Global peak left atrial longitudinal strain assessed by transthoracic echocardiography is a good predictor of left atrial appendage thrombus in patients in sinus rhythm with heart failure and very low ejection fraction – an observational study

Autor: Jacek Kurzawski, Agnieszka Janion-Sadowska, Lukasz Zandecki, Lukasz Piatek, Dorota Koziel, Marcin Sadowski
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Cardiovascular Ultrasound, Vol 18, Iss 1, Pp 1-11 (2020)
Druh dokumentu: article
ISSN: 1476-7120
DOI: 10.1186/s12947-020-00188-0
Popis: Abstract Background Peak left atrial longitudinal strain (PALS) can help identify left atrial appendage thrombus (LAAT) in patients with atrial fibrillation. Nevertheless, few studies have been performed in patients in sinus rhythm without established indications for anticoagulation but with increased risk of LAAT, such as heart failure (HF) with severe left ventricular systolic dysfunction patients. The primary aim of this study was to identify clinical and transthoracic echocardiography predictors of LAAT in HF patients with very low left ventricular ejection fraction and sinus rhythm. The secondary objective was to analyze frequencies and predictors of a composite clinical endpoint of death or hospitalization for ischemic stroke. Methods We included 63 patients with HF, left ventricular ejection fraction
Databáze: Directory of Open Access Journals
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