Impact of acute left ventricular apical thrombus on cardioversion for atrial fibrillation.
Vaibhav R VaidyaSuartcha PrueksaritanondJohn P BoisAbhinav NadipalliDaniel D BorgesonRowlens M MelduniPublished in: Echocardiography (Mount Kisco, N.Y.) (2017)
Among patients undergoing cardioversion for atrial fibrillation, the presence of left ventricular thrombus is a relatively uncommon and challenging clinical dilemma. While left atrial appendage thrombus is a contraindication to cardioversion, there is paucity of data regarding the safety of cardioversion in with the presence of left ventricular apical thrombus. Also, thrombus characteristics such as protrusion and mobility on echocardiography are known risk factors for systemic embolism. In this article, we present a case highlighting the management of atrial fibrillation in the setting of left ventricular dysfunction, acute heart failure, and echocardiographic evidence of acute left ventricular apical thrombus.
Keyphrases
- atrial fibrillation
- left ventricular
- left atrial appendage
- left atrial
- heart failure
- catheter ablation
- oral anticoagulants
- hypertrophic cardiomyopathy
- acute heart failure
- cardiac resynchronization therapy
- acute myocardial infarction
- direct oral anticoagulants
- mitral valve
- aortic stenosis
- liver failure
- patients undergoing
- percutaneous coronary intervention
- drug induced
- respiratory failure
- pulmonary hypertension
- computed tomography
- oxidative stress
- hepatitis b virus
- machine learning
- big data
- acute respiratory distress syndrome