INTRODUCTION: The 90-day risk of @entity385 in @entity1 with @entity4905 ( @entity4905 ) is estimated at between 8% and 20%. There is little consensus as to which diagnostic strategy is most effective. This study evaluates the benefits of early transthoracic echocardiography (TTE) with carotid and transcranial Doppler ultrasound in @entity1 with @entity4905 . METHODS: Prospective study of @entity1 with @entity4905 in an emergency department setting. Demographic data, vascular risk factors, and @entity13203 ) score were analysed. @entity4905 aetiology was classified according to TOAST criteria. All @entity1 underwent early vascular studies (<72hours), including TTE, carotid ultrasound, and transcranial Doppler. Primary endpoints were recurrence of @entity64 or @entity4905 , @entity583 ( @entity583 ), or @entity204 during the first year. RESULTS: We evaluated 92 @entity1 enrolled over 24 months. Mean age was 68.3  13 years and 61% were male. The mean @entity13203 ) score was 3 points (>= 5 in 30%). The distribution of @entity4905 subtypes was as follows: 12% large-artery @entity731 ; 30% cardioembolism; 10% small-vessel occlusion; 40% undetermined cause; and 8% rare causes. Findings from the early TTE led to a change in treatment strategy in 6 @entity1 (6.5%) who displayed normal physical examination and ECG findings. At one year of follow-up, 3 @entity1 had experienced @entity64 (3.2%) and 1 @entity1 experienced @entity583 (1%); no vascular @entity204 were identified. CONCLUSIONS: In our @entity4905 @entity1 , early vascular study and detecting @entity1 with silent @entity296 may have contributed to the low rate of @entity455 recurrence.

Rapid diagnosis and treatment of @entity4905 results in low rates of XXXX , @entity583 and @entity204 .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke'] @entity296 :: ('MESH:D009202', 'Disease') :: ['cardiomyopathy'] @entity13203 :: ('225', 'Gene') :: ['ABCD(2'] @entity455 :: ('MESH:D014652', 'Disease') :: ['vascular disease'] @entity731 :: ('MESH:D050197', 'Disease') :: ['atherosclerosis'] @entity4905 :: ('MESH:D002546', 'Disease') :: ['transient ischaemic attack', 'TIA'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction', 'MI'] @entity204 :: ('MESH:D003643', 'Disease') :: ['vascular death', 'deaths'] @entity385 :: ('MESH:D002544', 'Disease') :: ['cerebral infarction']
@entity64 :: (MESH:D020521,Disease) :: ['stroke']
