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Year : 2018  |  Volume : 2  |  Issue : 1  |  Page : 1-18

The Indian Academy of Echocardiography practice guideline for the performance of transesophageal echocardiographic evaluation of a patient with cerebrovascular stroke

1 Department of Cardiology, Jupiter Hospital, Thane, Maharashtra, India
2 Department of Cardiology, Fortis Hospitals, Bengaluru, Karnataka, India
3 Department of Cardiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bengaluru, Karnataka, India
4 Department of Cardiology, Medanta - The Medicity, Gurgaon, Haryana, India

Correspondence Address:
Dr. Nitin Burkule
Jupiter Hospital, E. Ex. Highway, Thane - 400 606, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiae.jiae_7_18

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Ischemic stroke remains a major cause of morbidity and mortality. Cardiac sources of embolism account for almost up to 40% of all the ischemic strokes. Accordingly, echocardiography is an important investigation in the evaluation of clinically suspected cardioembolic stroke or cryptogenic stroke. Both transthoracic echocardiography and transesophageal echocardiography (TEE) are complementary to each other for this purpose. However, because of its superior resolution and the ability to image structures that are the most likely sources of cardioembolism (e.g., left atrial appendage), TEE is the preferred imaging modality in the cardiac evaluation of stroke. This document describes the systematic TEE evaluation of the patients referred with a clinical diagnosis of either cryptogenic stroke or cardioembolic stroke.

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