Two-dimensional echocardiographic appearance of left ventricular thrombi with systemic emboli after myocardial infarction |
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Authors: | R S Meltzer C A Visser G Kan J Roelandt |
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Affiliation: | 1. From the Thoraxcenter, Rotterdam, the Netherlands;2. From the Wilhelmina Gasthuis, Amsterdam, the Netherlands;3. From the Cardiology Division, Mt. Sinai Medical Center, New York, New York USA |
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Abstract: | To test the hypothesis that left ventricular (LV) thrombi that project into the lumen and are mobile are more likely to embolize than those that do not have these characteristics, the 2-dimensional echocardiograms of 16 patients with LV thrombi after myocardial infarction were retrospectively reviewed. Ten had evidence of peripheral embolization and 6 did not. The studies were reviewed in random order by an observer blinded to the clinical data. Each echocardiogram was graded as showing a protruding or nonprotruding thrombus and the presence or absence of increased mobility. The thrombus projected into the lumen on the echocardiograms of 8 of 10 patients who had had emboli and in 0 of 6 who had not. The thrombus had increased mobility in 4 of 10 patients with emboli and 0 of 6 without. Thus, LV thrombi that project into the lumen and have increased mobility are more likely to embolize than those without these characteristics. |
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Keywords: | Address for reprints: Jos Roelandt MD Thoraxcenter Erasmus University P.O. Box 1738 3000 DR Rotterdam The Netherlands. |
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