Heighten Science Publications Inc.

Antithrombotic Therapy in Stroke Patients

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by

Vishnu
in

Introduction:
Ischemic stroke remains a leading cause of morbidity and mortality worldwide, with cardioembolic strokes accounting for a significant portion of cases. Transesophageal echocardiography (TEE) plays a crucial role in detecting cardiac sources of embolism, guiding effective secondary stroke prevention. A recent study explores the impact of TEE findings on the readjustment of antithrombotic therapy in stroke patients. Visit https://www.cardiologymedjournal.com/jccm for more pioneering research on stroke management.

Key Findings of the Study:

  • The study enrolled 143 stroke patients who underwent TEE to evaluate potential cardioembolic or cryptogenic stroke sources.
  • Frequent Pathological Findings:
    • Left atrial thrombus: 2.1%
    • Patent foramen ovale (PFO): 18.9%
    • Atrial septum aneurysm: 11.9%
    • Thrombogenic aortic arch: 20.3%
  • Impact on Antithrombotic Therapy:
    • Antiplatelet therapy increased from 30.1% to 80.4%.
    • Oral anticoagulation therapy increased from 2.8% to 27.3%.
  • TEE significantly contributed to clinical decision-making in secondary stroke prevention.

The Importance of TEE in Stroke Management
TEE is considered the gold standard for detecting cardiac thrombi and PFOs, particularly in cases of embolic strokes of undetermined sources. The American Heart Association (AHA) emphasizes the importance of comprehensive cardiovascular evaluations, including TEE, in patients with ischemic stroke.

Full Study Access
Read the full study at https://doi.org/10.29328/journal.jccm.1001072.

Further Reading and Resources

Conclusion and Call-to-Action:
The findings emphasize the need for routine TEE evaluations in suspected cardioembolic stroke cases to optimize patient outcomes. Implementing precise diagnostic measures can significantly enhance secondary prevention strategies.

Explore more studies at https://www.cardiologymedjournal.com/jccm and share your thoughts in the comments below!

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