Is mini mental state examination helpful for CHA2DS2-VASc score?

Diaconu, N.; Grosu, Aurel; Gratii, C.; Racila, V.; Lazu, M.; Pavlic, G.

doi:10.1093/eurheartj/eht309.3681

Cited by 1 publication

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“…Nevertheless, there are many patients diagnosed with presence of thrombus or sludge in the LAA despite proper anticoagulation [11,12]. Transesophageal echocardiography (TEE) has been stated as an imaging technique for exclusion or confirmation thrombus and/or dense spontaneous echo contrast in the LAA [1,2,13,14].…”

Section: Introductionmentioning

confidence: 99%

Usefulness of transesophageal echocardiography before cardioversion in atrial arrhythmias

Kosmalska¹,

Rzyman²,

Miękus³

et al. 2021

Cardiol J.

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Background: Although many thromboembolism risk factors are well defined, formation of thrombus or dense spontaneous contrast (sludge) in the left atrium remains enigmatic and confounding. Exclusion of the thrombus is extremely important with respect to planned reversal of sinus rhythm. Data regarding the routine transesophagal echocardiography (TEE) before cardioversion are inconclusive. The authors focused on analyzing the usefulness of TEE before cardioversion by assessment of factors influencing the risk of thrombus and/or dense spontaneous echo contrast with the intention of extending indications for TEE in the group with a high risk of thrombus or to forgo TEE in the low risk group. Methods: Two hundred sixty-nine consecutive patients with persistent (> 48 h) atrial fibrillation or atrial flutter, in whom a direct current cardioversion was planned, were undergoing TEE for the detection of the left atrial thrombus or dense spontaneous echo contrast. Additional clinical and echocardiographic data were collected. The relationship between both thrombus and dense spontaneous echo contrast and covariates was analyzed with the use of binary logistic regression. Results: Left atrium (LA) appendage (LAA) thrombus and/or sludge were detected in 79 (29%) patients.

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