Usefulness of transesophageal echocardiography before cardioversion in atrial arrhythmias.

CONCLUSIONS: Amongst many factors, including an established as risk for thromboembolism only a few of them increased the risk for the presence of thrombus in LAA: low velocities in LAA, presence of spontaneous echocontrast, longer duration of arrhythmia, consecutive (not first) arrhythmia episode and signs of dementia from a mini-mental state examination questionnaire. It was believed that there could be a need for an extension of indications of TEE in vast majority of the patients with atrial arrhythmias, due most often to an unpredictable occurrence of thrombus and potentially disastrous thromboembolism. The only exception could have been the group of the patients with a CHA₂DS₂VASc score ≤ 1. PMID: 31225630 [PubMed - as supplied by publisher]

https://www.ncbi.nlm.nih.gov/pubmed/31225630?dopt=Abstract

Source: Cardiology Journal - June 20, 2019 Category: Cardiology Authors: Kosmalska K, Rzyman M, Miękus P, Gilis-Malinowska N, Nowak R, Fijałkowski M Tags: Cardiol J Source Type: research