{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:32:45Z","timestamp":1745469165469,"version":"3.40.4"},"reference-count":29,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiology"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p>Objectives: Our objective was to study the potential utility of multidetector computed tomography (MDCT) to identify both cardiac embolic sources and coronary artery disease (CAD) in embolic-stroke patients. Methods: We performed MDCT for 184 patients with embolic stroke but without known CAD. Twenty-six patients had atrial fibrillation. We investigated the prevalence of the potential source of the embolism and the coronary characteristics. Results: Overall, 64 potential embolic sources were detected in 59 patients (32.1%). Left atrial appendage thrombus, left ventricular thrombus and aortic atheroma were detected in 3.3, 0.5 and 15.8% of patients, respectively. Circulatory stasis and patent foramen ovale were detected in 8.7 and 6.5%, respectively. As for coronary calcium score, only 47 patients (25.5%) had a score of zero and 51 (27.7%) had a score of \u2265400. Significant CAD was detected in 18 patients (9.8%). One hundred and thirty-seven (74.5%) had coronary plaques. The prevalence of positive remodeling, low-attenuation plaque, spotty calcification and a napkin-ring sign was 7.1, 1.6, 5.4 and 2.7%, respectively. Importantly, only 34 patients (13.0%) had no abnormalities detected by MDCT. Conclusions: Our results suggest that MDCT has potential to identify both cardiac embolic sources and CAD in patients with embolic stroke but without known CAD.<\/jats:p>","DOI":"10.1159\/000441277","type":"journal-article","created":{"date-parts":[[2015,11,30]],"date-time":"2015-11-30T22:01:24Z","timestamp":1448920884000},"page":"205-210","source":"Crossref","is-referenced-by-count":2,"title":["Potential Utility of Multidetector Computed Tomography to Identify both Cardiac Embolic Sources and Coronary Artery Disease in Patients with Embolic Stroke"],"prefix":"10.1159","volume":"133","author":[{"given":"Kohichiro","family":"Iwasaki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Matsumoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanami","family":"Kawada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.921072"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0b013e31825bcdac"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2006.08.028"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehm466"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000111517.69230.0F"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.03.071"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2005.09.096"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1159\/000334980"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1253\/circj.72.404"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.906958"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s10554-010-9743-8"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2011.03505.x"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(91)90705-E"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.22.6.727"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1159\/000278926"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.108.537928"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.24.1.35"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2010.06.033"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.112.000153"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2501080559"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(90)90282-T"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.10.005"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2007.03.044"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000148131.41425.E9"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2012.09.016"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.92.8.2157"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)00443-9"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.06.030"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.9624"}],"container-title":["Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/crd\/article-pdf\/133\/4\/205\/3895066\/000441277.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/crd\/article-pdf\/133\/4\/205\/3895066\/000441277.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:58:45Z","timestamp":1745431125000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000441277"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,1]]},"references-count":29,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2016,3,1]]},"published-print":{"date-parts":[[2016,4,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000441277","archive":["Portico"],"relation":{},"ISSN":["0008-6312","1421-9751"],"issn-type":[{"type":"print","value":"0008-6312"},{"type":"electronic","value":"1421-9751"}],"subject":[],"published":{"date-parts":[[2015,12,1]]}}}