Possible refinement of clinical thromboembolism assessment in patients with atrial fibrillation using echocardiographic parameters

Abstract

These findings suggest that the use of TTE-derived parameters may be a valuable way of refining the available clinical risk schemes for the detection of surrogate markers of stroke. Follow-up studies using clinical endpoints will be necessary to confirm this hypothesis.

The value of left atrial strain and strain rate in predicting left atrial appendage stasis in patients with nonvalvular atrial fibrillation

“…In our sample, LAVI was also shown to be an independent predictor of LAA stasis, although it was not as strong as LA S res . The associations between LA size and TEE changes were also described in the previous studies [20]. In this study, the significant difference in LAVI among three groups, which were classified according to SEC grade, were also consistent with these points of view.…”

Echocardiography in newly diagnosed atrial fibrillation patients: a systematic review and economic evaluation

“…There was no significant association found between mitral annular calcification and thromboembolism, or between MVP and stroke. These findings are consistent with the report of Providencia et al, 13 published after the literature search was conducted, which found that TTE-diagnosed LV systolic function and LA area measurement may provide a valuable addition to CHADS 2 and CHA 2 DS 2 -VASc scores. 13 Prevalence studies were sought for AF populations, and were not found for all pathologies.…”

“…These findings are consistent with the report of Providencia et al, 13 published after the literature search was conducted, which found that TTE-diagnosed LV systolic function and LA area measurement may provide a valuable addition to CHADS 2 and CHA 2 DS 2 -VASc scores. 13 Prevalence studies were sought for AF populations, and were not found for all pathologies. Prevalence studies were found for atrial septal defect, atrial septal aneurysm, atrial thrombus, ventricular thrombus, ischaemic heart disease or thrombosis, valvular heart disease, cardiomyopathy and heart failure.…”

“…10 Transoesophageal echocardiography has also been used to predict prognosis in patients with AF. 11,12 Providencia et al 13 investigated TTE and transoesophageal echocardiography (TOE) in combination with the CHADS 2 and CHA 2 DS 2 -VASc scores as means of improving risk stratification for thromboembolic events in a cohort of patients with AF. They found that TTE diagnosed LV systolic function, and LA area measurement may provide a valuable addition to CHADS 2 and CHA 2 DS 2 -VASc scores.…”

“…They found that TTE diagnosed LV systolic function, and LA area measurement may provide a valuable addition to CHADS 2 and CHA 2 DS 2 -VASc scores. 13 …”