A.V. VASILYEVA^1,2, Yu.E. TEREGULOV^1,2, M.M. MANGUSHEVA^1,2, H.I. MAMEDOV¹, A.V. POSTNIKOV¹

¹Republican Clinical Hospital of Ministry of Health of the Republic of Tatarstan, 138 Orenburgskiy Trakt St., Kazan, Russian Federation 420064

²Kazan State Medical University, 49 Butlerova St., Kazan, Russian Federation 420012

Vasilyeva A.V. — assistant of the Department of Hospital Therapy, physician of functional diagnostics, tel. +7-927-249-16-36,e-mail:ann1443@yandex.ru^1,2

Teregulov Yu.E. — Candidate of Medical Science, Head of the Department of functional diagnostics, assistant professor at the Department of Hospital Therapy, tel. +7-917-264-70-04, e-mail: tereg2@mail.ru^1,2

Mangusheva M.M. — assistant professor at the Department of Hospital Therapy, tel. +7-917-297-56-06, e-mail:ann1443@yandex.ru^1,2

Mamedov H.I. — Head of the Neurological Department for patients with acute cerebrovascular accident, tel. (843) 237-35-64, e-mail: mamedov1961@yandex.ru¹

Postnikov A.V. —physician of the Department of X-ray surgerydiagnostic and treatment methods, tel. +7-960-048-11-98, e-mail: sasha-postnicov@inbox.ru¹

In order to study physical characteristics of microemboli in patients with various embolia genesis and to evaluate the efficiency of anticoagulant and disaggregation therapy was carried out an assessment of 39 patients with acute cerebrovascular accident aged between 24 and 82 years — 16 (41%) of women and 23 (59%) of men. All patients underwent CT or MRI study, ultrasound investigation of extracranial arteries, transcranial dopplerography, transthoracic and transesophageal echocardioscopy, ultrasound monitoring of blood flow with microemboli detection. Two types of embolic signals were found: “solid” microemboli were of high power signal (more than 10 dB) and were accompanied by a click. After the repeated study was conducted against the background of anticoagulant and disaggregation therapy, the number of solid emboli in patient has not been changed essentially.For «soft» microemboli power of less than 10 dB is characteristic, they are not accompanied by sound. Anticoagulant and antiplatelet therapy resulted in a significant reduction of the amount of microemboli (to the point of extinction).

Key words: acute cerebrovascular accident, microemboli detection.

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