Detection of Right to Left Shunting Through a Patent Foramen Ovale in Japanese Patients with Ischemic Stroke by Transesophageal Echocardiography Using a Standardized Valsalva Maneuver
スポンサーリンク
概要
- 論文の詳細を見る
We attempted to clarify the usefulness of transesophageal echocardiography performed using a standardized Valsalva maneuver to detect the presence of a patent foramen ovale in Japanese patients with ischemic stroke. Four hundred ninety six patients with ischemic stroke who were admitted to the Yokohama City Brain and Stroke Center between September 1999 and February 2002 were enrolled for the study. All the enrolled patients underwent transesophageal echocardiography with contrast injection and color Doppler imaging. During the procedure, a standardized Valsalva maneuver was performed to induce right to left shunting through a patent foramen ovale. Other related structural abnormalities, such as atrial septal aneurysm and the Chiari network anomaly, were also detected by the test. Transesophageal echocardiography without the Valsalva maneuver revealed a functional right to left communication in only 8.2% of the ischemic stroke patients, whereas the procedure conducted using a standardized Valsalva maneuver to provoke shunting revealed a patent foramen ovale in 15.3% of the patients. The presence of an atrial septal aneurysm or the Chiari network anomaly was not sensitive or specific enough to predict the presence of a patent foramen ovale as diagnosed by transesophageal echocardiography using the standardized Valsalva maneuver. Our results suggest that the standardized Valsalva maneuver is a safe and useful technique to detect the presence of a patent foramen ovale, which is potentially known to be associated with paradoxical embolism.
- 東海大学の論文
著者
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Murato Y
Division Of Cardiology Department Of Medicine And Clinical Science Yamaguchi University Graduate Sch
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Handa Shunnosuke
Department Of Cardiology Tokai University School Of Medicine
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Murata Yoshiharu
Division Of Cardiology Department Of Medicine And Clinical Science Yamaguchi University Graduate Sch
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Yamamoto Mitsuru
名古屋大学環境医学研究所 循環器学
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Yamamoto M
Department Of Cardiology Mitsubishi-nagoya Hospital
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Aikawa Minoru
Division Of Cardiology Tokai University School Of Medicine
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Amino Mari
Department Of Cardiology Tokai University School Of Medicine
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Homma Yasuhiko
東海大学 内科
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Yamazaki Masatoshi
Division Of Cardiology Department Of Medicine And Clinical Science Yamaguchi University Graduate Sch
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Yamazaki Masatoshi
名古屋大学環境医学研究所 循環器学
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TANABE Teruhisa
Division of Cardiology, Tokai University School of Medicine
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Abe Sumihisa
Yokohama City Brain And Stroke Center
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Abe Sumihisa
Cardiopulmonary Division Department Of Medicine Keio University School Of Medicine
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Murata Yoshiharu
Department Of Civil Engineering College Of Engineering Nihon University
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Murata Y
Department Of Teratology And Genetics Research Institute Of Environmental Medicine Nagoya University
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Yoshida Minako
Yokohama City Brain And Stroke Center
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Tanabe Teruhisa
Tokai University School of Medicine
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Murata Yoshiharu
Departments Of Genetics Research Institute Of Environmental Medicine Nagoya University
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Oguma Toshiaki
Yokohama City Cerebrovascular Center, Yokohama, Japan
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Yamamoto Masahiro
Yokohama City Cerebrovascular Center, Yokohama, Japan
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Goto Shinya
Department Of Medicine (cardiology) Center For Metabolic Disease Research Bioresearch Center Tokai U
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GOTO Shinya
Tokai University School of Medicine
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AIKAWA Minoru
Tokai University School of Medicine
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NAKAJIMA Toru
Tokai University School of Medicine
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KUMAGAI Asako
Tokai University School of Medicine
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HOSHIBA Yasunari
Tokai University School of Medicine
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HANDA Shunnosuke
Tokai University School of Medicine
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Handa Shunnosuke
Department Of Cardiology School Of Medicine Tokai University
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Goto Shinya
Department Of Medicine Tokai University Hospital
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Yamazaki Masatoshi
Division Of Cardiology Shizuoka Saiseikai General Hospital
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Homma Yasuhiko
Health Evaluation And Promotion Center Tokai University Hospital
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HANDA Shunnosuke
Health Evaluation and Promotion Center Tokai University Hospital
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Oguma Toshiaki
Department Of Cardiology Tokai University School Of Medicine
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Honma Yasuhiko
Health Evaluation And Promotion Center Tokai University Hospital
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Murata Y
Nagoya Univ. Nagoya‐shi
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Handa Shunnosuke
First Department Of Internal Medicine Tokai University
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Goto Shinya
Division Of Cardiology Tokai University School Of Medicine
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Goto Shinya
Department Of Cardiology Tokai University School Of Medicine
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Homma Y
Health Evaluation And Promotion Center Tokai University Hospital
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Abe Sumihisa
Cardiopulmonary Division. Department Of Internal Medicine Keio University
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Handa Shunnosuke
Department Of Internal Medicine School Of Medicine Keio University
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Oguma Toshiaki
Yokohama City Brain And Stroke Center
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Tanabe Teruhisa
Department Of Medicine Tokai University Hospital
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Yamazaki Masatoshi
Division Of Cardiology Department Of Medicine And Clinical Science Yamaguchi University Graduate Sch
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Tanabe Teruhisa
Department Of Internal Medicine
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Hanada Shunnosuke
Department Of Internal Medicine School Of Medicine Keio University
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Handa Shunnosuke
Department Of Medicine Tokai University Hospital
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Yamamoto Masahiro
Yokohama City Cerebrovascular Center Yokohama Japan
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Abe Sumihisa
Cardiopulmonary Division Department Of Medicine Keio University
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Yamamoto Masahiro
Yokohama City Brain And Stroke Center
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Goto Shinya
Department Of Cardiology Tokai University
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Handa Shun-nosuke
Department Of Internal Medicine School Of Medicine Keio University
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