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001-es BibID:BIBFORM029276
Első szerző:Magyar Mária Tünde (neurológus)
Cím:Carotid artery auscultation - anachronism or useful screening procedure? / Magyar, M. T., Nam, E. M., Csiba, L., Ritter, M. A., Ringelstein, E. B., Droste, D. W.
Dátum:2002
ISSN:0161-6412
Megjegyzések:Carotid bruits are supposed to indicate the presence of high-grade common carotid or extracranial internal carotid artery stenosis in a large proportion of patients. Using a stethoscope, we prospectively auscultated 273 carotid arteries of 145 patients blinded to the results of a complete extracranial and intracranial Doppler investigation including extracranial color-coded duplex ultrasound. Fifty-four arteries showed stenosis of > or = 50%-99%, or occlusion of the extracranial internal or the common carotid artery. In 25 of these arteries, a bruit was present. In 9 out of 16 patients with extracranial stenosis from 70%-99%, a bruit was detected. In one additional patient with a middle-grade external carotid artery stenosis, a bruit was also present. In seven additional patients, a bruit was present in the absence of any carotid artery stenosis, cardiac vitium or goiter. The sensitivity of carotid auscultation for the detection of a 70%-99% stenosis of the common or extracranial internal carotid artery was 56% and specificity was 91%. The positive predictive value of a bruit found during carotid auscultation was 27%, and the negative predictive value of a normal auscultation was 97%. Carotid auscultation is a useful screening procedure in the detection of carotid stenosis or occlusion, but requires confirmation by carotid ultrasound.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Neurological Research. - 24 : 7 (2002), p. 705-708. -
További szerzők:Nam, E. M. Csiba László (1952-) (neurológus, pszichiáter) Ritter, Martin A. Ringelstein, E. Bernd Droste, Dirk W.
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001-es BibID:BIBFORM046048
Első szerző:Schulte-Altedorneburg, Gernot
Cím:On the origin of microembolic signals / Schulte-Altedorneburg Gernot, Nam Eun Mi, Ritter Martin, Magyar Tünde, Dittrich Ralf, Csiba László, Ringelstein E. Bernd, Droste Dirk W.
Dátum:2003
ISSN:0340-5354
Megjegyzések:Clinically silent circulating microembolic signals (MES) can be identified by transcranial Doppler ultrasound (TCD). It is not yet clear whether their occurrence is always linked to the presence of embolic sources. METHODS: 24 terminally ill patients (7 women, 17 men; mean age 68 years) were investigated by TCD of the middle cerebral arteries. These findings were correlated with a complete post-mortem examination of potential embolic pathways. RESULTS: Four patients out of the 24 under investigation showed MES, 2 of them bilaterally. All these 4 MES-positive patients had a definite embolic source, i. e. bilateral carotid artery occlusive disease, endocarditis with thrombotic valvular adhesions and severe plaques in the aortic arch, dilated left atrium and a patent foramen ovale, or severe plaques in the aortic arch and a dilated left atrium, respectively. CONCLUSION: In the investigated patient group, we could demonstrate that MES can only be found when an embolic source is present. The finding of MES justifies an extensive clinical and laboratory search for potential embolic sources including extracranial and intracranial colour-coded duplex ultrasound, ECG, Holter-ECG, and TEE.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Journal Of Neurology. - 250 : 9 (2003), p. 1044-1049. -
További szerzők:Nam, E. M. Ritter, Martin A. Magyar Mária Tünde (1970-) (neurológus) Dittrich, R. Csiba László (1952-) (neurológus, pszichiáter) Ringelstein, E. Bernd Droste, Dirk W.
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