Handheld echocardiography saves the brain: A serendipitously found left ventricular thrombus

Aalap D. Narichania; Fadi E. Shamoun

doi:10.4103/2211-4122.161780

Handheld echocardiography saves the brain: A serendipitously found left ventricular thrombus

Aalap D. Narichania, Fadi E. Shamoun

Cardiovascular Diseases

Research output: Contribution to journal › Article › peer-review

Abstract

Handheld echocardiography (HHE) is an emerging technology with potential to alter routine clinical practice. Our institution has adopted the use of HHE devices for both teaching and patient care. However, the appropriate clinical scope of HHE continues to be controversial, and the literature is largely devoid of prognosis-altering applications. We report the diagnosis of left ventricular (LV) thrombus with HHE. A 75-year-old man presented with a large anteroapical ST-elevation myocardial infarction (MI). Initial transthoracic echocardiography (TTE) after percutaneous intervention showed no LV thrombus. Before his hospital discharge, HHE was performed and showed LV thrombus. The finding substantially changed the patient′s treatment and prognosis; he was discharged with warfarin. This observation will help guide further inquiry into the proper clinical role of HHE.

Original language	English (US)
Pages (from-to)	54-56
Number of pages	3
Journal	Journal of Cardiovascular Echography
Volume	25
Issue number	2
DOIs	https://doi.org/10.4103/2211-4122.161780
State	Published - Apr 1 2015

Keywords

Anterior myocardial infarction
handheld echocardiography
point-of-care testing

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

Access to Document

10.4103/2211-4122.161780

Cite this

@article{9a375e79b2614647872a064600467501,

title = "Handheld echocardiography saves the brain: A serendipitously found left ventricular thrombus",

abstract = "Handheld echocardiography (HHE) is an emerging technology with potential to alter routine clinical practice. Our institution has adopted the use of HHE devices for both teaching and patient care. However, the appropriate clinical scope of HHE continues to be controversial, and the literature is largely devoid of prognosis-altering applications. We report the diagnosis of left ventricular (LV) thrombus with HHE. A 75-year-old man presented with a large anteroapical ST-elevation myocardial infarction (MI). Initial transthoracic echocardiography (TTE) after percutaneous intervention showed no LV thrombus. Before his hospital discharge, HHE was performed and showed LV thrombus. The finding substantially changed the patient′s treatment and prognosis; he was discharged with warfarin. This observation will help guide further inquiry into the proper clinical role of HHE.",

keywords = "Anterior myocardial infarction, handheld echocardiography, point-of-care testing",

author = "Narichania, {Aalap D.} and Shamoun, {Fadi E.}",

year = "2015",

month = apr,

day = "1",

doi = "10.4103/2211-4122.161780",

language = "English (US)",

volume = "25",

pages = "54--56",

journal = "Journal of Cardiovascular Echography",

issn = "2211-4122",

publisher = "Elsevier Limited",

number = "2",

}

TY - JOUR

T1 - Handheld echocardiography saves the brain

T2 - A serendipitously found left ventricular thrombus

AU - Narichania, Aalap D.

AU - Shamoun, Fadi E.

PY - 2015/4/1

Y1 - 2015/4/1

N2 - Handheld echocardiography (HHE) is an emerging technology with potential to alter routine clinical practice. Our institution has adopted the use of HHE devices for both teaching and patient care. However, the appropriate clinical scope of HHE continues to be controversial, and the literature is largely devoid of prognosis-altering applications. We report the diagnosis of left ventricular (LV) thrombus with HHE. A 75-year-old man presented with a large anteroapical ST-elevation myocardial infarction (MI). Initial transthoracic echocardiography (TTE) after percutaneous intervention showed no LV thrombus. Before his hospital discharge, HHE was performed and showed LV thrombus. The finding substantially changed the patient′s treatment and prognosis; he was discharged with warfarin. This observation will help guide further inquiry into the proper clinical role of HHE.

AB - Handheld echocardiography (HHE) is an emerging technology with potential to alter routine clinical practice. Our institution has adopted the use of HHE devices for both teaching and patient care. However, the appropriate clinical scope of HHE continues to be controversial, and the literature is largely devoid of prognosis-altering applications. We report the diagnosis of left ventricular (LV) thrombus with HHE. A 75-year-old man presented with a large anteroapical ST-elevation myocardial infarction (MI). Initial transthoracic echocardiography (TTE) after percutaneous intervention showed no LV thrombus. Before his hospital discharge, HHE was performed and showed LV thrombus. The finding substantially changed the patient′s treatment and prognosis; he was discharged with warfarin. This observation will help guide further inquiry into the proper clinical role of HHE.

KW - Anterior myocardial infarction

KW - handheld echocardiography

KW - point-of-care testing

UR - http://www.scopus.com/inward/record.url?scp=84938260920&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84938260920&partnerID=8YFLogxK

U2 - 10.4103/2211-4122.161780

DO - 10.4103/2211-4122.161780

M3 - Article

AN - SCOPUS:84938260920

SN - 2211-4122

VL - 25

SP - 54

EP - 56

JO - Journal of Cardiovascular Echography

JF - Journal of Cardiovascular Echography

IS - 2

ER -

Handheld echocardiography saves the brain: A serendipitously found left ventricular thrombus

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this