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Stroke and intracardiac thrombus: A case series

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dc.contributor.advisorRomero, Camilo
dc.creatorOrtiz Pereira, Mónica Juliana
dc.creatorRomero, Camilo
dc.creator.degreeEspecialista en Neurología
dc.creator.degreeLevelMaestría
dc.date.accessioned2025-07-28T21:01:16Z
dc.date.available2025-07-28T21:01:16Z
dc.date.created2022-09-22
dc.descriptionIntroducción: 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 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.
dc.description.abstractIntroduction: 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.
dc.format.extent5 pp
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dc.identifier.doihttps://doi.org/10.1016/j.neurop.2022.08.002
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/46161
dc.language.isoeng
dc.publisherUniversidad del Rosario
dc.publisher.departmentEscuela de Medicina y Ciencias de la Salud
dc.publisher.programEspecialización en Neurología
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dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectTrombo intracardiaco
dc.subjectIctus
dc.subjectCardioembolismo
dc.subjectIctus isquémicos
dc.subjectIctus cardioembólicos
dc.subject.keywordIntracardiac thrombi
dc.subject.keywordStroke
dc.subject.keywordCardioembolism
dc.subject.keywordIschemic strokes
dc.subject.keywordCardioembolic strokes
dc.titleStroke and intracardiac thrombus: A case series
dc.title.TranslatedTitleACV y trombointracardiaco: serie de casos
dc.typemasterThesis
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaAnálisis de caso
local.department.reportEscuela de Medicina y Ciencias de la Salud
local.regionesBogotá
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