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

Aalap D. Narichania, Fadi E. Shamoun

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)54-56
Number of pages3
JournalJournal of Cardiovascular Echography
Volume25
Issue number2
DOIs
StatePublished - Apr 1 2015

Keywords

  • Anterior myocardial infarction
  • handheld echocardiography
  • point-of-care testing

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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