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Journals / İstanbul Medical Journal / 2020 / Cilt: 21 - Sayı: 6

Predictors of Complex Aortic Plaques in Patients Undergoing Transoesophageal Echocardiography

Transözefajiyal Ekokardiyografik İnceleme Yapılan Hastalarda Kompleks Aort Plaklarının Öngördürücüleri

Burak KOÇAK
Ece YURTSEVEN
Bilgehan KARADAĞ
Mehmet Semih BELPINAR
Eser DURMAZ
Burçak KILIÇKIRAN AVCI
Cansu EBREN
Damla KOCA
Utku RAİMOĞLU
Zeki ÖNGEN
Pages
436–442
Publication Date
2022-10-19
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CHA2DS2-VASc score was even more significantly associated with CAP in patients with a previous stroke [p

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: Atrial fibrillation (AF) is one of the most important causes of ischaemic stroke according to the TOAST classification.
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Key Findings & Data:The CHA2DS2-VASc score is a widely used scoring system for estimating systemic thromboembolism in patients with non-valvular AF.
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Conclusion & Impact:CHA2DS2-VASc score was even more significantly associated with CAP in patients with a previous stroke [p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Introduction: Atrial fibrillation (AF) is one of the most important causes of ischaemic stroke according to the TOAST classification. The CHA2DS2-VASc score is a widely used scoring system for estimating systemic thromboembolism in patients with non-valvular AF. TOAST classification indicates that an ischaemic stroke may also be due to large artery atherosclerosis. Since some of the atherosclerotic risk factors also occur in the CHA2DS2-VASc scoring system, we hypothesised that this scoring system can also predict the presence of complex aortic plaques and their stroke risk.Methods: We retrospectively investigated 551 patients who underwent transthoracic echocardiography and subsequent transoesophageal echocardiography (TEE). Baseline characteristics of the patients were recorded, and the CHA2DS2-VASc score was calculated before the TEE examination. Aortic plaques are classified as complex when they are protruding more than 4 mm, mobile or have irregular boundaries.Results: Among 551 patients, 110 complex aortic plaques (CAPs) were detected. Considering all the patients, higher CHA2DS2-VASc score [odds ratio (OR): 2.905], increasing age (OR: 1.056), and male (OR: 3.008) were significantly associated with CAP. CHA2DS2-VASc score was even more significantly associated with CAP in patients with a previous stroke [p

Özet

Amaç: Atriyal fibrilasyon (AF) TOAST sınıflamasına göre iskemik inmenin önemli bir nedenidir. CHA2DS2-VASc skor non-valvüler AF’li hastalarda iskemik stroke ve tromboemboli riskini belirlemek için sıklıkla kullanılan bir skorlama sistemidir. Bunun yanı sıra TOAST sınıflamasında, büyük arter aterosklerozukardiyoembolizm gibi iskemik inmenin ayrı bir sınıfıdır. Biz bu çalışmamızda CHA2DS2-VASc skorunun kompleks aortik plaklar (KAP) ile olan ilişkisini incelemeyi amaçladık. Yöntemler: Retrospektif olarak transtorasik ve sonrasında transözefajiyal ekokardiyografi (TÖE) uygulanmış 551 hasta analiz edildi. Hastaların demografik ve klinik özellikleri kaydedildi. CHA2DS2-VASc skoru TÖE incelemesi öncesinde hesaplandı. 4 mm’den büyük, hareket eden veya düzensiz sınırları olan plaklar KAP olarak kabul edildi. Bulgular: Beş yüz elli bir hasta dahil edildi ve 110 KAP saptandı. Tüm hastalar göz önüne alındığında CHA2DS2-VASc skoru [olasılık oranı (OR): 2,905], yaş (OR: 1,056) ve ve erkek cinsiyet (OR: 3,008) anlamlı bir şekilde KAP ile ilişkili saptandı. Buna ek olarak daha önce iskemik inme geçiren [p

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Cite This Article

KOÇAK, B., YURTSEVEN, E., KARADAĞ, B., BELPINAR, M. S., DURMAZ, E., AVCI, B. K., EBREN, C., KOCA, D., RAİMOĞLU, U., ÖNGEN, Z. (2022). Predictors of Complex Aortic Plaques in Patients Undergoing Transoesophageal Echocardiography. İstanbul Medical Journal, Cilt: 21 - Sayı: 6, 436–442. https://ajindex.com/articles/551894

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