ISSN 1016-5169 | E-ISSN 1308-4488
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Study of Transesophageal Echocardiography in Young Patients with Cryptogenic Stroke: Prevalence of Patent Foramen Ovale and Interpretation of the RoPE Score [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2022; 50(5): 314-319 | DOI: 10.5543/tkda.2022.21306

Study of Transesophageal Echocardiography in Young Patients with Cryptogenic Stroke: Prevalence of Patent Foramen Ovale and Interpretation of the RoPE Score

Ayça Arslan1, Dilek Çiçek Yılmaz1, Muhammed Adıyaman1, Celal Kara2, Özcan Örsçelik1, Arda Yılmaz2
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OBJECTIVE
Cryptogenic stroke (CS) is considered to be the most common stroke subtype in young patients. The Risk of Paradoxical Embolism (RoPE) score is a tool that stratifies patients with CS according to the probability of patent foramen ovale (PFO). The aim of this retrospective study is to determine the prevalence of PFO in young patients with transesophageal echocardiography (TEE) and to evaluate the role of RoPE score in PFO-related strokes.


METHODS
The medical records of patients with acute arterial ischemic stroke, who underwent TEE between 2016 and 2020, were reviewed. Patients aged 18-55 years were included in the study. Presence of PFO, PFO characteristics, presence of atrial septal aneurysm (ASA) were detected by examining the image records of the patients from the archive system. RoPE score was calculated for all patients as determined in the literature.


RESULTS
Totally, 50 CS patients were included in the study (mean age: 39.6±9.4 years). PFO was detected in 19 (38%) patients and it was the most common cardiac abnormality in CS patients. ASA was detected in 7 (14%) patients. The mean RoPE score in patients with PFO was higher than patients without PFO, although it did not reach statistical significance
(7.68±1.1 versus 6.77±1.9 P =.07). Eighteen of 19 patients with PFO had a RoPE score ≥7.


CONCLUSION
In our study, PFO prevalence in the CS patients was higher than normal population. In patients with cryptogenic stroke, the RoPE score can help determine the probability of PFO related stroke and which patients should undergo TEE.

Keywords: Cryptogenic stroke, patent foramen ovale, RoPE score, transesophageal echocardiography

How to cite this article
Ayça Arslan, Dilek Çiçek Yılmaz, Muhammed Adıyaman, Celal Kara, Özcan Örsçelik, Arda Yılmaz. Study of Transesophageal Echocardiography in Young Patients with Cryptogenic Stroke: Prevalence of Patent Foramen Ovale and Interpretation of the RoPE Score. Turk Kardiyol Dern Ars. 2022; 50(5): 314-319

Corresponding Author: Ayça Arslan
Manuscript Language: Turkish


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