Chlumský J
I. interní klinika, FN Motol-Praha.
Vnitr Lek. 1996 Aug;42(8):561-3.
Echocardiography is along with computer tomography of the brain and sonography of the carotid arteries one of the basic examinations in patients with cerebrovascular attacks. Transthoracic echocardiography is performed in all patients with cerebrovascular attacks. Transoesophageal echocardiography is indicated in patients with atrial fibrillation, dilatation of the left atria, with an artificial valve or in young patients with an otherwise obscure cerebrovascular attack. The echocardiographic finding can decide in a fundamental way on the indication for anticoagulation treatment in these patients and thus reduce markedly the risk of a relapse of a cerebrovascular attack.
超声心动图与脑部计算机断层扫描及颈动脉超声检查一样,是脑血管意外患者的基本检查项目之一。所有脑血管意外患者均需进行经胸超声心动图检查。对于房颤、左心房扩大、有人工瓣膜的患者或脑血管意外原因不明的年轻患者,建议进行经食管超声心动图检查。超声心动图检查结果可从根本上决定这些患者抗凝治疗的适应证,从而显著降低脑血管意外复发的风险。