Abstract: Poster Presentations |


Harshad Amin, MD*; Wilbert S. Aronow, MD; Paul Lleva, MD; John A. McClung, MD; Harit Desai, MD; Kaushang Gandhi, MD; Stephen Marks, MD; Brij Singh, MD
Author and Funding Information

New York Medical College, Valhalla, NY


Chest. 2009;136(4_MeetingAbstracts):105S. doi:10.1378/chest.136.4_MeetingAbstracts.105S-a
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PURPOSE:  To investigate the prevalence of transthoracic echocardiographic abnormalities in patients with ischemic stroke (IS), subarachnoid hemorrhage SAH), and intracerebral hemorrhage (ICH) in sinus rhythm.

METHODS:  The patients included 120 with IS, 30 with SAH, and 41 with ICH. All diagnoses were confirmed by magnetic resonance imaging or brain computed tomography. Two-dimensional echocardiograms were taken at the time stroke was diagnosed. All echocardiograms were interpreted by an experienced echocardiographer.

RESULTS:  Of 120 IS patients,1 (1%) had a left ventricular (LV) thrombus, 1 (1%) had mitral valve vegetations, 30 (25%) had LV hypertrophy, 26 (22%) had abnormal LV ejection fraction, 4 (3%) had mitral valve prolapse, 33 (28%) had mitral annular calcium (MAC), 40 (33%) had aortic valve calcium (AVC), 3 (3%) had a bioprosthetic aortic valve, 10 (8%) had aortic stenosis (AS), 6 (5%) had atrial septal aneurysm, 2 (2%) had patent foramen ovale, and 40 (33%) had no abnormalities. Of 30 SAH patients, 5 (17%) had LV hypertrophy, 1 (3%) had abnormal LV ejection fraction, 1 (3%) had AS, 4 (13%) had MAC, 5 (17%) had AVC, and 20 (67%) had no abnormalities. Of 41 ICH patients, 9 (22%) had LVH, 1 (2%) had abnormal LV ejection fraction, 1 (3%) had AS, 6 (15%) had MAC, 8 (20%) had AVC, and 22 (54%) had no abnormalities.

CONCLUSION:  Transthoracic echocardiographic abnormalities are more prevalent in patients with IS than in patients with SAH or ICH.

CLINICAL IMPLICATIONS:  Transthoracic echocardiographic abnormalities are present in 67% of patients with IS, in 33% of patients with SAH, and in 46% of patients with ICH.

DISCLOSURE:  Harshad Amin, No Financial Disclosure Information; No Product/Research Disclosure Information

Wednesday, November 4, 2009

12:45 PM - 2:00 PM




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