hasta un 22% de los ictus cardioembólicos están relacionados con trombos intracardíacos y afectan a pacientes con una elevada carga de comorbilidad cardíaca.Objetivo y métodos: Describir la experiencia intrahospitalaria en pacientes con ictus y trombosis intracardíaca. Para ello, realizamos un estudio unicéntrico retrospectivo en el que recogimos datos demográficos, clínicos y ecocardiográficos y los resultados de pacientes con ictus y trombosis intracardíaca. Resultados: Entre los años 2018 y 2019, ingresaron 530 pacientes con ictus en nuestro centro. Nueve (1,7%) presentaban trombos intracardíacos, siendo todos ellos hombres con una edad media de 63,3 años. Observamos una elevada prevalencia de factores de riesgo cardiovascular, en concreto infarto de circulación posterior en 8 (88%) y oclusión de gran vaso en otros 8 (88%). La mayoría presentó hallazgos ecocardiográficos relevantes y 8 de ellos obtuvieron una puntuación superior a 3 en la escala de Rankin al alta. Conclusión: La trombosis intracardíaca no es una causa infrecuente de ictus. La ecografía cardíaca es un método diagnóstico sensible que debe realizarse en pacientes de mayor edad con una elevada prevalencia de factores de riesgo cardiovascular y antecedentes de patología cardíaca. |
| first_indexed | 2024-03-12T02:21:31Z |
| format | Article |
| id | doaj.art-bfd694459c3545acbac073b60d54c3bd |
| institution | Directory Open Access Journal |
| issn | 2667-0496 |
| language | English |
| last_indexed | 2024-03-12T02:21:31Z |
| publishDate | 2023-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Neurology Perspectives |
| spelling | doaj.art-bfd694459c3545acbac073b60d54c3bd2023-09-06T04:53:21ZengElsevierNeurology Perspectives2667-04962023-07-0133100104Stroke and intracardiac thrombus: A case seriesC. Romero0J. Achury1M. Ortiz-Pereira2La Cardio, Universtiy Hospital, Bogotá, Colombia; Corresponding author at: Cl. 163a #13B-60, Bogotá, Colombia.Clinica El Lago, Bogota, ColombiaUniversidad del Rosario La Cardio University Hospital, Bogota, ColombiaIntroduction: Cardioembolism may cause 20%–40% of all ischemic strokes. Up to 22% of cardioembolic strokes are associated with intracardiac thrombi and occur in patients with a high burden of comorbid cardiac disease. Aim and methods: To describe the in-hospital experience of stroke patients with intracardiac thrombi. A retrospective 1 center study was carried out. Demographic, clinical, stroke, echocardiographic, and outcome data of stroke patients with intracardiac thrombi were extracted. Results: From 2018 to 2019, 530 stroke patients were admitted. Nine (1.7%) had intracardiac thrombi, 100% males with mean age 63.3 years. There were a high prevalence of cardiovascular risk factors, with anterior circulation stroke in 8 (88%) and large vessel occlusion in 8 (88%). Most had major echocardiographic findings and 8 (88%) had a discharge outcome Rankin scale score > 3. Conclusion: Intracardiac thrombus is not an uncommon cause of stroke. Cardiac ultrasound is a sensitive diagnostic method and should be sought in older patients with high prevalence of cardiovascular risk factors and history of cardiac disease. Resumen: Introducción: Los cardioembolismos son la causa de entre el 20% y el 40% de los ictus isquémicos. Hasta un 22% de los ictus cardioembólicos están relacionados con trombos intracardíacos y afectan a pacientes con una elevada carga de comorbilidad cardíaca.Objetivo y métodos: Describir la experiencia intrahospitalaria en pacientes con ictus y trombosis intracardíaca. Para ello, realizamos un estudio unicéntrico retrospectivo en el que recogimos datos demográficos, clínicos y ecocardiográficos y los resultados de pacientes con ictus y trombosis intracardíaca. Resultados: Entre los años 2018 y 2019, ingresaron 530 pacientes con ictus en nuestro centro. Nueve (1,7%) presentaban trombos intracardíacos, siendo todos ellos hombres con una edad media de 63,3 años. Observamos una elevada prevalencia de factores de riesgo cardiovascular, en concreto infarto de circulación posterior en 8 (88%) y oclusión de gran vaso en otros 8 (88%). La mayoría presentó hallazgos ecocardiográficos relevantes y 8 de ellos obtuvieron una puntuación superior a 3 en la escala de Rankin al alta. Conclusión: La trombosis intracardíaca no es una causa infrecuente de ictus. La ecografía cardíaca es un método diagnóstico sensible que debe realizarse en pacientes de mayor edad con una elevada prevalencia de factores de riesgo cardiovascular y antecedentes de patología cardíaca.http://www.sciencedirect.com/science/article/pii/S2667049622000540Trombo intracardiacoictuscardioembolismo |
| spellingShingle | C. Romero J. Achury M. Ortiz-Pereira Stroke and intracardiac thrombus: A case series Neurology Perspectives Trombo intracardiaco ictus cardioembolismo |
| title | Stroke and intracardiac thrombus: A case series |
| title_full | Stroke and intracardiac thrombus: A case series |
| title_fullStr | Stroke and intracardiac thrombus: A case series |
| title_full_unstemmed | Stroke and intracardiac thrombus: A case series |
| title_short | Stroke and intracardiac thrombus: A case series |
| title_sort | stroke and intracardiac thrombus a case series |
| topic | Trombo intracardiaco ictus cardioembolismo |
| url | http://www.sciencedirect.com/science/article/pii/S2667049622000540 |
| work_keys_str_mv | AT cromero strokeandintracardiacthrombusacaseseries AT jachury strokeandintracardiacthrombusacaseseries AT mortizpereira strokeandintracardiacthrombusacaseseries |