Incidence and predictors of left atrial appendage thrombus on transesophageal echocardiography before elective cardioversion
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...
| Verfasser: | |
|---|---|
| FB/Einrichtung: | FB 05: Medizinische Fakultät |
| Dokumenttypen: | Artikel |
| Medientypen: | Text |
| Erscheinungsdatum: | 2022 |
| Publikation in MIAMI: | 14.09.2023 |
| Datum der letzten Änderung: | 14.09.2023 |
| Angaben zur Ausgabe: | [Electronic ed.] |
| Quelle: | Scientific Reports 12 (2022), 3671, 1-6 |
| Schlagwörter: | Cardiology; Neurological manifestations; Risk factors |
| Fachgebiet (DDC): | 610: Medizin und Gesundheit |
| Lizenz: | CC BY 4.0 |
| Sprache: | English |
| Förderung: | Finanziert über die DEAL-Vereinbarung mit Wiley 2019-2022. |
| Format: | PDF-Dokument |
| URN: | urn:nbn:de:hbz:6-39918515076 |
| Weitere Identifikatoren: | DOI: 10.17879/69918469891 |
| Permalink: | https://nbn-resolving.de/urn:nbn:de:hbz:6-39918515076 |
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| Onlinezugriff: | 10.1038_s41598-022-07428-5.pdf |
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