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

Fingerprint

Electric Countershock
Atrial Fibrillation
Thrombosis
Atrial Appendage
Case Management
Left Ventricular Dysfunction
Embolism
Echocardiography
Heart Failure
Safety

Keywords

  • Atrial fibrillation
  • Cardioversion
  • Embolism
  • Thrombus

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Impact of acute left ventricular apical thrombus on cardioversion for atrial fibrillation. / Vaidya, Vaibhav R.; Prueksaritanond, Suartcha; Bois, John P.; Nadipalli, Abhinav; Borgeson, Daniel Dean; Melduni, Rowlens.

In: Echocardiography, 2017.

Research output: Contribution to journalArticle

Vaidya, Vaibhav R. ; Prueksaritanond, Suartcha ; Bois, John P. ; Nadipalli, Abhinav ; Borgeson, Daniel Dean ; Melduni, Rowlens. / Impact of acute left ventricular apical thrombus on cardioversion for atrial fibrillation. In: Echocardiography. 2017.
@article{69a7b331174544b983079a81769e8b44,
title = "Impact of acute left ventricular apical thrombus on cardioversion for atrial fibrillation",
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.",
keywords = "Atrial fibrillation, Cardioversion, Embolism, Thrombus",
author = "Vaidya, {Vaibhav R.} and Suartcha Prueksaritanond and Bois, {John P.} and Abhinav Nadipalli and Borgeson, {Daniel Dean} and Rowlens Melduni",
year = "2017",
doi = "10.1111/echo.13706",
language = "English (US)",
journal = "Echocardiography",
issn = "0742-2822",
publisher = "Wiley-Blackwell",

}

TY - JOUR

T1 - Impact of acute left ventricular apical thrombus on cardioversion for atrial fibrillation

AU - Vaidya, Vaibhav R.

AU - Prueksaritanond, Suartcha

AU - Bois, John P.

AU - Nadipalli, Abhinav

AU - Borgeson, Daniel Dean

AU - Melduni, Rowlens

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

KW - Atrial fibrillation

KW - Cardioversion

KW - Embolism

KW - Thrombus

UR - http://www.scopus.com/inward/record.url?scp=85030184953&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85030184953&partnerID=8YFLogxK

U2 - 10.1111/echo.13706

DO - 10.1111/echo.13706

M3 - Article

JO - Echocardiography

JF - Echocardiography

SN - 0742-2822

ER -