Systemic embolism in aortic arch atheromatosis

The role of aortic atheromatosis as a risk factor for systemic embolism and its relationship to other potential sources of embolism was examined in 335 patients undergoing transoesophageal echocardiography for various clinical reasons. Multiple logistic regression analysis revealed a significant cor...

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Bibliographic Details
Published in:European heart journal 1994-10, Vol.15 (10), p.1373-1380
Main Authors: MITUSCH, R., STIERLE, U., TEPE, C., KUMMER-KLOESS, D., KESSLER, C., SHEIKHZADEH, A.
Format: Article
Language:English
Subjects:
Aorta, Thoracic - diagnostic imaging
Aortic atheromatosis
Aortic Diseases - complications
Aortic Diseases - diagnostic imaging
Aortic Diseases - epidemiology
Arteriosclerosis - complications
Arteriosclerosis - diagnostic imaging
Arteriosclerosis - epidemiology
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Carotid Artery Diseases - epidemiology
Diseases of the aorta
Echocardiography, Transesophageal
Female
Humans
Intracranial Arteriosclerosis - epidemiology
Intracranial Embolism and Thrombosis - epidemiology
Intracranial Embolism and Thrombosis - etiology
Logistic Models
Male
Medical sciences
Middle Aged
Prevalence
Prospective Studies
Risk Factors
systemic embolism
transoesophageal echocardiography
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Summary:The role of aortic atheromatosis as a risk factor for systemic embolism and its relationship to other potential sources of embolism was examined in 335 patients undergoing transoesophageal echocardiography for various clinical reasons. Multiple logistic regression analysis revealed a significant correlation between embolism and moderate (atheroma protruding less than 5 mm into the aortic lumen, grade 2) to complex (atheroma protruding at least 5 mm into the vessel humen with or without mobile components, grade 3) atherosclerosis of the aortic arch. Odds ratios were 4.0 for grade 2 atheromatosis (95% CI 1.1–14.4; P
ISSN:0195-668X
1522-9645
DOI:10.1093/oxfordjournals.eurheartj.a060397