The Relationship Between Maximal Atrial Septal Excurtion and Left Atrial Appendix Flow In Cryptogenic Stroke Patients Without Patent Foramen Ovale

Yıl 2018, Cilt: 4 Sayı: 4, 190 - 196, 27.12.2018

Veciha Özlem Bozkaya Ramazan Akdemir

Öz

OBJECTIVE: to
examine whether a correlation exists between LAA systolic flow velocity and
maximal atrial septal excurtion(MASE)In Cryptogenic  stroke patients without  Patent foramen
ovale

 

METHODS:This study includes
30  patients aged between 18-65 years,
with cyrptogenıc stroke diagnosis .Followed a medical history and a physical
examination,each patient underwent 
Electrocardıografic (ECG) and Transtorasic Echocardiographic (TTE)
examination.Two dimensional  TTE ,M-mode
and Doppler studies were performed using standart techniques.In the Subkostal
imaging;Atrial septal excurtion(MASE) was measured by putting M-mode cursor on
midseptum.After TTE,patients underwent Transesophageal Ecocardiography (TEE).
Left atrial appendix (LAA) systolic flow velocity was  measured  by putting pulse wave doppler cursor on LAA
outflow.Associations between LAA systolic flow velocıty and
MASE 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', Des
Time) were examined one by one, no other significant correlatıon was  observed.

 

CONCLUSIONS: Accordıng to our study's results;we thınk
that the increase of MASE may be an indicator for the decrease of LAA systolic
flow velocıty. Thıs result would keep lıght to the other future compherensive
studıes which contaıns other parametres whıch may affect and may reflect LAA functıon
.

 

Anahtar Kelimeler

LAA systolic flow velocity, MASE, cardioemboli, cyriptogenic stroke

Kaynakça

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