Diagnosis and Management of Left Atrium Appendage Thrombosis in Atrial Fibrillation Patients Undergoing Cardioversion (339 views)
Medicina (ISSN: 1010-660xlinking, 1648-9144electronic), 2019 Aug 21; 55(9): N/D-N/D.
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Paper type: Journal Article, Review,
Impact factor: 1.467, 5-year impact factor: 0
Url: Not available.
Keywords: Atrial Fibrillation, Cardioversion, Left Atrial Appendage Thrombosis, Oral Anticoagulation Therapy, Transesophageal Echocardiography,
Affiliations:
*** IBB - CNR ***
Department of Cardiology, AO dei Colli, Monaldi Hospital, 80131 Naples, Italy. doc.emelillo88@gmail.com.
Institute of Biostructure and Bioimaging, National Council Research, 80131 Naples, Italy.
Anesthesiology and Intensive Care Unit, AO dei Colli, Monaldi Hospital, 80131 Naples, Italy.
References:
Not available.
Medicina (ISSN: 1010-660xlinking, 1648-9144electronic), 2019 Aug 21; 55(9): N/D-N/D.
Export to BibTeX Export to EndNote
Paper type: Journal Article, Review,
Impact factor: 1.467, 5-year impact factor: 0
Url: Not available.
Keywords: Atrial Fibrillation, Cardioversion, Left Atrial Appendage Thrombosis, Oral Anticoagulation Therapy, Transesophageal Echocardiography,
Affiliations:
*** IBB - CNR ***
Department of Cardiology, AO dei Colli, Monaldi Hospital, 80131 Naples, Italy. doc.emelillo88@gmail.com.
Institute of Biostructure and Bioimaging, National Council Research, 80131 Naples, Italy.
Anesthesiology and Intensive Care Unit, AO dei Colli, Monaldi Hospital, 80131 Naples, Italy.
References:
Not available.
Diagnosis and Management of Left Atrium Appendage Thrombosis in Atrial Fibrillation Patients Undergoing Cardioversion
Atrial fibrillation is the most common cardiac arrhythmia and is associated with an increased risk of stroke and thromboembolic complications. A rhythm control strategy with both electrical and pharmacological cardioversion is recommended for patients with symptomatic atrial fibrillation. Anticoagulant therapy for 3-4 weeks prior to cardioversion is recommended in order to avoid thromboembolic events deriving from restoring sinus rhythm. Transesophageal echocardiography has a pivotal role in this setting, excluding the presence of left atrial appendage thrombus before cardioversion. The aim of this review is to discuss the epidemiology and risk factors for left atrial appendage thrombosis, the role of echocardiography in the decision making before cardioversion, and the efficacy of different anticoagulant regimens on the detection and treatment of left atrial appendage thrombosis.
Atrial fibrillation is the most common cardiac arrhythmia and is associated with an increased risk of stroke and thromboembolic complications. A rhythm control strategy with both electrical and pharmacological cardioversion is recommended for patients with symptomatic atrial fibrillation. Anticoagulant therapy for 3-4 weeks prior to cardioversion is recommended in order to avoid thromboembolic events deriving from restoring sinus rhythm. Transesophageal echocardiography has a pivotal role in this setting, excluding the presence of left atrial appendage thrombus before cardioversion. The aim of this review is to discuss the epidemiology and risk factors for left atrial appendage thrombosis, the role of echocardiography in the decision making before cardioversion, and the efficacy of different anticoagulant regimens on the detection and treatment of left atrial appendage thrombosis.
Diagnosis and Management of Left Atrium Appendage Thrombosis in Atrial Fibrillation Patients Undergoing Cardioversion
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