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01). A total of 227 examinations (52.5%) demonstrated abnormal findings considered as potential cardiac sources of embolism and 31 examinations (7.1%) were followed by subsequent change in medical management. Age (HR 0.948, 95% CI 0.923 to 0.974; p less then 0.001), previous AIS (HR 3.542, 95% CI 1.290 to 9.722; p = 0.01), previous TIA (HR 7.830, CI 95% 2214 to 27,689; p = 0.001) and superficial middle cerebral artery territory infarction (HR 2.774, CI 95% 1.168-6.589; p = 0.021) were strong independent predictors with change in medical