{"id":8729,"date":"2023-10-10T15:50:13","date_gmt":"2023-10-10T15:50:13","guid":{"rendered":"https:\/\/therapis-hospital.gr\/detecting-the-etiology-of-a-stroke-through-a-cardiological-examination\/"},"modified":"2025-07-29T15:20:33","modified_gmt":"2025-07-29T15:20:33","slug":"detecting-the-etiology-of-a-stroke-through-a-cardiological-examination","status":"publish","type":"post","link":"https:\/\/therapis-hospital.gr\/en\/detecting-the-etiology-of-a-stroke-through-a-cardiological-examination\/","title":{"rendered":"Detecting the etiology of a stroke through a cardiological examination"},"content":{"rendered":"[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; top_padding=&#8221;10&#8243; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overflow=&#8221;visible&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; gradient_type=&#8221;default&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; column_element_direction_desktop=&#8221;default&#8221; column_element_spacing=&#8221;default&#8221; desktop_text_alignment=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_backdrop_filter=&#8221;none&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; column_position=&#8221;default&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; animation_type=&#8221;default&#8221; bg_image_animation=&#8221;none&#8221; border_type=&#8221;simple&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221;][vc_column_text css=&#8221;&#8221; text_direction=&#8221;default&#8221;]<span data-preserver-spaces=\"true\">How a specialized cardiac examination can detect the cause of stroke \u2013 Case report.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; top_padding=&#8221;10&#8243; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overflow=&#8221;visible&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; gradient_type=&#8221;default&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; column_element_direction_desktop=&#8221;default&#8221; column_element_spacing=&#8221;default&#8221; desktop_text_alignment=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_backdrop_filter=&#8221;none&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; column_position=&#8221;default&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/2&#8243; tablet_width_inherit=&#8221;default&#8221; animation_type=&#8221;default&#8221; bg_image_animation=&#8221;none&#8221; border_type=&#8221;simple&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221;][vc_column_text css=&#8221;&#8221; text_direction=&#8221;default&#8221;]<strong><span data-preserver-spaces=\"true\">Penelope Rafoulis-Stergiou, MD, PhD<\/span><\/strong><\/p>\n<p><span data-preserver-spaces=\"true\">Director of the Cardiology Department<\/span><\/p>\n<p><strong><span data-preserver-spaces=\"true\">Therapis General Hospital<\/span><\/strong>[\/vc_column_text][\/vc_column][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; column_element_direction_desktop=&#8221;default&#8221; column_element_spacing=&#8221;default&#8221; desktop_text_alignment=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_backdrop_filter=&#8221;none&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; column_position=&#8221;default&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/2&#8243; tablet_width_inherit=&#8221;default&#8221; animation_type=&#8221;default&#8221; bg_image_animation=&#8221;none&#8221; border_type=&#8221;simple&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221;][image_with_animation image_url=&#8221;6624&#8243; image_size=&#8221;full&#8221; max_width=&#8221;100%&#8221; max_width_mobile=&#8221;default&#8221; animation_type=&#8221;entrance&#8221; animation=&#8221;None&#8221; animation_movement_type=&#8221;transform_y&#8221; hover_animation=&#8221;none&#8221; alignment=&#8221;center&#8221; border_radius=&#8221;none&#8221; box_shadow=&#8221;none&#8221; image_loading=&#8221;default&#8221;][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; top_padding=&#8221;10&#8243; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overflow=&#8221;visible&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; gradient_type=&#8221;default&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; column_element_direction_desktop=&#8221;default&#8221; column_element_spacing=&#8221;default&#8221; desktop_text_alignment=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_backdrop_filter=&#8221;none&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; column_link_target=&#8221;_self&#8221; column_position=&#8221;default&#8221; gradient_direction=&#8221;left_to_right&#8221; overlay_strength=&#8221;0.3&#8243; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; animation_type=&#8221;default&#8221; bg_image_animation=&#8221;none&#8221; border_type=&#8221;simple&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221;][vc_column_text css=&#8221;&#8221; text_direction=&#8221;default&#8221;]<strong><span data-preserver-spaces=\"true\">Vascular Stroke (CVA)<\/span><\/strong><span data-preserver-spaces=\"true\">\u00a0is the 3\u03b7 cause of death worldwide, after heart disease and cancer, and the most common cause of permanent disability. Over 700.000 TBIs\/year are recorded in the US, with approximately 150.000 deaths.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">There are two types of AEE:\u00a0<\/span><strong><span data-preserver-spaces=\"true\">Bloody\u00a0<\/span><\/strong><span data-preserver-spaces=\"true\">and\u00a0<\/span><strong><span data-preserver-spaces=\"true\">\u00a0Ischemic<\/span><\/strong><span data-preserver-spaces=\"true\">. The second and more common type is caused by reduced blood supply to an area of \u200b\u200bthe brain due to blockage of the artery that supplies it.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">This is usually due to clot displacement either from the heart (as in cases of atrial fibrillation) or from the venous network if there is some type of communication between the right and left chambers of the heart (paradoxical embolism).<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">A 72-year-old man admitted to our hospital for a new ischemic stroke with a history of multiple previous ones (at least 5) underwent\u00a0<\/span><strong><em><span data-preserver-spaces=\"true\">transesophageal echocardiogram<\/span><\/em><\/strong><span data-preserver-spaces=\"true\">\u00a0with intoxication in the context of investigating their etiology.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">There, the existence of inter-atrial communication, i.e., the presence of pathological blood flow between the left and right atria, was established, which could justify the occurrence of AEs through the mechanism of paradoxical embolism.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">Closure of the communication, either invasively or surgically, is recommended in these patients to prevent new strokes and the development of cardiac complications such as heart failure and atrial fibrillation.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">The Cardiology Department of\u00a0<\/span><strong><em><span data-preserver-spaces=\"true\">Therapis General Hospital<\/span><\/em><\/strong><span data-preserver-spaces=\"true\">\u00a0has state-of-the-art equipment, including the latest generation ultrasound\u00a0<\/span><strong><span data-preserver-spaces=\"true\">Acuson SC2000<\/span><\/strong><span data-preserver-spaces=\"true\">, for the execution of simple\u00a0<\/span><strong><span data-preserver-spaces=\"true\">heart triplex. It also offers<\/span><\/strong><span data-preserver-spaces=\"true\">\u00a0newer specialized ultrasound techniques, such as<\/span><strong><span data-preserver-spaces=\"true\">\u00a0stress echo<\/span><\/strong><span data-preserver-spaces=\"true\">\u00a0(dynamic heart ultrasound), transesophageal echocardiogram, and myocardial strain study.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">All tests are carried out by a specialized team with absolute security.<\/span><\/p>\n<p><span data-preserver-spaces=\"true\">Book your appointment today at\u00a0<\/span><strong><span data-preserver-spaces=\"true\">210 729 1111<\/span><\/strong><\/p>\n<p><span data-preserver-spaces=\"true\">Find\u00a0<\/span><strong><span data-preserver-spaces=\"true\">Therapis General Hospital<\/span><\/strong><span data-preserver-spaces=\"true\">\u00a0on social media:<\/span><\/p>\n<p><a class=\"editor-rtfLink\" href=\"https:\/\/www.instagram.com\/therapisgeneralhospital\/\" target=\"_blank\" rel=\"noopener\"><strong><span data-preserver-spaces=\"true\">Instagram<\/span><\/strong><\/a><span data-preserver-spaces=\"true\">\u00a0|\u00a0<\/span><a class=\"editor-rtfLink\" href=\"https:\/\/www.facebook.com\/TherapisGeneral\/\" target=\"_blank\" rel=\"noopener\"><strong><span data-preserver-spaces=\"true\">Facebook<\/span><\/strong><\/a><span data-preserver-spaces=\"true\">\u00a0|\u00a0<\/span><a class=\"editor-rtfLink\" href=\"https:\/\/www.linkedin.com\/company\/therapis-general-hospital-athens\/\" target=\"_blank\" rel=\"noopener\"><strong><span data-preserver-spaces=\"true\">LinkedIn<\/span><\/strong><\/a><span data-preserver-spaces=\"true\">\u00a0|\u00a0<\/span><a class=\"editor-rtfLink\" href=\"https:\/\/www.youtube.com\/channel\/UC5jEhmMX4eD9ST89mymavBA\" target=\"_blank\" rel=\"noopener\"><strong><span data-preserver-spaces=\"true\">YouTube<\/span><\/strong><\/a>[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; column_margin=&#8221;default&#8221; column_direction=&#8221;default&#8221; column_direction_tablet=&#8221;default&#8221; column_direction_phone=&#8221;default&#8221; scene_position=&#8221;center&#8221; top_padding=&#8221;10&#8243; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; row_border_radius=&#8221;none&#8221; row_border_radius_applies=&#8221;bg&#8221; overflow=&#8221;visible&#8221; overlay_strength=&#8221;0.3&#8243; gradient_direction=&#8221;left_to_right&#8221; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; gradient_type=&#8221;default&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_tablet=&#8221;inherit&#8221; column_padding_phone=&#8221;inherit&#8221; column_padding_position=&#8221;all&#8221; column_element_direction_desktop=&#8221;default&#8221; column_element_spacing=&#8221;default&#8221; desktop_text_alignment=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; background_color_opacity=&#8221;1&#8243;&#8230;<\/p>\n","protected":false},"author":1,"featured_media":8214,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[119],"tags":[],"class_list":{"0":"post-8729","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-medical-articles"},"acf":[],"_links":{"self":[{"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/posts\/8729","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/comments?post=8729"}],"version-history":[{"count":2,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/posts\/8729\/revisions"}],"predecessor-version":[{"id":8731,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/posts\/8729\/revisions\/8731"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/media\/8214"}],"wp:attachment":[{"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/media?parent=8729"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/categories?post=8729"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapis-hospital.gr\/en\/wp-json\/wp\/v2\/tags?post=8729"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}