Microembolic Detection in Acute Ischemic Stroke Patients With Atrial Fibrillation and Outcome - A Prospective Multicenter Study With Transcranial Doppler
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Infarction, Brain
- Sponsor
- Centro Hospitalar De São João, E.P.E.
- Enrollment
- 61
- Locations
- 1
- Primary Endpoint
- Prevalence of MES
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
This multicenter international prospective cohort study will include patients with AIS with a known or newly diagnosed anticoagulant-naïve AF. All centers will use the same transcranial Doppler machine for one-hour monitoring with bilateral 2-MHz probes within 24 hours of symptom onset. Recordings will be analyzed for MES by a blinded central reader. The primary aim is to determine the proportion of patients with MES and the association of MES with functional outcomes assessed by a modified Rankin scale (mRS) score at 90 days.
Investigators
Pedro Castro
Professor
Centro Hospitalar De São João, E.P.E.
Eligibility Criteria
Inclusion Criteria
- •acute ischemic stroke admitted to the Stroke Unit, history of AF/flutter or a new diagnosis of AF at the stroke, and with a possibility to be monitored within 24 hours after symptom onset.
Exclusion Criteria
- •use of anticoagulants at stroke onset; prosthetic valves; inadequate temporal bone window; uncooperative patients.
Outcomes
Primary Outcomes
Prevalence of MES
Time Frame: Within 24 hours of symptom onset
Poor functional outcome
Time Frame: 90-days after stroke
Secondary Outcomes
- Ordinal Shift Analysis of mRS scale score(90-days after stroke)