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2.
Am Surg ; 86(2): 104-109, 2020 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-32167051

RESUMEN

Deep vein thrombosis (DVT) is linked to reimbursements and publicly reported metrics. Some hospitals discourage venous duplex ultrasound (VDUS) screening in asymptomatic trauma patients because they often find higher rates of DVT. We aim to evaluate the association between lower extremity (LE) VDUS screening and pulmonary embolism (PE) in trauma patients. Trauma patients admitted to an urban Level-1 trauma center between 2010 and 2015 were retrospectively analyzed. We characterized the association of asymptomatic LE VDUSs with PE, upper extremity DVT, proximal LE DVT, and distal LE DVT by univariate and multivariable logistic regression controlling for confounders. Of the 3959 trauma patients included in our study-after adjusting for covariates related to patient demographics, injury, and procedures-there was a significantly lower likelihood of PE in screened patients (odds ratio (OR) = 0.02, P < 0.001) and a higher rate of distal LE DVT (OR 11.1, P = 0.004). Screening was not associated with higher rates of proximal LE DVT after adjustment for covariates (OR = 1.8, P = 0.193). PE was associated with patient transfer status, pelvis fracture, and spinal procedures in unscreened patients. After adjusting for covariates, we have shown that LE VDUS asymptomatic screening is associated with lower rates of PE in trauma patients and not associated with higher rates of proximal LE DVT. Our detailed institutional review of a large cohort of trauma patients over five years provides support for ongoing asymptomatic screening and better characterizes venous thromboembolism outcomes than similarly sized purely administrative data reviews. As a retrospective cohort study with a large sample size, no loss to follow-up, and a population with low heterogeneity, this study should be considered as level III evidence for care management.


Asunto(s)
Enfermedades Asintomáticas , Embolia Pulmonar/diagnóstico por imagen , Tromboembolia Venosa/diagnóstico por imagen , Trombosis de la Vena/diagnóstico por imagen , Heridas y Traumatismos/complicaciones , Femenino , Humanos , Tiempo de Internación , Modelos Logísticos , Extremidad Inferior/irrigación sanguínea , Extremidad Inferior/diagnóstico por imagen , Masculino , Oportunidad Relativa , Embolia Pulmonar/complicaciones , Embolia Pulmonar/epidemiología , Estudios Retrospectivos , Factores de Riesgo , Factores de Tiempo , Ultrasonografía Doppler Dúplex/estadística & datos numéricos , Tromboembolia Venosa/complicaciones , Trombosis de la Vena/complicaciones
3.
Psychiatr Hung ; 35(2): 102-110, 2020.
Artículo en Húngaro | MEDLINE | ID: mdl-32191216

RESUMEN

Religious-spiritual crises include distress associated with the weakening or loss of faith, turbulent conversions, and affective states associated with negative spirituality. The differential diagnosis in regard to psychosis is often challenging. The purpose of the present study was to investigate the role of basic symptoms (changes in the subjective experience of perception, thinking, feeling, and self) in the differential diagnosis. We evaluated 106 help-seeking individuals with the Bonn Scale for the Assessment of Basic Symptoms (BSABS). The results indicated that religiousspiritual crises and psychotic states could be properly differentiated with the BSABS. Although the crisis and psychosis groups scored similarly on perplexity, self-disorder, depression, and anxiety, the disturbance of social contact and cognition was observed only in psychosis. These results indicate that the assessment of basic symptoms is useful in the differentiation of religious-spiritual crisis and psychosis, but it does not replace a multidisciplinary approach when, in addition to the routine psychiatric examination, the wider cultural context and the personal narratives are also considered.


Asunto(s)
Enfermedades Asintomáticas/psicología , Trastornos Psicóticos/psicología , Espiritualidad , Ansiedad/psicología , Depresión/psicología , Humanos
5.
J Assoc Physicians India ; 68(2): 23-26, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32009357

RESUMEN

Introduction: Diabetes mellitus has assumed the status of an epidemic in the last century. High prevalence of diabetes in South Asian population and presence of other cardiovascular risk factors in this region, make up the relationship between coronary artery disease (CAD) and diabetes more pronounced. Keeping in view the high susceptibility of diabetic patients for CAD, these patients are recognized as a high risk group .Emphasis has been laid on the early recognition of CAD, even in silent or asymptomatic state. Coronary artery calcium scoring (CACS), owing to its non-invasive nature and a relatively high sensitivity holds promise as a good screening tool for detection of CAD in asymptomatic patients. Hence, a cross sectional study was carried out to estimate coronary artery calcium scores in type 2 diabetics who were asymptomatic (for CAD) at the time of recruitment. Methodology: 140 type 2 diabetes mellitus patients < 60 years who were asymptomatic for CAD at presentation were recruited and coronary artery calcium scoring via CT scan was performed. Results: The prevalence of CAD risk as assessed by coronary artery calcium scores was 35.7% in our study population. Duration of diabetes and smoking showed a significantly increased CAD risk by having greater severity of coronary calcification. A significant correlation between angiography findings and coronary artery calcium scores was also seen (p<0.001). Conclusion: This cross sectional study shows that there is a high prevalence of coronary artery disease even in asymptomatic and relatively young diabetic population and coronary artery calcium scoring can be a useful and noninvasive method for measurement of this subclinical risk.


Asunto(s)
Calcio/metabolismo , Enfermedades Cardiovasculares/epidemiología , Diabetes Mellitus Tipo 2/epidemiología , Enfermedades Asintomáticas , Angiografía Coronaria , Enfermedad de la Arteria Coronaria , Estudios Transversales , Humanos , Prevalencia , Factores de Riesgo
7.
Epidemiol Health ; 42: e2020007, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32035431

RESUMEN

In about 20 days since the diagnosis of the first case of the 2019 novel coronavirus (2019-nCoV) in Korea on January 20, 2020, 28 cases have been confirmed. Fifteen patients (53.6%) of them were male and median age of was 42 years (range, 20-73). Of the confirmed cases, 16, 9, and 3 were index (57.2%), first-generation (32.1%), and second-generation (10.7%) cases, respectively. All first-generation and second-generation patients were family members or intimate acquaintances of the index cases with close contacts. Fifteen among 16 index patients had entered Korea from January 19 to 24, 2020 while 1 patient had entered Korea on January 31, 2020. The average incubation period was 3.9 days (median, 3.0), and the reproduction number was estimated as 0.48. Three of the confirmed patients were asymptomatic when they were diagnosed. Epidemiological indicators will be revised with the availability of additional data in the future. Sharing epidemiological information among researchers worldwide is essential for efficient preparation and response in tackling this new infectious disease.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Adulto , Anciano , Enfermedades Asintomáticas , Betacoronavirus/aislamiento & purificación , Betacoronavirus/patogenicidad , Trazado de Contacto , Infecciones por Coronavirus/diagnóstico , Salud de la Familia , Femenino , Humanos , Periodo de Incubación de Enfermedades Infecciosas , Masculino , Persona de Mediana Edad , Neumonía Viral/diagnóstico , República de Corea/epidemiología , Adulto Joven
9.
JAMA ; 323(4): 339-351, 2020 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-31990315

RESUMEN

Importance: Public health screening for type 1 diabetes in its presymptomatic stages may reduce disease severity and burden on a population level. Objective: To determine the prevalence of presymptomatic type 1 diabetes in children participating in a public health screening program for islet autoantibodies and the risk for progression to clinical diabetes. Design, Setting, and Participants: Screening for islet autoantibodies was offered to children aged 1.75 to 5.99 years in Bavaria, Germany, between 2015 and 2019 by primary care pediatricians during well-baby visits. Families of children with multiple islet autoantibodies (presymptomatic type 1 diabetes) were invited to participate in a program of diabetes education, metabolic staging, assessment of psychological stress associated with diagnosis, and prospective follow-up for progression to clinical diabetes until July 31, 2019. Exposures: Measurement of islet autoantibodies. Main Outcomes and Measures: The primary outcome was presymptomatic type 1 diabetes, defined by 2 or more islet autoantibodies, with categorization into stages 1 (normoglycemia), 2 (dysglycemia), or 3 (clinical) type 1 diabetes. Secondary outcomes were the frequency of diabetic ketoacidosis and parental psychological stress, assessed by the Patient Health Questionnaire-9 (range, 0-27; higher scores indicate worse depression; ≤4 indicates no to minimal depression; >20 indicates severe depression). Results: Of 90 632 children screened (median [interquartile range {IQR}] age, 3.1 [2.1-4.2] years; 48.5% girls), 280 (0.31%; 95% CI, 0.27-0.35) had presymptomatic type 1 diabetes, including 196 (0.22%) with stage 1, 17 (0.02%) with stage 2, 26 (0.03%) with stage 3, and 41 who were not staged. After a median (IQR) follow-up of 2.4 (1.0-3.2) years, another 36 children developed stage 3 type 1 diabetes. The 3-year cumulative risk for stage 3 type 1 diabetes in the 280 children with presymptomatic type 1 diabetes was 24.9% ([95% CI, 18.5%-30.7%]; 54 cases; annualized rate, 9.0%). Two children had diabetic ketoacidosis. Median (IQR) psychological stress scores were significantly increased at the time of metabolic staging in mothers of children with presymptomatic type 1 diabetes (3 [1-7]) compared with mothers of children without islet autoantibodies (2 [1-4]) (P = .002), but declined after 12 months of follow-up (2 [0-4]) (P < .001). Conclusions and Relevance: Among children aged 2 to 5 years in Bavaria, Germany, a program of primary care-based screening showed an islet autoantibody prevalence of 0.31%. These findings may inform considerations of population-based screening of children for islet autoantibodies.


Asunto(s)
Autoanticuerpos/sangre , Diabetes Mellitus Tipo 1/epidemiología , Islotes Pancreáticos/inmunología , Tamizaje Masivo , Enfermedades Asintomáticas/epidemiología , Enfermedades Asintomáticas/psicología , Preescolar , Diabetes Mellitus Tipo 1/diagnóstico , Diabetes Mellitus Tipo 1/psicología , Femenino , Estudios de Seguimiento , Alemania/epidemiología , Humanos , Masculino , Padres , Encuestas y Cuestionarios
11.
BMC Infect Dis ; 20(1): 27, 2020 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-31924186

RESUMEN

BACKGROUND: Incidence of anal and oral infections with Human Papillomavirus (HPV) is increasing, particularly among Human Immunodeficiency Virus-positive (HIV+) men. HPV type 16 has exhibited the highest incidence and only limited data is available on other prevalent types, variants of HPV16, as well as associated factors. We were interested in identifying prevalent HPV types, variants of type 16, as well as factors associated with HPV16 infections in the oral cavity of HIV+ men who have sex with men (MSM). METHODS: A cross-sectional study of oral cavity samples from HIV+ MSM, that in a previous study were identified as positive for HPV16 in the anal canal. Cells from the oral cavity (102 samples, paired with 102 from the anal canal of same patient) were used to extract DNA and detect HPV infections using INNO-LiPA HPV Genotyping Extra II, and PCR. From these, 80 samples (paired, 40 anal and 40 oral) were used to identify variants of type 16 by sequencing. Statistical differences were estimated by the X2 test, and p values equal to or less than 0.05 were considered significant. SPSS ver. Twenty-four statistical software (IBM Corp) was used. RESULTS: We found a high prevalence of High-Risk HPV (HR-HPV) and Low-Risk HPV (LR-HPV). Patients were positive in the oral cavity for HR types; 16, 39 and 18 (80.4, 61.8 and 52.9% respectively) and LR types 11 and 6 (53.9 and 34.3% respectively). Surprisingly, only European variants of type 16 were found in the oral cavity, although American Asian (22.5%) and African (2.5%) variants were identified in the anal canal. The analysis showed that CD4 counts could be the most important risk factor associated with HR-HPV infections in the oral cavity, anal canal or both anatomical regions. The risk of infection of the oral cavity with type 18 increased in men diagnosed with HIV for more than 6 years. CONCLUSIONS: Prevalence of both HR and LR HPV's in the oral cavity of Mexican HIV+ MSM is very high. The fact that only European variants of HPV16 were found in the oral cavity suggest a possible tropism not previously described.


Asunto(s)
Enfermedades Asintomáticas/epidemiología , Infecciones por VIH/epidemiología , Homosexualidad Masculina , Papillomavirus Humano 16/genética , Enfermedades de la Boca/virología , Infecciones por Papillomavirus/epidemiología , Minorías Sexuales y de Género , Adulto , Canal Anal/virología , Recuento de Linfocito CD4 , Estudios Transversales , Técnicas de Genotipaje , Infecciones por VIH/virología , Humanos , Incidencia , Enfermedades Intestinales/virología , Masculino , México , Persona de Mediana Edad , Boca/virología , Infecciones por Papillomavirus/virología , Reacción en Cadena de la Polimerasa , Prevalencia , Factores de Riesgo , Adulto Joven
13.
Int J Cardiovasc Imaging ; 36(1): 69-77, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31586295

RESUMEN

Left atrial function has an important role in determining optimal performance of the heart. Increase of left atrial dysfunction and volume are poor prognostic factors. In this study, we investigated independent determinants of left atrial function in non-diabetic patients with de novo hypertension. The study included 124 consecutive non-diabetic patients with de novo hypertension. Brachial artery flow-mediated dilatation, carotid intima-media thickness, transthoracic echocardiography, 24-h rhythm holter, and aortic stiffness measurements were recorded. In echocardiography, left atrial maximum (LAMaV) and minimum (LAMiV) volumes were calculated. Left atrium total emptying fraction (LATEF) and total emptying volume (LATEV) were divided into two groups according to the mean levels. Multivariate analysis was performed after correlation analysis for LATEV and LATEF mean levels. By logistic regression analysis, systolic blood pressure (OR 0.882, 95% CI 0.784-0.992, p = 0.036), percent of flow-mediated dilation (OR 0.747, 95% CI 0.595-0.938, p = 0.012), and presence of carotid plaque (OR 0.014, 95% CI 0.001-0.188, p = 0.001) were found as independent variables that determine LATEF. Age (OR 0.879, 95% CI 0.795-0.972, p = 0.012), smoking (OR 23.739, 95% CI 2.699-208.810, p = 0.004), left ventricular mass index (OR 1.052, 95% CI 1.012-1.094, p = 0.011), mitrale E-wave velocity (OR 1.108, 95% CI 1.031-1.191, p = 0.005) and LDL (low-density lipoprotein) cholesterol (OR 0.942, 95% CI 0.911-0.974, p = 0.001) were independent predictors of LATEV. In non-diabetic patients with de novo hypertension endothelial dysfunction, subclinical atherosclerosis and LDL cholesterol levels independently affect left atrial function.


Asunto(s)
Función del Atrio Izquierdo , Remodelación Atrial , Arteria Braquial/fisiopatología , Enfermedades de las Arterias Carótidas/fisiopatología , LDL-Colesterol/sangre , Endotelio Vascular/fisiopatología , Hipertensión/fisiopatología , Vasodilatación , Adulto , Enfermedades Asintomáticas , Biomarcadores/sangre , Arteria Braquial/diagnóstico por imagen , Enfermedades de las Arterias Carótidas/sangre , Enfermedades de las Arterias Carótidas/diagnóstico por imagen , Estudios de Casos y Controles , Estudios Transversales , Endotelio Vascular/diagnóstico por imagen , Femenino , Frecuencia Cardíaca , Humanos , Hipertensión/sangre , Hipertensión/diagnóstico por imagen , Masculino , Persona de Mediana Edad , Placa Aterosclerótica , Pronóstico , Estudios Prospectivos , Rigidez Vascular
14.
Ann Otol Rhinol Laryngol ; 129(3): 209-215, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31631672

RESUMEN

OBJECTIVES: Preoperative maxillary sinus imaging findings have been suggested to be associated with complications and outcomes of sinus lift and dental implant procedures; nonetheless the evidence is controversial. The aim of this study was to examine the association between preoperative maxillary sinus imaging findings and outcomes of sinus lift and dental implant procedures in asymptomatic patients. METHODS: We included all patients who underwent maxillary sinus lift and dental implant procedures between 2014 and 2017. Maxillary sinus imaging findings were extracted from pre-procedural dental computed tomography scans, and outcomes of the procedures were assessed. RESULTS: A total of 145 procedures were included. No sinonasal symptoms were reported preoperatively. In 46% of cases maxillary sinus imaging was abnormal. The most common imaging finding was peripheral mucosal thickening (38%). Sinus floor cyst/polyp was identified in 13% of the cases, of which 47% occupied more than 50% of the sinus volume. Partial or complete opacification of the maxillary sinus was documented in 3% of cases. The sinus ostium and ostiomeatal complex were obstructed in 7% and 1%, respectively. Mucosal perforation was documented in 22% of cases and was inversely related to mucosal thickening (P = 0.011). Other minor post-operative complications did not correlate with radiological findings. Post-surgical sinusitis was not observed in any of the patients regardless of pre-surgical imaging findings. CONCLUSIONS: Incidental maxillary sinus imaging findings such as mucosal swelling, cysts or polyps, regardless of their severity or size, and maxillary ostial obstruction may not need to be addressed prior to sinus augmentation and dental implant procedures in asymptomatic patients. Patients with complete sinus opacification should be referred to an otolaryngologist prior to surgery. Further controlled trials, in larger cohorts, are needed to corroborate our findings.


Asunto(s)
Implantación Dental , Seno Maxilar/diagnóstico por imagen , Elevación del Piso del Seno Maxilar , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Enfermedades Asintomáticas , Quistes/diagnóstico por imagen , Femenino , Humanos , Hallazgos Incidentales , Masculino , Persona de Mediana Edad , Mucosa Nasal/diagnóstico por imagen , Mucosa Nasal/lesiones , Obstrucción Nasal/diagnóstico por imagen , Pólipos Nasales/diagnóstico por imagen , Oseointegración , Enfermedades de los Senos Paranasales/diagnóstico por imagen , Cuidados Preoperatorios , Estudios Retrospectivos , Tomografía Computarizada por Rayos X , Adulto Joven
15.
Urology ; 135: 38-43, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31600558

RESUMEN

OBJECTIVE: To evaluate differences in adverse events (AE) in asymptomatic patients with a positive urine dip (UD) at time of intradetrusor onabotulinumtoxinA (BTX-A) injection vsthose with a defined negative UD. MATERIALS AND METHODS: All intradetrusor BTX-A injections were retrospectively reviewed at a single institution between 2016 and 2018. Exclusion criteria included an indwelling catheter, recent positive urine culture, recent antibiotic course, or absence of UD on the day of injection. A positive UD was defined using 7 different definitions with varying combinations of any level of positive blood, leukocyte esterase, or nitrite. Negative UDs were defined those excluded from the positive UD group. We compared multiple positive UD-defined groups to their respective negative UD cohorts with regards to outcomes and demographics. RESULTS: A total of 212 patients underwent 335 cycles of BTX-A injections over a 2-year period. The average age was 65 years (range: 21-90). The majority received 100 units (73%) of BTX-A for a non-neurogenic diagnosis (73%). The overall rate of AEs, urinary tract infection, and urinary retention was 14.6%, 9%, and 3%, respectively. In all groups, the most common AE was urinary tract infection followed by urinary retention. There were no major Clavien-Dindo-defined complications. There was no statistically significant difference in the total or categorical AE rates between positive and negative UD groups using all 7 definitions of a positive UD (P = .05-1.0). CONCLUSION: These data do not support the practice of obtaining a preprocedure UD in asymptomatic patients undergoing intradetrusor BTX-A injection for any indication; test results are unable to predict outcomes or AEs.


Asunto(s)
Toxinas Botulínicas Tipo A/efectos adversos , Fármacos Neuromusculares/efectos adversos , Vejiga Urinaria Hiperactiva/tratamiento farmacológico , Retención Urinaria/epidemiología , Infecciones Urinarias/epidemiología , Administración Intravesical , Adulto , Anciano , Anciano de 80 o más Años , Enfermedades Asintomáticas/terapia , Toxinas Botulínicas Tipo A/administración & dosificación , Femenino , Humanos , Inyecciones Intramusculares/efectos adversos , Inyecciones Intramusculares/métodos , Masculino , Persona de Mediana Edad , Fármacos Neuromusculares/administración & dosificación , Estudios Retrospectivos , Vejiga Urinaria/efectos de los fármacos , Vejiga Urinaria/fisiopatología , Vejiga Urinaria Hiperactiva/fisiopatología , Retención Urinaria/etiología , Infecciones Urinarias/etiología , Infecciones Urinarias/orina , Urodinámica/efectos de los fármacos , Adulto Joven
19.
Radiol Med ; 125(3): 237-246, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31823296

RESUMEN

Persistent left-sided superior vena cava (PLSVC) is the commonest systemic venous anomaly in the thorax with a reported prevalence of up to 0.5% in otherwise normal population and up to 10% in patients with congenital heart disease (CHD). In the absence of associated CHD, it is usually asymptomatic, discovered incidentally. It may complicate catheter or pacemaker lead placement. PLSVC typically drains into the right atrium through the coronary sinus. In children with CHD, the presence of a PLSVC may affect the choice of certain surgical procedures. PLSVC is significantly more common in association with situs ambiguous than with situs solitus or inversus, up to 60-70%. In patients with situs ambiguous, the drainage of LSVC is variable, more commonly directly into the atria rather than through the coronary sinus (CS). Rarely, there is a PLSVC draining into the CS with absent right SVC. PLSVC draining into the right atrium via the CS will not usually cause blood shunting between the right and the left sides. However, shunting occurs when PLSVC is associated with unroofed CS, or when it directly drains into the left atrium. With an increased use of CT and MRI for chest and cardiac imaging, PLSVC is being more encountered by radiologists than before. In this article, we will discuss the embryology of PLSVC, its anatomic course and drainage pathways, as well as its clinical relevance and relation to congenital heart disease and viscero-atrial situs.


Asunto(s)
Cardiopatías Congénitas/complicaciones , Vena Cava Superior/anomalías , Adolescente , Enfermedades Asintomáticas , Venas Braquiocefálicas/embriología , Niño , Preescolar , Seno Coronario/anomalías , Seno Coronario/diagnóstico por imagen , Femenino , Síndrome de Heterotaxia/complicaciones , Humanos , Hallazgos Incidentales , Lactante , Imagen por Resonancia Magnética , Masculino , Circulación Pulmonar , Flujo Sanguíneo Regional , Situs Inversus/complicaciones , Tomografía Computarizada por Rayos X , Vena Cava Inferior/anomalías , Vena Cava Superior/diagnóstico por imagen , Vena Cava Superior/embriología
20.
J Stroke Cerebrovasc Dis ; 29(2): 104446, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31837921

RESUMEN

OBJECTIVE: In population-based studies asymptomatic retinal emboli occur in .32%-2.9% of people. Retinal artery occlusion (RAO) may occur concurrently with cerebral stroke but the frequency is unknown. No study has examined how commonly retinal emboli occur in the acute stroke population. We aimed to assess the prevalence of retinal emboli and RAO at the time of carotid territory ischemic stroke. METHODS: Patients were enrolled prospectively after onset of symptoms consistent with the diagnosis of carotid territory ischemic stroke. Every participant underwent pharmacologic dilation of both pupils and bedside funduscopic examination. Emboli were classified as cholesterol, calcific, platelet/fibrin, or other and categorized by the side of occurrence. Stroke was classified as atheroembolic, cardioembolic, embolic stroke of undetermined source, lacunar, or other. Acute RAO was diagnosed by direct visualization of ischemic retinal whitening. RESULTS: Sixty-five patients were enrolled with a mean age of 59.2 years; 23 were female (35.4%). Eleven of 65 subjects (16.9%) had retinal emboli visible on funduscopy; all were cholesterol emboli except a single platelet/fibrin embolus in a patient with atheroembolic source. Six patients (9%) had acute RAO and no RAO was seen in the lacunar or undetermined source subgroups. CONCLUSIONS: Retinal emboli occurred more than 10 times more frequently in the acute stroke patient than in large population-based studies. RAOs also occurred concurrently with ischemic stroke. Although emboli were seen in patients with atheroembolic and cardioembolic sources, all patients with carotid disease had emboli in the ipsilateral eye. Future studies are required to determine if the presence of retinal emboli or RAO may help elucidate an etiology in patients suffering from embolic stroke of undetermined source.


Asunto(s)
Isquemia Encefálica/epidemiología , Embolia/epidemiología , Oclusión de la Arteria Retiniana/epidemiología , Accidente Cerebrovascular/epidemiología , Adulto , Anciano , Anciano de 80 o más Años , Enfermedades Asintomáticas , Isquemia Encefálica/diagnóstico , Embolia/diagnóstico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Oregon/epidemiología , Proyectos Piloto , Prevalencia , Estudios Prospectivos , Oclusión de la Arteria Retiniana/diagnóstico , Factores de Riesgo , Accidente Cerebrovascular/diagnóstico , Adulto Joven
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