| Severe mitral stenosis with atrial fibrillation--a harbinger of thromboembolism. | |
| | |
MedLine Citation:
|
PMID: 20527639 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To determine the frequency of Left Atrial thrombus in patients suffering from severe mitral stenosis with atrial fibrillation. METHODS: A cross sectional descriptive type study was conducted in the Echocardiography department of the National Institute of Cardio Vascular Diseases (NICVD) Karachi from October 1, 2007 to March 17, 2008. A total of 100 consecutive adult patients with severe Mitral stenosis (MS) and Atrial Fibrillation (AF) were included in this study. 12-lead Electrocardiography was done once clinical and echocardiographic features revealed Sever MS. Patients with signs of AF were selected and Transthoracic Echocardiography (TTE) was obtained to detect Left Atrial Thrombus. Transesophageal echocardiography (TEE) was performed whenever thrombus could not be found with TTE and / or nature of the mass could not be confirmed. RESULTS: Among 100 patients studied; there were 52 males and 48 females. TTE was performed in all patients and LA thrombi were detected in 24% patients. TEE was performed in remaining 76% patients and additional 14 patients with LA thrombi were detected in this subgroup. Therefore a total of 38% of the patients with LA thrombi were documented. Among them, 6% had clots in LA body while LA appendage clots were found in 32% of patients. Left atrial dimension was found to be relevant (P-value = 0.004) with the presence of thrombus in patients with severe mitral stenosis associated with atrial fibrillation. Left atrial spontaneous echo contrast (LASEC) was found in 54% of patients but it was not found to be relevant with the presence of LA thrombus (P = 0.75). CONCLUSION: Left atrial thrombus was present in 38% patients with severe mitral stenosis associated with atrial fibrillation. Larger left atrial diameter is a stronger predictor of presence of LA thrombus |
| | |
Authors:
|
Muhammad Tariq Farman; Jawaid Akbar Sial; Naveedullah Khan; Qurban Ali Rahu; Habiba Tasneem; Muhammad Ishaq |
Related Documents
:
|
18282759 - Restoring sinus rhythm in patients with previous pacemaker implantation submitted to ca... 9803139 - Treatment of recent onset atrial fibrillation with intravenous sotalol and/or flecainide. 19246809 - Action potential characteristics in the sinus venosa of patients with and without atria... 17532409 - Absence of correlation between symptoms and rhythm in "symptomatic" atrial fibrillation. 10498139 - Atrial septostomy as a bridge to lung transplantation in patients with severe pulmonary... 15974429 - Maxillary sinus pathology in 119 patients--a histopathologic study. 12848809 - Increased p-wave duration and p-wave dispersion in patients with aortic stenosis. 19941739 - Minimal residual disease and normalization of the bone marrow after long-term treatment... 11344019 - Quantitative assessment of parkinsonian sialorrhea and results of treatment with botuli... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: JPMA. The Journal of the Pakistan Medical Association Volume: 60 ISSN: 0030-9982 ISO Abbreviation: J Pak Med Assoc Publication Date: 2010 Jun |
Date Detail:
|
Created Date: 2010-06-09 Completed Date: 2010-07-01 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7501162 Medline TA: J Pak Med Assoc Country: Pakistan |
Other Details:
|
Languages: eng Pagination: 439-43 Citation Subset: IM |
Affiliation:
|
National Institute of Cardiovascular Diseases (NICVD), Karachi. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Atrial Fibrillation / complications*, epidemiology, ultrasonography Cross-Sectional Studies Echocardiography Female Heart Atria / ultrasonography Humans Male Middle Aged Mitral Valve Stenosis / complications*, epidemiology, ultrasonography Pakistan / epidemiology Questionnaires Thromboembolism / complications*, epidemiology, ultrasonography Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effectiveness of continuing medical education considering participant's idea in Iran University.
Next Document: Abruptio placenta and adverse pregnancy outcome.