Poor outcome of stroke patients with atrial fibrillation in the presence of coexisting spontaneous echo contrast

Joonsang Yoo, Dongbeom Song, Jang Hyun Baek, Young Dae Kim, Hyo Suk Nam, Geu Ru Hong, Jinkwon Kim, Hye Sun Lee, Jihoe Heo

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background and Purpose - Spontaneous echo contrast (SEC) is frequently detected in patients with atrial fibrillation (AF). Coexisting SEC in patients with AF may be associated with heightened thrombogenicity, which affects stroke outcomes. Methods - Consecutive stroke patients with nonvalvular AF who underwent transesophageal echocardiography were included in this study. We compared initial stroke severity and functional outcome at 3 months between the patients with and those without SEC. Results - Of 440 patients with nonvalvular AF who underwent transesophageal echocardiography during a 7-year period, 193 (43.9%) patients had SEC. Stroke was more severe in the patients with SEC than in those without SEC (National Institute of Health Stroke Scale score: median [interquartile range], 5 [2-12] versus 3 [1-8]; P=0.004). The patients with SEC more frequently had poor functional outcomes (modified Rankin scale score of >2) at 3 months than those without SEC (32.3% versus 16.1%; P<0.001). On multivariate analysis, the presence of SEC was an independent factor of poor outcome (odds ratio, 2.09; 95% confidence interval, 1.24-3.53). Conclusions - In the ischemic stroke patients with nonvalvular AF, coexisting SEC was associated with more severe stroke and was predictive of poor long-term functional outcome.

Original languageEnglish
Pages (from-to)1920-1922
Number of pages3
JournalStroke
Volume47
Issue number7
DOIs
Publication statusPublished - 2016 Jul 1

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Atrial Fibrillation
Stroke
Transesophageal Echocardiography
National Institutes of Health (U.S.)
Multivariate Analysis
Odds Ratio
Confidence Intervals

All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialised Nursing

Cite this

Yoo, Joonsang ; Song, Dongbeom ; Baek, Jang Hyun ; Kim, Young Dae ; Nam, Hyo Suk ; Hong, Geu Ru ; Kim, Jinkwon ; Lee, Hye Sun ; Heo, Jihoe. / Poor outcome of stroke patients with atrial fibrillation in the presence of coexisting spontaneous echo contrast. In: Stroke. 2016 ; Vol. 47, No. 7. pp. 1920-1922.
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title = "Poor outcome of stroke patients with atrial fibrillation in the presence of coexisting spontaneous echo contrast",
abstract = "Background and Purpose - Spontaneous echo contrast (SEC) is frequently detected in patients with atrial fibrillation (AF). Coexisting SEC in patients with AF may be associated with heightened thrombogenicity, which affects stroke outcomes. Methods - Consecutive stroke patients with nonvalvular AF who underwent transesophageal echocardiography were included in this study. We compared initial stroke severity and functional outcome at 3 months between the patients with and those without SEC. Results - Of 440 patients with nonvalvular AF who underwent transesophageal echocardiography during a 7-year period, 193 (43.9{\%}) patients had SEC. Stroke was more severe in the patients with SEC than in those without SEC (National Institute of Health Stroke Scale score: median [interquartile range], 5 [2-12] versus 3 [1-8]; P=0.004). The patients with SEC more frequently had poor functional outcomes (modified Rankin scale score of >2) at 3 months than those without SEC (32.3{\%} versus 16.1{\%}; P<0.001). On multivariate analysis, the presence of SEC was an independent factor of poor outcome (odds ratio, 2.09; 95{\%} confidence interval, 1.24-3.53). Conclusions - In the ischemic stroke patients with nonvalvular AF, coexisting SEC was associated with more severe stroke and was predictive of poor long-term functional outcome.",
author = "Joonsang Yoo and Dongbeom Song and Baek, {Jang Hyun} and Kim, {Young Dae} and Nam, {Hyo Suk} and Hong, {Geu Ru} and Jinkwon Kim and Lee, {Hye Sun} and Jihoe Heo",
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Yoo, J, Song, D, Baek, JH, Kim, YD, Nam, HS, Hong, GR, Kim, J, Lee, HS & Heo, J 2016, 'Poor outcome of stroke patients with atrial fibrillation in the presence of coexisting spontaneous echo contrast', Stroke, vol. 47, no. 7, pp. 1920-1922. https://doi.org/10.1161/STROKEAHA.116.013351

Poor outcome of stroke patients with atrial fibrillation in the presence of coexisting spontaneous echo contrast. / Yoo, Joonsang; Song, Dongbeom; Baek, Jang Hyun; Kim, Young Dae; Nam, Hyo Suk; Hong, Geu Ru; Kim, Jinkwon; Lee, Hye Sun; Heo, Jihoe.

In: Stroke, Vol. 47, No. 7, 01.07.2016, p. 1920-1922.

Research output: Contribution to journalArticle

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T1 - Poor outcome of stroke patients with atrial fibrillation in the presence of coexisting spontaneous echo contrast

AU - Yoo, Joonsang

AU - Song, Dongbeom

AU - Baek, Jang Hyun

AU - Kim, Young Dae

AU - Nam, Hyo Suk

AU - Hong, Geu Ru

AU - Kim, Jinkwon

AU - Lee, Hye Sun

AU - Heo, Jihoe

PY - 2016/7/1

Y1 - 2016/7/1

N2 - Background and Purpose - Spontaneous echo contrast (SEC) is frequently detected in patients with atrial fibrillation (AF). Coexisting SEC in patients with AF may be associated with heightened thrombogenicity, which affects stroke outcomes. Methods - Consecutive stroke patients with nonvalvular AF who underwent transesophageal echocardiography were included in this study. We compared initial stroke severity and functional outcome at 3 months between the patients with and those without SEC. Results - Of 440 patients with nonvalvular AF who underwent transesophageal echocardiography during a 7-year period, 193 (43.9%) patients had SEC. Stroke was more severe in the patients with SEC than in those without SEC (National Institute of Health Stroke Scale score: median [interquartile range], 5 [2-12] versus 3 [1-8]; P=0.004). The patients with SEC more frequently had poor functional outcomes (modified Rankin scale score of >2) at 3 months than those without SEC (32.3% versus 16.1%; P<0.001). On multivariate analysis, the presence of SEC was an independent factor of poor outcome (odds ratio, 2.09; 95% confidence interval, 1.24-3.53). Conclusions - In the ischemic stroke patients with nonvalvular AF, coexisting SEC was associated with more severe stroke and was predictive of poor long-term functional outcome.

AB - Background and Purpose - Spontaneous echo contrast (SEC) is frequently detected in patients with atrial fibrillation (AF). Coexisting SEC in patients with AF may be associated with heightened thrombogenicity, which affects stroke outcomes. Methods - Consecutive stroke patients with nonvalvular AF who underwent transesophageal echocardiography were included in this study. We compared initial stroke severity and functional outcome at 3 months between the patients with and those without SEC. Results - Of 440 patients with nonvalvular AF who underwent transesophageal echocardiography during a 7-year period, 193 (43.9%) patients had SEC. Stroke was more severe in the patients with SEC than in those without SEC (National Institute of Health Stroke Scale score: median [interquartile range], 5 [2-12] versus 3 [1-8]; P=0.004). The patients with SEC more frequently had poor functional outcomes (modified Rankin scale score of >2) at 3 months than those without SEC (32.3% versus 16.1%; P<0.001). On multivariate analysis, the presence of SEC was an independent factor of poor outcome (odds ratio, 2.09; 95% confidence interval, 1.24-3.53). Conclusions - In the ischemic stroke patients with nonvalvular AF, coexisting SEC was associated with more severe stroke and was predictive of poor long-term functional outcome.

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