TY - JOUR
T1 - Screening of Embolic Sources by Point-of-Care Ultrasound in the Acute Phase of Ischemic Stroke
AU - Juega, Jesús
AU - Pagola, Jorge
AU - Gonzalez-Alujas, Teresa
AU - Rodriguez-Luna, David
AU - Rubiera, Marta
AU - Rodriguez-Villatoro, Noelia
AU - García-Tornel, Álvaro
AU - Requena, Manuel
AU - Deck, Matias
AU - Seró, Laia
AU - Boned, Sandra
AU - Ribo, Marc
AU - Muchada, Marian
AU - Olivé, Marta
AU - Sanjuan, Estela
AU - Carvajal, Jaime
AU - Álvarez-Sabin, José
AU - Evangelista, Arturo
AU - Molina, Carlos
N1 - Funding Information:
This work was supported by the Research Fund of the Spanish Society of Neurology (SEN) through the Spanish Society of Neurosonology (SONES). The authors declare no competing interests.
Funding Information:
This work was supported by the Research Fund of the Spanish Society of Neurology (SEN) through the Spanish Society of Neurosonology (SONES).
Publisher Copyright:
© 2020 World Federation for Ultrasound in Medicine & Biology
PY - 2020/9
Y1 - 2020/9
N2 - Our objective was to evaluate hand-held echocardiography as point of care ultrasound scanning (POCUS) to detect sources of embolism in the acute phase of stroke. Prospective, unicentric observational cohort study of non-lacunar ischemic stroke patients evaluated by V Scan device. The main sources of embolism (MSEs) were classified into embolic valvulopathies and severe ventricular dysfunction. We looked for atrial fibrillation (AF) predictors in strokes of undetermined etiology. MSEs were detected in 19.23% (25/130). Large vessel occlusion (LVO) (odds ratio [OR]: 4.24, 95% confidence interval [CI]: 1.01–17.85) and chronic heart failure (OR: 13.25, 95% CI: 3.54–49.50) were independent predictors of MSEs. LVO (OR: 6.54, 95% CI: 1.62–26.27) and left atrial area >20 cm2 (OR: 7.01, 95% CI: 1.75–28.09) independently predicted AF. Patients with LVO and chronic heart disease may benefit from hand-held echocardiography as part of POCUS in the acute phase of ischemic stroke. Left atrial area measured was an independent predictor of AF in strokes of undetermined etiology.
AB - Our objective was to evaluate hand-held echocardiography as point of care ultrasound scanning (POCUS) to detect sources of embolism in the acute phase of stroke. Prospective, unicentric observational cohort study of non-lacunar ischemic stroke patients evaluated by V Scan device. The main sources of embolism (MSEs) were classified into embolic valvulopathies and severe ventricular dysfunction. We looked for atrial fibrillation (AF) predictors in strokes of undetermined etiology. MSEs were detected in 19.23% (25/130). Large vessel occlusion (LVO) (odds ratio [OR]: 4.24, 95% confidence interval [CI]: 1.01–17.85) and chronic heart failure (OR: 13.25, 95% CI: 3.54–49.50) were independent predictors of MSEs. LVO (OR: 6.54, 95% CI: 1.62–26.27) and left atrial area >20 cm2 (OR: 7.01, 95% CI: 1.75–28.09) independently predicted AF. Patients with LVO and chronic heart disease may benefit from hand-held echocardiography as part of POCUS in the acute phase of ischemic stroke. Left atrial area measured was an independent predictor of AF in strokes of undetermined etiology.
KW - Acute stroke
KW - Diagnosis
KW - Echocardiography
KW - Intracranial embolism
KW - Secondary prevention
KW - Ultrasound
UR - https://www.scopus.com/pages/publications/85086173856
U2 - 10.1016/j.ultrasmedbio.2020.05.009
DO - 10.1016/j.ultrasmedbio.2020.05.009
M3 - Article
C2 - 32532655
AN - SCOPUS:85086173856
SN - 0301-5629
VL - 46
SP - 2173
EP - 2180
JO - Ultrasound in Medicine and Biology
JF - Ultrasound in Medicine and Biology
IS - 9
ER -