Publications by authors named "Ramon Pujadas Capmany"
Article Synopsis
- Many stroke patients have unclear causes, but recent studies using transesophageal echocardiography reveal that atherosclerotic plaques in the aortic arch may be linked to arterial embolism and stroke.
- Research indicates that atheromas located near the left subclavian artery, particularly if they're thick (≥ 4 mm) and have mobile components, are especially risky for ischemic strokes.
- Current evidence suggests that anticoagulants may be more effective than aspirin for patients with these high-risk plaques, highlighting the need for more randomized studies to determine the best treatment strategies for preventing further strokes.
Background: To determine the cardiological substrate in acute stroke patients presenting with a cardioembolic stroke subtype.
Methods: Data of 402 consecutive patients with cardioembolic stroke (cerebral infarction, n=347; transient ischaemic attack, n=55) were collected from a prospective hospital-based stroke registry in which data on 2000 stroke patients over a 10-year period were included. In all patients, specific cardiac disorders were identified by physical examination and results of electrocardiography and transthoracic echocardiography.
We report the first case of valvular heart disease due to benfluorex. A 50-year-old woman who had been taking the anorectic agent benfluorex intermittently for one year developed severe fibrosis and regurgitation of the mitral, aortic and tricuspid valves. Clinical, echocardiographic and histopathological findings were analogous to those reported with fenfluramine and dexfenfluramine.
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