Incidence and predictors of left atrial appendage thrombus on transesophageal echocardiography before elective cardioversion

Autor:	Felix K. Wegner, Robert Radke, Christian Ellermann, Julian Wolfes, Alicia J. Fischer, Helmut Baumgartner, Lars Eckardt, Gerhard-Paul Diller, Stefan Orwat
Jazyk:	angličtina
Rok vydání:	2022
Předmět:	Medicine Science
Zdroj:	Scientific Reports, Vol 12, Iss 1, Pp 1-6 (2022)
Druh dokumentu:	article
ISSN:	2045-2322
DOI:	10.1038/s41598-022-07428-5
Popis:	Abstract Guidelines recommend transesophageal echocardiography (TEE) before cardioversion in thrombogenic arrhythmias when the requirement of ≥ 3 weeks of anticoagulation is not met. Current data to support this approach, especially with direct oral anticoagulants (DOAC), are scarce. We analyzed consecutive elective pre-cardioversion TEE in a high-volume electrophysiology center for the occurrence of left atrial appendage (LAA) thrombi or reduced LAA flow velocity. Possible predictors were recorded and compared in a multivariate logistic regression analysis. Consecutive pre-cardioversion TEE in 512 patients (148 female, median age 69 years) were included. In all patients, indication for TEE was either intake of anticoagulation
Databáze:	Directory of Open Access Journals
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