0
ARTICLE |

Utility of TEE for the Evaluation of Cerebral Ischemia of Uncertain Origin-Reply

Mark Warner, MD
Arch Intern Med. 1997;157(4):461-462. doi:10.1001/archinte.1997.00440250120017.
Text Size: A A A
Published online

Stein and Marcus state that our conclusions "are inappropriately founded and are discordant with other published data." In addition, they assert that our conclusionsabout TEE not being cost-effective "are therefore misleading, as the patients studied are not representative of the patient population for which TEE is recommended." Although they raise some interesting points, I believe that their comments betray a misunderstanding of the purpose of our study.1

Stein and Marcus point out that "the American Heart Association currently recommends TEE in patients with cryptogenic stroke or transient ischemic attack." In our experience, and presently in our institution, this statement applies to the vast majority of patients with cerebral ischemia regardless of their stage in the evaluation process. In our institution, as in many others, ruling out a cardiovascular source of cerebral ischemia is the most frequent reason that a TEE examination is requested. This reflects the reality of the

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();