The purpose of this study is to use transcanial doppler (TCD) ultrasound to look for possible risk factors for ischemic brain injury. We will perform contrast TCD with agitated saline contrast to identify and contrast right-to-left shunt (RLS) and breath holding to assess cerebrovascular reactivity (CVR) in the elderly.
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Presence of right-to-left shunt on TCD
Timeframe: Baseline
Presence of cerebrovascular reactivity on TCD
Timeframe: Baseline