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Evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography

Cardioembolic stroke is a potentially devastating condition and tends to have a poor prognosis compared with other ischemic stroke subtypes. Therefore, it is important for proper therapeutic management to identify a cardiac source of embolism in stroke patients. Cardiac computed tomography (CCT) can...

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Autor principal: Yoshihara, Shu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167814/
https://www.ncbi.nlm.nih.gov/pubmed/37181820
http://dx.doi.org/10.4329/wjr.v15.i4.98
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author Yoshihara, Shu
author_facet Yoshihara, Shu
author_sort Yoshihara, Shu
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description Cardioembolic stroke is a potentially devastating condition and tends to have a poor prognosis compared with other ischemic stroke subtypes. Therefore, it is important for proper therapeutic management to identify a cardiac source of embolism in stroke patients. Cardiac computed tomography (CCT) can detect the detailed visualization of various cardiac pathologies in the cardiac chambers, interatrial and interventricular septum, valves, and myocardium with few motion artifacts and few dead angles. Multiphase reconstruction images of the entire cardiac cycle make it possible to demonstrate cardiac structures in a dynamic manner. Consequently, CCT has the ability to provide high-quality information about causal heart disease in cardioembolic stroke. In addition, CCT can simultaneously evaluate obstructive coronary artery disease, which may be helpful in surgical planning in patients who need urgent surgery, such as cardiac tumors or infective endocarditis. This review will introduce the potential clinical applications of CCT in an ischemic stroke population, with a focus on diagnosing cardioembolic sources using CCT.
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spelling pubmed-101678142023-05-10 Evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography Yoshihara, Shu World J Radiol Minireviews Cardioembolic stroke is a potentially devastating condition and tends to have a poor prognosis compared with other ischemic stroke subtypes. Therefore, it is important for proper therapeutic management to identify a cardiac source of embolism in stroke patients. Cardiac computed tomography (CCT) can detect the detailed visualization of various cardiac pathologies in the cardiac chambers, interatrial and interventricular septum, valves, and myocardium with few motion artifacts and few dead angles. Multiphase reconstruction images of the entire cardiac cycle make it possible to demonstrate cardiac structures in a dynamic manner. Consequently, CCT has the ability to provide high-quality information about causal heart disease in cardioembolic stroke. In addition, CCT can simultaneously evaluate obstructive coronary artery disease, which may be helpful in surgical planning in patients who need urgent surgery, such as cardiac tumors or infective endocarditis. This review will introduce the potential clinical applications of CCT in an ischemic stroke population, with a focus on diagnosing cardioembolic sources using CCT. Baishideng Publishing Group Inc 2023-04-28 2023-04-28 /pmc/articles/PMC10167814/ /pubmed/37181820 http://dx.doi.org/10.4329/wjr.v15.i4.98 Text en ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Minireviews
Yoshihara, Shu
Evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography
title Evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography
title_full Evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography
title_fullStr Evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography
title_full_unstemmed Evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography
title_short Evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography
title_sort evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography
topic Minireviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167814/
https://www.ncbi.nlm.nih.gov/pubmed/37181820
http://dx.doi.org/10.4329/wjr.v15.i4.98
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