TY - JOUR T1 - The Relationship Between Maximal Atrial Septal Excurtion and Left Atrial Appendix Flow In Cryptogenic Stroke Patients Without Patent Foramen Ovale AU - Bozkaya, Veciha Özlem AU - Akdemir, Ramazan PY - 2018 DA - December Y2 - 2018 JF - Journal of Human Rhythm PB - Ramazan AKDEMİR WT - DergiPark SN - 2149-455X SP - 190 EP - 196 VL - 4 IS - 4 LA - en AB - OBJECTIVE: toexamine whether a correlation exists between LAA systolic flow velocity andmaximal atrial septal excurtion(MASE)In Cryptogenic  stroke patients without  Patent foramenovale  METHODS:This study includes30  patients aged between 18-65 years,with cyrptogenıc stroke diagnosis .Followed a medical history and a physicalexamination,each patient underwent Electrocardıografic (ECG) and Transtorasic Echocardiographic (TTE)examination.Two dimensional  TTE ,M-modeand Doppler studies were performed using standart techniques.In the Subkostalimaging;Atrial septal excurtion(MASE) was measured by putting M-mode cursor onmidseptum.After TTE,patients underwent Transesophageal Ecocardiography (TEE).Left atrial appendix (LAA) systolic flow velocity was  measured  by putting pulse wave doppler cursor on LAAoutflow.Associations between LAA systolic flow velocıty andMASE were determined by using spearman correlation coefficient. RESULTS: A negative correlation was observed  between LAA systolic flow velocity and MASE.When relations among ecocardiographic parametres (LADD, LVEDD, E,A,E',A', DesTime) were examined one by one, no other significant correlatıon was  observed. CONCLUSIONS: Accordıng to our study's results;we thınkthat the increase of MASE may be an indicator for the decrease of LAA systolicflow velocıty. Thıs result would keep lıght to the other future compherensivestudıes which contaıns other parametres whıch may affect and may reflect LAA functıon.  KW - LAA systolic flow velocity KW - MASE KW - cardioemboli KW - cyriptogenic stroke CR - 1. Segmen H,KayımÖ,Bolayır E.Echocardiographic Findings İn Stroke İn Young Adults.C.Ü. Tıp Fakültesi Dergisi 29 (3): 109-112, 2007 CR - 2. Urbinati S, Di Pasquale G,Andreoli A, ve ark.Role and indication of two-dimensional echocardigraphy in young adultswith cerebral ischemia: propective study ın 125 patients. Cerebrovasc Dis 1992; 2: 14-21 CR - 3.Wolf PA: An overview of the epidemiology of stroke. Stroke 1990;21(suppl II):II-4-II-6 CR - 4.Hanley PC, Tajik AJ, Hynes JK, et al: Diagnosis and classification of atrial septal aneurysm by two-dimensional echocardiography: Report of 80 consecutive cases. J Am Coll Cardiol 1985;6:1370–1382. CR - 5.Observer Variation in the Echocardiographic Measurement of Maximum Atrial Septal Excursion: A Comparison of M-Mode with Two-Dimensional or Transesophageal Echocardiography ;Rajeev Garg M.D.1, Azam Khaja M.D.1,et al:: Echocardiography,Volume 26, Issue 10, pages 1122–1126, November 2009 CR - 6.Gilroy J. Karabudak R (çev. Editörü). Temel Nöroloji. Güneş Kitabevi. 200 CR - 7.Agmon Y, Khandheria BK, Meissner I ve ark. Frequency of Atrial Septal Aneurysms in Patients With Cerebral Ischemic Events. Circulation. 1999;99:1942-1944 CR - 8.Lechat P, Mas JL, Lascault G ve ark. Prevalence of patent foramen ovale in patients with stroke. N Engl J Med. 1988 May 5;318(18):1148-52. CR - 9.Chen EW, Redberg RF. Echocardiographic evaluation of the patient with a systemic embolic event. In The practice of clinical echocardiography, C.M.Otto. The practice of clinical echocardiography2th ed2002WB Saunders CoPhiladelphia, eds C.M. Otto. Philadelphia: WB Saunders Co; 2002. p. 806-808. CR - 10.Shrestha NK, Moreno SL, Narciso FV, Torres L, Calleja HB. Twodimensional echocardiographic detection of intra-atrial masses. Am J Cardiol 1981;48:954-960 CR - 11.Pearson AC, Labovitz AJ, Tatineni S, Comez CR. Superiority oftransesophageal echocardiography in detecting cardiac source of embolism in patients with cerebral ischemia of uncertain etiology. J Am Coll Cardiol 1991;17:66-72. CR - 12.Daniel WG, Erbel R, Kasper W, Visser CA, Engberding R, Sutherland GR.Safety of transesophageal echocardiography: a multicenter survey of 10419 examinations. Circulation 1991;83:817-821. CR - 13.Agmon Y, Khandheria BK, Meissner I, Petterson TM, O’Fallon WM,Wiebers DO, Seward JB. Are left atrial appendage flow velocities adequate surrogates of global left atrial function? A population-basedtransthoracic and transesophageal echocardiographic study. J Am Soc Echocardiogr. 2002 May;15(5):433-40. CR - 14.Nakatani S, Garcia MJ, Firstenberg MS, Rodriguez L, Grimm RA, Greenberg NL, et al. Noninvasive assessment of left atrial maximum dP/dt by a combination of transmitral and pulmonary venous flow. J Am Coll UR - https://dergipark.org.tr/en/pub/johr/issue//503511 L1 - https://dergipark.org.tr/en/download/article-file/608606 ER -