Evidence map›Paper›PMID 41168944›Full record

ArticleJournal of the American Heart Association2025

Clinical and Imaging Characteristics of Infective Endocarditis-Associated Versus Atrial Fibrillation-Associated Stroke.

Taewoo Kim, Kwanju Song, Hyunsun Oh, Jeong Yoon Song, Kyubong Lee, Byung Joo Sun, Wookjin Yang, Jun Young Chang, Dong-Wha Kang, Sun U Kwon and 1 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Taewoo KimDepartment of Neurology Asan Medical Center, University of Ulsan, College of Medicine Seoul Korea.ORCID 0009-0008-9521-4728
Kwanju SongDepartment of Neurology Asan Medical Center, University of Ulsan, College of Medicine Seoul Korea.ORCID 0009-0000-4043-0353
Hyunsun OhDepartment of Neurology Asan Medical Center, University of Ulsan, College of Medicine Seoul Korea.ORCID 0000-0003-3672-7378
Jeong Yoon SongDepartment of Neurology Asan Medical Center, University of Ulsan, College of Medicine Seoul Korea.ORCID 0000-0003-4992-1065
Kyubong LeeDepartment of Neurology Asan Medical Center, University of Ulsan, College of Medicine Seoul Korea.ORCID 0009-0006-3372-9158
Byung Joo SunDepartment of Cardiology Asan Medical Center, University of Ulsan, College of Medicine Seoul Korea.ORCID 0000-0001-6019-4343
Wookjin YangDepartment of Neurology Asan Medical Center, University of Ulsan, College of Medicine Seoul Korea.ORCID 0000-0001-6668-6680
Jun Young ChangDepartment of Neurology Asan Medical Center, University of Ulsan, College of Medicine Seoul Korea.ORCID 0000-0003-4880-9258
Dong-Wha KangDepartment of Neurology Asan Medical Center, University of Ulsan, College of Medicine Seoul Korea.
Sun U KwonDepartment of Neurology Asan Medical Center, University of Ulsan, College of Medicine Seoul Korea.
Bum Joon KimDepartment of Neurology Asan Medical Center, University of Ulsan, College of Medicine Seoul Korea.ORCID 0000-0002-3278-3252

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfective endocarditis (IE) is a major cause of cardioembolic stroke, leading to poor outcomes if not diagnosed appropriately. We compared clinical and imaging characteristics between IE-associated stroke (IE-stroke) and atrial fibrillation stroke presenting with fever.

methodsPatients with embolic infarction diagnosed with IE based on transthoracic echocardiography were reviewed. Patients with atrial fibrillation-stroke presenting with fever served as the comparator group. Clinical characteristics, imaging characteristics, and outcomes were compared. Lesion patterns were analyzed according to the number of lesions and vascular territories. Parenchymal hematoma, stroke recurrence, and mortality were also investigated.

resultsThe study included 170 patients with IE-stroke and 153 patients with atrial fibrillation stroke. Those with IE-stroke demonstrated smaller lesions (21.6±19.3 mm versus 66.9±38.0 mm,

conclusionsIE-stroke lesions were more numerous, smaller, and dispersed across multiple vascular territories with higher recurrence rates compared with atrial fibrillation stroke. Despite lesion size difference, parenchymal hematoma rates were similar. These characteristics may aid in distinguishing IE-stroke in patients with embolic stroke and fever.

Indexed as

Atrial FibrillationEmbolic StrokeEndocarditisStrokeAgedAged, 80 and overEchocardiographyFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesRisk Factorsatrial fibrillationinfective endocarditisischemic stroke

Identifiers

PMID41168944
PMCPMC12684476

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