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Stroke and intracardiac thrombus: A case series

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dc.creatorOrtíz Pereira, Mónica
dc.creatorRomero, C.
dc.creatorAchury, J.
dc.creator.degreeEspecialista en Neurología
dc.creator.degreeLevelMaestría
dc.date.accessioned2025-07-14T14:26:37Z
dc.date.available2025-07-14T14:26:37Z
dc.date.created2022-08-04
dc.date.issued2022-09-16
dc.descriptionIntroduction: 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.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/10336/45863
dc.language.isospa
dc.publisherUniversidad del Rosario
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S2667049622000540?via%3Dihub
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dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectTrombo intracardiáco
dc.subjectictus
dc.subjectCardioembolismo
dc.subjectTrombosis intracardíaca
dc.subject.keywordIntracardiac thrombi
dc.subject.keywordStroke
dc.subject.keywordCardioembolism
dc.titleStroke and intracardiac thrombus: A case series
dc.typemasterThesis
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaDescriptivo observacional retrospectivo
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