@article{article_587975, title={Transesophageal Echocardiographic Predictors of Stroke in Patients with Paroxysmal Atrial Fibrillation}, journal={Sakarya Tıp Dergisi}, volume={9}, pages={597–601}, year={2019}, DOI={10.31832/smj.587975}, author={Yıldırım, Tarık and Avcı, Eyüp and Akın, Fatih and Yıldırım, Seda Elçim and Altun, İbrahim and Soylu, Mustafa Özcan}, keywords={Atrial fibrilasyon,strok,sol atrial apendiks}, abstract={<p class="MsoNormal" style="margin:0cm 0cm 10pt;line-height:29.333335876464844px;font-size:11pt;font-family:Calibri;"> <b> <span lang="tr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="tr">Objective  </span> </b> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">The left atrial appendage  is the most source of thrombus formation in atrial fibrillation.The aim of this study was to find out left atrial appendage functions in patients with PAF with or without stroke. </span> </p> <p> </p> <p class="MsoNormal" style="margin:0cm 0cm 10pt;line-height:29.333335876464844px;font-size:11pt;font-family:Calibri;"> <b> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">Materials and Methods  </span> </b> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">This study included <b> </b> </span> <span lang="tr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="tr">74 paroxysmal atrial fibrillation patients  </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">who were performed transesophageal echocardiography for evaluation of stroke or who have suspicion doubt of atrial septal defect and patent foramen ovale. All patients had undergone 24 hours electrocardiography Holter recorder, 2 dimensional echocardiography,  </span> <span lang="tr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="tr">transesophageal  </span> <span lang="tr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="tr">echocardiography. </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;"> </span> </p> <p> </p> <p class="Gvde" style="margin:0cm 0cm .0001pt;font-size:medium;font-family:Cambria;border:none;text-align:justify;line-height:32px;"> <b> <span lang="fr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="fr">Results  </span> </b> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">Ther </span> <span lang="fr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="fr">e </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">are no differences between the groups for diabetes, hypertension, smoking, hyperlipidemia and creatinin </span> <span lang="fr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="fr">e levels.  </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">Patients with stroke gr </span> <span lang="fr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="fr">o </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">up had lower  </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">left atrial appendage </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">filling velocity (26.8 </span> <span lang="fr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="fr">± </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">5, 38.9 </span> <span lang="fr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="fr">±5 </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">) (p<0.001), had lower  </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">left atrial appendage </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">contraction velocity (30.8 </span> <span lang="fr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="fr">± </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">6, 46.6 </span> <span lang="fr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="fr">±7 </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">) (p<0.001) and had bigger  </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">left atrial appendage </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">area (2.7 </span> <span lang="fr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="fr">± </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">0.6, 2.4 </span> <span lang="fr" style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;" xml:lang="fr">±0.4 </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">) (p=0.03) than without stroke group.  </span> <span style="font-size:10pt;line-height:26.666664123535156px;font-family:Arial;">Left atrial appendage </span> <span style="font-size:10pt;line-he}, number={4}, publisher={Sakarya Üniversitesi}, organization={yok}