Echocardiography in diagnostic assessment of stroke

P. Greenland, D. S. Knopman, F. L. Mikell, R. W. Asinger, D. C. Anderson, David Good

Research output: Contribution to journalArticle

95 Citations (Scopus)

Abstract

We assessed the use of echocardiography in the evaluation of stroke by recording M-mode and two-dimensional (2D) echocardiograms in 100 consecutive hospitalized patients. Of the 95 persons satisfactorily imaged with 2D echocardiography, 47 lacked clinical and routine laboratory evidence of heart disease; no potential embolic source or other findings that altered therapy was diagnosed by echocardiography. In the remaining 48 patients with clinical or routine laboratory evidence of heart disease, two with left ventricular thrombus as a potential embolic source were identified by 2D echocardiography. M-mode echocardiograms failed to detect the thrombus in either patient. No patients with left atrial thrombi, mitral stenosis, cardiac tumor, or vegetations suggesting endocarditis were identified. One patient had possible mitral valve prolapse. Echocardiograms in patients lacking other available evidence of heart disease are unlikely to yield findings that alter the clinical approach to patients with stroke; echocardiography in secretions patients with clinically evident heart disease may have greater clinical utility; additional study of the role of echocardiography in selected subgroups of stroke patients is indicated.

Original languageEnglish (US)
Pages (from-to)51-53
Number of pages3
JournalUnknown Journal
Volume95
Issue number1
DOIs
StatePublished - Jan 1 1981

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Echocardiography
Stroke
Heart Diseases
Thrombosis
Mitral Valve Prolapse
Heart Neoplasms
Mitral Valve Stenosis
Endocarditis

All Science Journal Classification (ASJC) codes

  • Internal Medicine

Cite this

Greenland, P., Knopman, D. S., Mikell, F. L., Asinger, R. W., Anderson, D. C., & Good, D. (1981). Echocardiography in diagnostic assessment of stroke. Unknown Journal, 95(1), 51-53. https://doi.org/10.7326/0003-4819-95-1-51
Greenland, P. ; Knopman, D. S. ; Mikell, F. L. ; Asinger, R. W. ; Anderson, D. C. ; Good, David. / Echocardiography in diagnostic assessment of stroke. In: Unknown Journal. 1981 ; Vol. 95, No. 1. pp. 51-53.
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Greenland, P, Knopman, DS, Mikell, FL, Asinger, RW, Anderson, DC & Good, D 1981, 'Echocardiography in diagnostic assessment of stroke', Unknown Journal, vol. 95, no. 1, pp. 51-53. https://doi.org/10.7326/0003-4819-95-1-51

Echocardiography in diagnostic assessment of stroke. / Greenland, P.; Knopman, D. S.; Mikell, F. L.; Asinger, R. W.; Anderson, D. C.; Good, David.

In: Unknown Journal, Vol. 95, No. 1, 01.01.1981, p. 51-53.

Research output: Contribution to journalArticle

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Greenland P, Knopman DS, Mikell FL, Asinger RW, Anderson DC, Good D. Echocardiography in diagnostic assessment of stroke. Unknown Journal. 1981 Jan 1;95(1):51-53. https://doi.org/10.7326/0003-4819-95-1-51