老年中风患者的卵圆孔未闭

Patent foramina ovale in elderly stroke patients.

作者信息

Vella M A, Sulke A N, Rodrigues C A, McNabb W R, Lewis R R

机构信息

Department of Geriatrics and General Medicine, Guy's Hospital, London, UK.

出版信息

Postgrad Med J. 1991 Aug;67(790):745-6. doi: 10.1136/pgmj.67.790.745.

DOI:10.1136/pgmj.67.790.745

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2399051/

Abstract

Fifty elderly patients who had suffered cerebrovascular incidents from no obvious cause and 33 age-matched controls were investigated for the presence of a patent foramen ovale by contrast 2-dimensional echocardiography at rest and after the Valsalva manoeuvre. Right-to-left shunting was found in only one patient and in none of the controls. This finding is in contradistinction to young adult stroke patients in whom the prevalence of a haemodynamically significant patent foramina ovale is high. Paradoxical embolism is an uncommon cause of stroke in the elderly.

摘要

对50例无明显病因发生脑血管事件的老年患者和33例年龄匹配的对照者，通过静息状态及Valsalva动作后的对比二维超声心动图检查卵圆孔未闭情况。仅1例患者发现有右向左分流，而对照组均未发现。这一发现与年轻成年卒中患者不同，后者血流动力学上有意义的卵圆孔未闭患病率很高。反常栓塞在老年人卒中中是一种不常见的病因。

相似文献

1

Patent foramina ovale in elderly stroke patients.老年中风患者的卵圆孔未闭

Postgrad Med J. 1991 Aug;67(790):745-6. doi: 10.1136/pgmj.67.790.745.

2

Patent foramen ovale in young stroke patients.

Lancet. 1988 Jul 2;2(8601):11-2. doi: 10.1016/s0140-6736(88)92944-3.

3

Patent foramen ovale: is stroke due to paradoxical embolism?卵圆孔未闭：中风是由反常栓塞引起的吗？

Stroke. 1993 Jan;24(1):31-4. doi: 10.1161/01.str.24.1.31.

4

Identification of patent foramen ovale permitting paradoxic embolism.卵圆孔未闭导致反常栓塞的识别。

J Am Coll Cardiol. 1995 Oct;26(4):1030-8. doi: 10.1016/0735-1097(95)00288-9.

5

Relation between patent foramen ovale and unexplained stroke.

Am J Cardiol. 1993 Mar 1;71(7):596-8. doi: 10.1016/0002-9149(93)90518-h.

6

Prevalence of patent foramen ovale in patients with stroke.中风患者卵圆孔未闭的患病率。

N Engl J Med. 1988 May 5;318(18):1148-52. doi: 10.1056/NEJM198805053181802.

7

Transcatheter closure of patent foramen ovale after presumed paradoxical embolism.

Circulation. 1992 Dec;86(6):1902-8. doi: 10.1161/01.cir.86.6.1902.

8

Characteristics of patent foramen ovale associated with cryptogenic stroke. A biplane transesophageal echocardiographic study.与不明原因卒中相关的卵圆孔未闭的特征。一项双平面经食管超声心动图研究。

Stroke. 1994 Mar;25(3):582-6. doi: 10.1161/01.str.25.3.582.

9

Significance of atrial septal aneurysm: report of a case.房间隔瘤的意义：一例报告。

J Clin Anesth. 1996 Nov;8(7):595-7. doi: 10.1016/s0952-8180(96)00130-4.

10

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.通过经食管超声心动图使用标准化瓦尔萨尔瓦动作检测日本缺血性脑卒中患者卵圆孔未闭引起的右向左分流。

Tokai J Exp Clin Med. 2005 Dec;30(4):211-6.

引用本文的文献

1

Patent foramen ovale in cryptogenic stroke: incidental or pathogenic?隐源性卒中中的卵圆孔未闭：是偶然现象还是致病因素？

Stroke. 2009 Jul;40(7):2349-55. doi: 10.1161/STROKEAHA.109.547828. Epub 2009 May 14.

2

Transcranial Doppler ultrasonography in the detection of venous to arterial shunting in acute stroke and transient ischaemic attacks.经颅多普勒超声检查在急性卒中及短暂性脑缺血发作中检测静脉至动脉分流的应用

J Neurol Neurosurg Psychiatry. 1996 Nov;61(5):445-9. doi: 10.1136/jnnp.61.5.445.

3

Patent foramina ovale in elderly stroke patients.老年卒中患者的卵圆孔未闭

Postgrad Med J. 1991 Dec;67(794):1083. doi: 10.1136/pgmj.67.794.1083.

本文引用的文献

1

Incidence and size of patent foramen ovale during the first 10 decades of life: an autopsy study of 965 normal hearts.出生后第一个十年间卵圆孔未闭的发生率及大小：965例正常心脏的尸检研究

Mayo Clin Proc. 1984 Jan;59(1):17-20. doi: 10.1016/s0025-6196(12)60336-x.

2

Paradoxical embolism. Diagnosis during life.反常栓塞。生前诊断。

Am J Med. 1972 Sep;53(3):292-8. doi: 10.1016/0002-9343(72)90171-4.

3

Pulmonary embolism in the elderly.

Age Ageing. 1988 May;17(3):205-9. doi: 10.1093/ageing/17.3.205.

4

Prevalence of patent foramen ovale in patients with stroke.中风患者卵圆孔未闭的患病率。

N Engl J Med. 1988 May 5;318(18):1148-52. doi: 10.1056/NEJM198805053181802.

5

Patent foramen ovale in young stroke patients.

Lancet. 1988 Jul 2;2(8601):11-2. doi: 10.1016/s0140-6736(88)92944-3.

6

Patent foramen ovale and decompression sickness in divers.

Lancet. 1989 Mar 11;1(8637):513-4. doi: 10.1016/s0140-6736(89)90064-0.

7

Paradoxical embolism. A diagnostic challenge and its detection during life.

Circulation. 1976 Mar;53(3):564-8.

8

Cerebral infarction in young adults.年轻人的脑梗死

Stroke. 1978 Jan-Feb;9(1):39-42. doi: 10.1161/01.str.9.1.39.

文献AI研究员

20分钟写一篇综述，助力文献阅读效率提升50倍。

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

文档翻译

学术文献翻译模型，支持多种主流文档格式。