Please use this identifier to cite or link to this item:
http://hdl.handle.net/20.500.12188/8701
DC Field | Value | Language |
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dc.contributor.author | Bakalli, A | en_US |
dc.contributor.author | Georgievska-Ismail Lj | en_US |
dc.contributor.author | Kocinaj, D | en_US |
dc.contributor.author | Musliu, N | en_US |
dc.contributor.author | Krasniqi, A | en_US |
dc.contributor.author | Pilana, E | en_US |
dc.date.accessioned | 2020-07-21T08:16:51Z | - |
dc.date.available | 2020-07-21T08:16:51Z | - |
dc.date.issued | 2013-01 | - |
dc.identifier.uri | http://hdl.handle.net/20.500.12188/8701 | - |
dc.description.abstract | Background: Left atrial appendage (LAA) may be a source of thrombi in patients with dilated cardiomyopathy at sinus rhythm. The objectives of our study were to assess the prevalence of intracardiac left chamber thrombus and/or spontaneous echo contrast and to identify clinical and echocardiographic predictors for left ventricle (LV), left atrium (LA), and/or LAA thrombus formation, particularly as regard to LV, LA, and LAA size, in heart failure patients at sinus rhythm. Methods: We included 45 patients with dilated cardiomyopathy of ischemic or idiopathic origin with mild to moderate systolic dysfunction, who were at sinus rhythm and without anticoagulation therapy. Results: Mean left ventricular end diastolic diameter was 64.9 ± 6.1 mm, and mean LV ejection fraction was 39.9 ± 7.3%. LV thrombus was found in 13.3% of patients and LAA thrombus in 68. 9%. Left ventricular end diastolic diameter was correlated with LA volume (r = 0.59, p < 0.0001) and LV thrombus (r = 0.38, p = 0.005). LA volume was correlated with LAA maximal area (r = 0.34, p = 0.01), which was an independent predictor for LAA thrombus formation (p = 0.003). Conclusions: Dilation of left cardiac chambers offers a suitable terrain for thrombus formation. The high probability of LAA thrombosis should be kept in mind when designing the treatment strategy for patients with dilated cardiomyopathy at sinus rhythm. | en_US |
dc.publisher | Wiley Online Library | en_US |
dc.relation.ispartof | Journal of clinical ultrasound | en_US |
dc.subject | left atrial appendage | en_US |
dc.subject | thrombus | en_US |
dc.subject | sinus rhythm | en_US |
dc.subject | dilated cardiomyiopathy | en_US |
dc.title | Prevalence of Left Chamber Cardiac Thrombi in Patients with Dilated Left Ventricle at Sinus Rhythm: The Role of Transesophageal Echocardiography | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1002/jcu.21953 | - |
item.grantfulltext | none | - |
item.fulltext | No Fulltext | - |
crisitem.author.dept | Faculty of Medicine | - |
Appears in Collections: | Faculty of Medicine: Journal Articles |
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