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Source: Texas Heart Institute Journal

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Total 231 results found since Jan 2013.

Efficacy of Oral Anticoagulation in Stroke Prevention among Sinus-Rhythm Patients Who Lack Left Atrial Mechanical Contraction after Cryoablation.
Abstract The customary recommendation is that oral anticoagulation be withdrawn a few months after cryoablation for atrial fibrillation, independently of left atrial mechanical contraction in patients in sinus rhythm. Recently, a 5-fold increase in stroke has been described in sinus-rhythm patients who lack atrial mechanical contraction. One aim of this study was to evaluate the efficacy of oral anticoagulation in preventing postoperative stroke in such patients. This prospective study divided 154 sinus-rhythm patients into 2 groups, depending on the presence (108 patients) or absence (46 patients) of left atrial ...
Source: Texas Heart Institute Journal - October 1, 2015 Category: Cardiology Authors: Martínez-Comendador J, Gualis J, Marcos-Vidal JM, Buber J, Martín CE, Gomez-Plana J, Rodríguez MA, Iglesias-Garriz I, Alonso D, Soria C, Miguélez EH, Castaño M Tags: Tex Heart Inst J Source Type: research

Increased Epicardial Fat Thickness Correlates with Aortic Stiffness and N-Terminal Pro-Brain Natriuretic Peptide Levels in Acute Ischemic Stroke Patients.
Abstract Epicardial fat, a metabolically active tissue, has emerged as a risk factor and active player in metabolic and cardiovascular diseases. We investigated epicardial fat thickness in patients who had sustained an acute ischemic stroke, and we evaluated the relationship of epicardial fat thickness with other prognostic factors. We enrolled 61 consecutive patients (age, ≥18 yr) who had sustained a first acute ischemic stroke and had been admitted to our hospital within 24 hours of the onset of stroke symptoms. The control group comprised 82 consecutive sex- and age-matched patients free of past or current st...
Source: Texas Heart Institute Journal - May 31, 2016 Category: Cardiology Authors: Altun I, Unal Y, Basaran O, Akin F, Emir GK, Kutlu G, Biteker M Tags: Tex Heart Inst J Source Type: research

Importance of Persistent Right-to-Left Shunt After Patent Foramen Ovale Closure in Cryptogenic Stroke Patients.
Abstract Percutaneous closure of patent foramen ovale (PFO) is widely performed to prevent recurrent stroke or transient ischemic attack in patients with cryptogenic stroke. However, the influence of different degrees of right-to-left shunting (RLS) has rarely been reported. We retrospectively evaluated the cases of 268 patients with cryptogenic stroke who underwent PFO closure at our hospital from April 2012 through April 2015. In accordance with RLS severity, we divided the patients into 2 groups: persistent RLS during normal breathing and the Valsalva maneuver (n=112) and RLS only during the Valsalva maneuver (...
Source: Texas Heart Institute Journal - August 1, 2020 Category: Cardiology Authors: He L, Cheng G, Du Y, Zhang Y Tags: Tex Heart Inst J Source Type: research

Meta-Analysis of the Association Between Atrial Fibrillation, Hypertension, Sleep-Disordered Breathing, and Wake-Up Stroke
CONCLUSION: This study revealed that atrial fibrillation is an independent risk factor for wake-up stroke and that patients with atrial fibrillation who also experience sleep-disordered breathing tend to have fewer wake-up strokes.PMID:37199028 | DOI:10.14503/THIJ-21-7698
Source: Texas Heart Institute Journal - May 18, 2023 Category: Cardiology Authors: Jin Zhou Jing Xu Aijuan Cheng Yimiti Kadier Xiaoli Liang Maimaitijiang Mutailipu Shan Sun Source Type: research

Percutaneous Closure versus Medical Therapy Alone for Cryptogenic Stroke Patients with a Patent Foramen Ovale: Meta-Analysis of Randomized Controlled Trials.
Abstract Of cryptogenic stroke patients younger than 55 years of age, up to 61% have had a patent foramen ovale (PFO). Observational studies have revealed reductions in recurrent neurologic events through PFO closure versus medical therapy, and randomized controlled trials have shown nonsignificant trends toward benefit. We systematically searched for randomized controlled trials of percutaneous PFO closure with medical therapy versus medical therapy alone in patients with cryptogenic stroke and performed a meta-analysis of treatment outcomes. The primary endpoint was combined death, stroke, and transient ischemic...
Source: Texas Heart Institute Journal - August 1, 2014 Category: Cardiology Authors: Pickett CA, Villines TC, Ferguson MA, Hulten EA Tags: Tex Heart Inst J Source Type: research

Importance of Persistent Right-to-Left Shunt After Patent Foramen Ovale Closure in Cryptogenic Stroke Patients
Tex Heart Inst J. 2020 Aug 1;47(4):244-249. doi: 10.14503/THIJ-17-6582.ABSTRACTPercutaneous closure of patent foramen ovale (PFO) is widely performed to prevent recurrent stroke or transient ischemic attack in patients with cryptogenic stroke. However, the influence of different degrees of right-to-left shunting (RLS) has rarely been reported. We retrospectively evaluated the cases of 268 patients with cryptogenic stroke who underwent PFO closure at our hospital from April 2012 through April 2015. In accordance with RLS severity, we divided the patients into 2 groups: persistent RLS during normal breathing and the Valsalva...
Source: Texas Heart Institute Journal - January 20, 2021 Category: Cardiology Authors: Lu He Gesheng Cheng Yajuan Du Yushun Zhang Source Type: research