Relationship of spontaneous microembolic signals to risk stratification, recurrence, severity, and mortality of ischemic stroke: a prospective study

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Autor(es): dc.contributorUniversidade Estadual Paulista (Unesp)-
Autor(es): dc.contributorUFTM–Univ Federal do Triângulo Mineiro-
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.creatorBazan, Rodrigo [UNESP]-
Autor(es): dc.creatorLuvizutto, Gustavo José-
Autor(es): dc.creatorBraga, Gabriel Pereira [UNESP]-
Autor(es): dc.creatorBazan, Silméia Garcia Zanati [UNESP]-
Autor(es): dc.creatorHueb, João Carlos [UNESP]-
Autor(es): dc.creatorde Freitas, Carlos Clayton Macedo [UNESP]-
Autor(es): dc.creatorHamamoto Filho, Pedro Tadao [UNESP]-
Autor(es): dc.creatorMódolo, Gabriel Pinheiro [UNESP]-
Autor(es): dc.creatorTrindade, André Petean [UNESP]-
Autor(es): dc.creatorSobreira, Marcone Lima [UNESP]-
Autor(es): dc.creatorNunes, Hélio Rubens de Carvalho [UNESP]-
Autor(es): dc.creatorLeite, João Pereira-
Autor(es): dc.creatorPontes-Neto, Octávio Marques-
Data de aceite: dc.date.accessioned2022-02-22T00:29:17Z-
Data de disponibilização: dc.date.available2022-02-22T00:29:17Z-
Data de envio: dc.date.issued2020-12-11-
Data de envio: dc.date.issued2020-12-11-
Data de envio: dc.date.issued2020-11-30-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1186/s13089-020-0156-1-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/200068-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/200068-
Descrição: dc.descriptionIntroduction: The presence of microembolic signals (MES) during the acute phase of stroke is poorly understood, and its role and clinical application in relation to risk stratification and prognosis in patients remain uncertain. We assessed the prevalence of spontaneous MES in acute stroke and their relationship with risk stratification, stroke recurrence, morbidity, and mortality. Patients and methods: This was a prospective cohort study conducted in the Stroke Unit. The MES presence was evaluated by transcranial Doppler (TCD) in patients with ischemic stroke within 48 h. The outcomes (risk stratification, morbidity, mortality, and recurrence of a stroke) were followed up for 6 months. The relationship between risk stratification and MES was obtained by odds ratios and that between MES and stroke recurrence, morbidity, and mortality using multiple logistic regression; considering statistical significance at P < 0.05. Results: Of the 111 patients studied, 70 were men (63.1%) and 90 were white (81.1%), with a median age of 68 years. The MES frequency was 7%. There was a significant relationship between MES and symptomatic carotid disease (OR = 22.7; 95% CI 4.1–125.7; P < 0.001), a shorter time to monitoring (OR = 12.4; 95% CI 1.4–105.4; P = 0.02), and stroke recurrence (OR = 16.83; 95% CI 2.01–141; P =.009). Discussion: It was observed that the stroke recurrence adjusted for prior stroke was higher and earlier among patients with MES detection. In conclusion, MES demonstrated a significant correlation with symptomatic carotid disease and a shorter DELAY until monitoring, and could be a predictor for the early recurrence of stroke in the long term.-
Descrição: dc.descriptionDepartment of Neurology Psychology and Psychiatry Botucatu Medical School UNESP–Univ Estadual Paulista, Campus de Botucatu, Distrito de Rubião Jr, s/n-
Descrição: dc.descriptionDepartment of Applied Physical Therapy Institute of Health Sciences UFTM–Univ Federal do Triângulo Mineiro-
Descrição: dc.descriptionDepartment of Internal Medicine Botucatu Medical School UNESP–Univ Estadual Paulista-
Descrição: dc.descriptionDepartment of Tropical Diseases and Imaging Diagnosis Botucatu Medical School UNESP–Univ Estadual Paulista-
Descrição: dc.descriptionDepartment of Surgery and Orthopedics Botucatu Medical School UNESP–Univ Estadual Paulista-
Descrição: dc.descriptionDepartment of Neuroscience and Behavior Ribeirão Preto School of Medicine USP–Univ São Paulo-
Descrição: dc.descriptionDepartment of Neurology Psychology and Psychiatry Botucatu Medical School UNESP–Univ Estadual Paulista, Campus de Botucatu, Distrito de Rubião Jr, s/n-
Descrição: dc.descriptionDepartment of Internal Medicine Botucatu Medical School UNESP–Univ Estadual Paulista-
Descrição: dc.descriptionDepartment of Tropical Diseases and Imaging Diagnosis Botucatu Medical School UNESP–Univ Estadual Paulista-
Descrição: dc.descriptionDepartment of Surgery and Orthopedics Botucatu Medical School UNESP–Univ Estadual Paulista-
Idioma: dc.languageen-
Relação: dc.relationUltrasound Journal-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectBrain embolism-
Palavras-chave: dc.subjectPrognosis-
Palavras-chave: dc.subjectRisk factors-
Palavras-chave: dc.subjectStroke-
Palavras-chave: dc.subjectTranscranial Doppler ultrasonography-
Título: dc.titleRelationship of spontaneous microembolic signals to risk stratification, recurrence, severity, and mortality of ischemic stroke: a prospective study-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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