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The role of transthoracic echocardiography in embolic acute limb ischaemia.
MedLine Citation:
PMID:  19184605     Owner:  NLM     Status:  In-Process    
INTRODUCTION: Embolic acute limb ischaemia (ALI) is commonly treated by re-vascularization and long-term anticoagulant therapy. Transthoracic echocardiography (TTE) is commonly used to screen for cardiac embolic source, but may not affect management.
REPORT: We reviewed 115 consecutive patients with embolic ALI, 61% underwent TTE, with cardiac thrombus identified in only 3%. Incidental severe abnormalities requiring further cardiological investigation were detected in 19% of patients. Inpatient TTE did not affect mortality, morbidity, amputation rate, or anticoagulation.
DISCUSSION: Transthoracic echocardiography seldom identifies a cardiac embolic source, but identifies many patients with severe incidental cardiac abnormalities, suggesting cardiology screening of these patients remains important.
A Lewis; G Kirk; A McKinley; P H Blair; D W Harkin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Irish journal of medical science     Volume:  178     ISSN:  1863-4362     ISO Abbreviation:  Ir J Med Sci     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2011-04-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  457-9     Citation Subset:  IM    
Regional Vascular Surgery Unit, Royal Victoria Hospital Belfast, UK.
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