Abstract:
BACKGROUND AND PURPOSE:Ischaemic stroke frequently has a cardioembolic (CE) source. Clinical and echocardiographic parameters associated with CE stroke were evaluated. METHODS:In all, 93 consecutive ischaemic stroke patients who underwent a transthoracic echocardiogram were retrospectively analysed; strokes were classified by TOAST (Trial of Org 10172 in Acute Stroke Treatment) criteria. Echocardiographic parameters related to CE stroke, including left atrial volumes and function, were compared to 73 healthy controls. RESULTS:Of 93 patients (mean age 66.1 years, 56% male), nine (10%) had large artery atherosclerosis, 38 (41%) CE stroke, two (2%) small vessel disease, two (2%) other and 42 (45%) undetermined aetiology. Left atrial (LA) maximum volumes (LAVImax ) and minimum volumes (LAVImin ) were larger in the CE group than the non-CE group (45 vs. 32 ml/m2 , 32 vs. 13 ml/m2 , respectively, P < 0.001), whilst LA function indices including LA emptying fraction and LA function index (LAFI) were lower in the CE group (34% vs. 55%, and 0.12 vs. 0.35, respectively, P < 0.001). Adjusting for clinical characteristics, LAFI ≤0.3 was an independent predictor of CE stroke (adjusted odds ratio 5.3, P = 0.001). Additionally, LAVImax and LAVImin were larger (61 vs. 44 and 32 vs. 24 ml/m2 respectively, P < 0.01) and LAFI significantly lower (0.34 vs. 0.52, P < 0.001) in the undetermined aetiology group versus healthy controls. CONCLUSIONS:Left atrial enlargement with reduced LA function was associated with CE stroke and LAFI was the best independent predictor. LA parameters were also altered in the undetermined aetiology group, suggesting an underlying LA myopathy in this subset.
journal_name
Eur J Neuroljournal_title
European journal of neurologyauthors
Ferkh A,Brown P,O'Keefe E,Zada M,Duggins A,Thiagalingam A,Altman M,Boyd A,Byth K,Kizana E,Denniss AR,Thomas Ldoi
10.1111/ene.13981subject
Has Abstractpub_date
2019-10-01 00:00:00pages
1310-1317issue
10eissn
1351-5101issn
1468-1331journal_volume
26pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:The expanded repeat length in ATXN1 negatively correlates with age at onset (AAO) of spinocerebellar ataxia type 1 (SCA1) but can explain only part of it, indicating that other factors affect AAO. Some studies have explored the influence of non-causative CAG repeats on the AAO of SCA patients. Ho...
journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1111/ene.13954
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There is an urgent need for early predictive markers for the course of disease in prodromal α-synucleinopathies such as idiopathic rapid eye movement (REM) sleep behaviour disorder. Autonomic cardiac/vascular dysfunction is a prominent feature in advanced α-synucleinopathies, but its diagnostic v...
journal_title:European journal of neurology
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journal_title:European journal of neurology
pub_type: 杂志文章
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journal_title:European journal of neurology
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doi:10.1111/ene.14188
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journal_title:European journal of neurology
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1111/ene.12613
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journal_title:European journal of neurology
pub_type: 杂志文章,评审
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journal_title:European journal of neurology
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doi:10.1111/ene.14009
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1046/j.1468-1331.2000.00068.x
更新日期:2000-05-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2015-06-01 00:00:00
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journal_title:European journal of neurology
pub_type: 杂志文章,评审
doi:10.1111/ene.12022
更新日期:2013-01-01 00:00:00
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1046/j.1468-1331.1999.660711.x
更新日期:1999-11-01 00:00:00
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journal_title:European journal of neurology
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1111/j.1468-1331.2008.02200.x
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pub_type: 临床试验,杂志文章
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更新日期:2008-04-01 00:00:00
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1111/j.1468-1331.2008.02503.x
更新日期:2009-04-01 00:00:00
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doi:10.1111/j.1468-1331.2006.01463.x
更新日期:2006-12-01 00:00:00
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journal_title:European journal of neurology
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2019-05-01 00:00:00
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1111/j.1468-1331.2007.01861.x
更新日期:2007-07-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2016-02-01 00:00:00
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journal_title:European journal of neurology
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更新日期:2018-02-01 00:00:00