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Rising Cardiac Troponin: A Prognostic Biomarker for Mortality After Acute Ischemic Stroke

Journal of the American Heart Association

BackgroundElevated cardiac troponin (cTn) is detected in 10% to 30% of patients with acute ischemic stroke (AIS) and correlates with poor functional outcomes. Twenty‐two percent of patients with a rising pattern had an isolated dynamic cTn in the absence of any ECG or echocardiogram changes, compared with 53% with falling cTn.

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Abstract 4142210: Stroke Risk in Patients with Cardioversion of Newly Diagnosed Persistent Atrial Fibrillation with and without Transesophageal Echocardiogram for Left Atrial and Left Atrial Appendage Thrombus Assessment

Circulation

The importance of transesophageal echocardiogram (TEE) to exclude left atrial (LA) and left atrial appendage (LAA) thrombus prior to cardioversion for atrial fibrillation (AF) has been debated in patients who are anticoagulated prior to cardioversion. Primary outcomes measured were the incidence of stroke within one-year post-cardioversion.

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Cryptogenic Stroke

Dr. Sanjay Gupta

Today’s video is on the subject of stroke and in particular cryptogenic strokes. It is therefore crucial to identify the cause of stroke and treat the underlying cause wherever possible. Strokes are characterised by death of brain cells as a result of disruption of blood supply to those cells.

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Abstract TMP39: Paucity of Evidence-Based Patent Foramen Ovale Severity Ratings in Transesophageal Echocardiogram Clinical Reports

Stroke Journal

Stroke, Volume 55, Issue Suppl_1 , Page ATMP39-ATMP39, February 1, 2024. Patient management would be aided by inclusion of formal PFO shunt size quantification in all clinical stroke patient TEE reports. Results:Among the 50 patients, median age was 64 (IQR 58-74.5), and 20 (40%) were female.

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A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?

Dr. Smith's ECG Blog

A 90-something year old woman presented with an acute mild stroke. The diagnosis was a bit hard to find in the chart, and the echocardiogram did only stated "assymetric hypertrophy." She had a routine ECG as part of her workup: What do you think? This was shown to me in real time. But the patient had no symptoms.

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AI May Help Physicians Detect Abnormal Heart Rhythms Earlier

DAIC

The study’s findings, published in npj Digital Medicine , suggest AI could one day be employed to analyze images from a common imaging test called an echocardiogram, which uses sound waves to capture pictures of the heart. Left untreated, atrial fibrillation can cause stroke and heart failure. An estimated 12.1

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Abstract 4123899: Stroke Risk in Patients with an Isolated Interventricular Membranous Septal Aneurysm

Circulation

Aim:This study investigates the prevalence of isolated interventricular membranous septal (IVMS) aneurysms detected via echocardiography and assesses the associated stroke risk without other classical risk factors.Methods:We searched the echocardiography database at Mount Sinai Morningside from January 2017 to September 2023.