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Condition: Hypertension
Procedure: Ultrasound

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Total 276 results found since Jan 2013.

Carotid intima‐media thickness – a potential predictor for rupture risk of intracranial aneurysms
ConclusionThere is an association between IMT and intracranial aneurysm rupture status at the time of aneurysm treatment. Carotid IMT can be a potential predictor of aneurysm rupture. IMT may thus be a possible adjunct in the risk assessment of aneurysm rupture, and a helpful tool in patient risk stratification and counseling.
Source: International Journal of Stroke - October 22, 2013 Category: Neurology Authors: Marianne Lundervik, Annette Fromm, Øystein Ariansen Haaland, Ulrike Waje‐Andreassen, Frode Svendsen, Lars Thomassen, Christian A. Helland Tags: Research Source Type: research

Sensitivity of transcranial doppler and transoesophageal echocardiography for the detection of patent foramen ovale in cryptogenic stroke
Conclusions TCD with bubble test is sensitive and specific for the detection of right–to–left shunts due to PFO confirmed at right heart catheterisation. In this population, TOE had low sensitivity for RLS. There was no difference in physical PFO size between TOE positive and negative patients.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Morhij, D., Dani, K., Stewart Hillis, W., Muir, K. Tags: Headache (including migraine), Neuroimaging, Stroke, Hypertension, Ischaemic heart disease, Radiology, Radiology (diagnostics) Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Carotid Intima-Media Thickness in Patients With Carpal Tunnel Syndrome
Conclusions— The maximum carotid intima-media thickness was significantly increased in patients with carpal tunnel syndrome compared to controls. Chronic inflammation beyond the traditional cardiovascular risk factors might be related to increased carotid intima-media thickness in patients with carpal tunnel syndrome.
Source: Journal of Ultrasound in Medicine - September 24, 2013 Category: Radiology Authors: Park, J. H., Kim, S. N., Han, S. M., Cheon, K. Y., Han, S. W., Kim, J. Y., Baik, J. S., Park, J. H. Tags: Original Research Source Type: research

Is the lumen diameter of peripheral arteries a good marker of the extent of coronary atherosclerosis?
CONCLUSIONS: According to our results, LD of the common carotid artery appears to be an independent predictor of 3VD. RCCLD turned out to be a basic prognostic variable (called 'risk variable') of the extent of coronary atherosclerosis afteradjustment for age and prior MI. Measurements of common carotid artery LD, together with age, history of MI (and gender in the case of the left common carotid artery LD), could estimate the probability of 3VD. Other studies will be necessary to confirm our results before the obtained method can be used in clinical practice as a simple non-invasive diagnostic tool for a specific group of...
Source: Polish Heart Journal - September 21, 2013 Category: Cardiology Authors: Mirek AM, Wolińska-Welcz A Tags: Kardiol Pol Source Type: research

Bedside Ultrasound Diagnosis of Acute Embolic Femoral Artery Occlusion
Abstract: Background: Acute limb ischemia is both a limb-threatening and life-threatening disease process. Nontraumatic acute peripheral arterial occlusion is most commonly caused by a thrombosis or an embolism.Objectives: There is limited evidence on the use of bedside ultrasound for the detection of acute limb ischemia, but duplex ultrasonography is standard in the diagnosis and operative planning in chronic limb ischemia. Emergency physicians may use bedside ultrasound in the evaluation of patients with symptoms and signs suggestive of this disease entity.Case Report: A 64-year-old man with a past medical history of hy...
Source: The Journal of Emergency Medicine - August 28, 2013 Category: Emergency Medicine Authors: Daniel M. Rolston, Turandot Saul, Tommy Wong, Resa E. Lewiss Tags: Ultrasound in Emergency Medicine Source Type: research

Late onset bipolar disorder due to a lacunar state.
CONCLUSION: Our case sheds light on the role of the basal ganglia in mood disorders and the importance of ruling out brain injury in late onset BD. PMID: 23963241 [PubMed - as supplied by publisher]
Source: Behavioural Neurology - August 20, 2013 Category: Neurology Authors: Antelmi E, Fabbri M, Cretella L, Guarino M, Stracciari A Tags: Behav Neurol Source Type: research

Geographic and Sex Difference in the Distribution of Intracranial Atherosclerosis in China Clinical Sciences
Conclusions— There exists geographic and sex difference in the distribution of symptomatic ICAS in China. Public health measures should strengthen improving social determinants of health and risk factor prevention/control in high-risk populations for decreasing stroke risk.
Source: Stroke - July 22, 2013 Category: Neurology Authors: Pu, Y., Liu, L., Wang, Y., Zou, X., Pan, Y., Soo, Y., Leung, T., Zhao, X., Wong, K. S., Wang, Y., on behalf of the Chinese IntraCranial AtheroSclerosis (CICAS) Study Group Tags: Risk Factors, Acute Cerebral Infarction Clinical Sciences Source Type: research

CD4+CD28- lymphocytes and cerebral ischaemic stroke. Part II: CD4+CD28- lymphocytes and carotid artery atherosclerotic plaque characteristics.
Conclusions: The correlation between the proportion of CD4+CD28- lymphocytes and the number of atherosclerotic plaques within the CCA suggests that the cells are involved in the mechanism of carotid plaque formation. There is no proof of the involvement of the above-mentioned cells in the mechanism of plaque destabilization in those arteries. PMID: 23821417 [PubMed - as supplied by publisher]
Source: Neurologia i Neurochirurgia Polska - July 6, 2013 Category: Neurology Authors: Drechsler H, Masztalewicz M, Safranow K, Nowacki P Tags: Neurol Neurochir Pol Source Type: research

Closing the Loop: A 21-year Audit of Strategies for Preventing Stroke and Death Following Carotid Endarterectomy
The objective of this review was to identify causes of stroke/death after carotid endarterectomy (CEA) and to develop transferable strategies for preventing stroke/death after CEA, via an overview of a 21-year series of themed research and audit projects. Three preventive strategies were identified: (i) intra-operative transcranial Doppler (TCD) ultrasound and completion angioscopy which virtually abolished intra-operative stroke, primarily through the removal of residual luminal thrombus prior to restoration of flow; (ii) dual antiplatelet therapy with a single 75-mg dose of clopidogrel the night before surgery in additio...
Source: European Journal of Vascular and Endovascular Surgery - June 17, 2013 Category: Surgery Authors: A.R. Naylor, R.D. Sayers, M.J. McCarthy, M.J. Bown, A. Nasim, M.J. Dennis, N.J.M. London, P.R.F. Bell Tags: Carotid Disease Source Type: research

Closing the Loop: A 21-year Audit of Strategies for Preventing Stroke and Death Following Carotid Endarterectomy.
The objective of this review was to identify causes of stroke/death after carotid endarterectomy (CEA) and to develop transferable strategies for preventing stroke/death after CEA, via an overview of a 21-year series of themed research and audit projects. Three preventive strategies were identified: (i) intra-operative transcranial Doppler (TCD) ultrasound and completion angioscopy which virtually abolished intra-operative stroke, primarily through the removal of residual luminal thrombus prior to restoration of flow; (ii) dual antiplatelet therapy with a single 75-mg dose of clopidogrel the night before surgery in additio...
Source: PubMed: Eur J Vasc Endovasc ... - June 13, 2013 Category: Surgery Authors: Naylor AR, Sayers RD, McCarthy MJ, Bown MJ, Nasim A, Dennis MJ, London NJ, Bell PR Tags: Eur J Vasc Endovasc Surg Source Type: research

Outcome of 312 Japanese Patients with Carotid Endarterectomy and Factors Associated with Cardiovascular Events—A Single-center Study in Japan
Background: There have only been a few reports regarding the outcomes and risk factors after CEA. To clarify the factors associated with outcome in patients with carotid stenosis who underwent carotid endarterectomy (CEA), we investigated cardiovascular events and mortality in the Kyushu Medical Center in Japan.Methods: We consecutively registered patients with significant carotid stenosis who had CEA performed over 10 years and compared the incidences of stroke, myocardial infarction, and death. On admission, we evaluated medical records for stroke risk factors, including hypertension, diabetes mellitus, hypercholesterol...
Source: Journal of Stroke and Cerebrovascular Diseases - May 30, 2013 Category: Neurology Authors: Toshiyasu Ogata, Tooru Inoue, Yasushi Okada Tags: Original Articles Source Type: research

Development and validation of a prediction rule for recurrent vascular events based on a cohort study of patients with arterial disease: the SMART risk score
Conclusions Patients at high risk for recurrent vascular events can be identified based on readily available clinical characteristics.
Source: Heart - May 13, 2013 Category: Cardiology Authors: Dorresteijn, J. A. N., Visseren, F. L. J., Wassink, A. M. J., Gondrie, M. J. A., Steyerberg, E. W., Ridker, P. M., Cook, N. R., van der Graaf, Y., on behalf of the SMART Study Group, Algra, Grobbee, Rutten, Moll, Kappelle, Mali, Doevendans Tags: Drugs: cardiovascular system, Hypertension, Acute coronary syndromes, Clinical diagnostic tests, Epidemiology, Tobacco use Prognosis research Source Type: research

Premature atherosclerosis: A major contributor to early-onset ischemic stroke
Atherosclerosis is an age-dependent process. The prevalence of large-artery atherosclerosis in case series of ischemic stroke in young adults has been substantially less than in older adults.1–4 Historically, data on the role of atherosclerosis in early-onset stroke have been limited for a variety of reasons. First, multi-institutional studies often have inconsistent evaluations of the cerebral vasculature, particularly the intracranial circulation. Second, studies may not report evidence for proximal atherosclerosis less severe than necessary to meet criteria for etiology. Emerging data, however, show a high inciden...
Source: Neurology - April 1, 2013 Category: Neurology Authors: Kittner, S. J., Singhal, A. B. Tags: Stroke in young adults, Ultrasound, Prevalence studies, Risk factors in epidemiology EDITORIALS Source Type: research

Left Ventricular Responses to Acute Changes in Late Systolic Pressure Augmentation in Older Adults.
CONCLUSIONS: Acute changes in late systolic aortic pressure augmentation do not necessarily lead to improved systolic or diastolic function in older people. Preload may be a more important determinant of cardiac performance than afterload in older people with compensated ventricular function. The potential for changes in preload to impair rather than enhance left ventricular systolic and diastolic function in older people warrants further study. CLINICAL TRIALS REGISTRATION: This study is registered at clinicaltrials.gov as NCT00204984. PMID: 23537892 [PubMed - as supplied by publisher]
Source: American Journal of Hypertension - March 28, 2013 Category: Cardiology Authors: Sweitzer NK, Hetzel SJ, Skalski J, Velez M, Eggleston K, Mitchell GF Tags: Am J Hypertens Source Type: research

Pneumatosis cystoides intestinalis: Modern diagnostic modalities
We read with interest the article by Masuda et al. on the use of computed tomographic (CT) colonoscopy for the diagnosis of pneumatosis cystoides intestinalis. We would like to share our experience of a similar case. A 73-year-old woman with history of hypertension and ischemic stroke was referred for evaluation of chronic constipation and abdominal distention. Taking into account the patient's desire for a non-invasive exploration, a CT colonoscopy was initially performed; CT disclosed multiple air-containing cysts within the wall of the sigmoid colon, suggesting the diagnosis of idiopathic pneumatosis cystoides intestina...
Source: Digestive and Liver Disease - March 11, 2013 Category: Gastroenterology Authors: Georgios Mavrogenis, Xavier Chapeaux, Véronique Benali, Philippe Warzée Tags: Correspondence Source Type: research