Impact of acute left ventricular apical thrombus on cardioversion for atrial fibrillation

Vaibhav R. Vaidya, Suartcha Prueksaritanond, John P. Bois, Abhinav Nadipalli, Daniel Dean Borgeson, Rowlens Melduni

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalEchocardiography
DOIs
StateAccepted/In press - 2017

Keywords

  • Atrial fibrillation
  • Cardioversion
  • Embolism
  • Thrombus

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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