This weekend I had to go to the hospital for what seemed to be a small stroke with symptoms that rapidly receded. I have a history of migraines with aura. I watched them discover a patent foramen ovale in my heart with a bubble echocardiogram.
Has there been any further work done on this area that anyone knows of?
Here's a link to the article that I read. I'll be seeing my cardiologist next month and will definitely talk to her about this.
http://www.headachepainfree.com/news1.htm
De-De,
Thanks for this interesting question.
The answer is "it depends". If your cardiologist says that he can clearly see the inter-atrial septum, and no bubbles cross on a bubble study, then a TEE would be unlikely to help. If the septum is not clearly seen in you (because of you being thin, obese, large lungs, large breast tissue, etc), then a TEE might help to find a PFO.
However, even if a PFO is found, I'm not sure that too many neurologists would recommend closure of the PFO. This decision would need to be made at a major medical center in conjunction with an interventional cardiologist who specializes in PFO closure.
Hope that helps.
I've had a heart murmur since childhood. Developed SVT and had what the Drs. called "a mild cardiac event" a year before the stroke like episodes began. I'm in my early 40's but have a strong family history for CAD and migraine. I mentioned the article to my Internist last week when I saw him and he felt a PFO would have been picked up by an echo. I dunno, I just feel better bouncing this off someone closer to cardiology.
I will be very interested in hearing the doctor's response. I have had svt since I was 14 and I also have migraines with aura, although this type of migraine runs in my family. (My mom, 3 uncles, and 2 aunts all have the aura w/ their migraines.) I have had 2 normal echo's and even an ablation attempt for the svt. Now I wonder if the echo is enough to rule out pfo. Scary!!
I suffer from migraines, and have SVTs and a PFO. My PFO was not diagnosed until I had an EP study and ablations. I have had at least 100 echocardiograms and it was never picked up, until they actually went into my heart with a catheter. I never heard the connection between migraines and PFOs. Where did you see that?