Rana Bushra S, Monaghan Mark J, Ring Liam, Shapiro Len S, Nihoyannopoulos Petros
Papworth Hospital NHS Foundation Trust, Papworth Everard, Cambridge CB23 3RE, UK.
Eur J Echocardiogr. 2011 Oct;12(10):i25-31. doi: 10.1093/ejechocard/jer122.
Stroke is a leading cause of morbidity and mortality and is the third commonest cause of death in Europe. Clinical history examination and basic investigations including an electrocardiogram may shed light on the potential cardiac cause. Echocardiography plays a pivotal role in the assessment of embolic stroke. The hierarchy of echocardiography investigations begins with a standard transthoracic echocardiography study and may be proceeded by a bubble contrast transthoracic and a transoesophageal echo study. This article discusses the crucial role echocardiography has assumed in the assessment of stroke patients and describes the cardiac sources responsible.
中风是发病和死亡的主要原因,在欧洲是第三大常见死因。临床病史检查和包括心电图在内的基本检查可能有助于揭示潜在的心脏病因。超声心动图在栓塞性中风的评估中起着关键作用。超声心动图检查的顺序首先是标准经胸超声心动图检查,随后可能进行经胸气泡对比超声心动图和经食管超声心动图检查。本文讨论了超声心动图在中风患者评估中所起的关键作用,并描述了相关的心脏病因。