+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Doppler left ventricular flow pattern versus conventional predictors of left ventricular thrombus after acute myocardial infarction

, : Doppler left ventricular flow pattern versus conventional predictors of left ventricular thrombus after acute myocardial infarction. Journal of the American College of Cardiology 25(6): 1341-1346

Objectives. The value of Doppler-derived left ventricular spatial flow patterns in predicting left ventricular thrombus formation after myocardial infarction was compared with that of conventional clinical and echocardiographic variables. Background: Assessment of left ventricular thrombosis risk after myocardial infarction is important because of potential embolic sequelae that are reduced by oral anticoagulant agents. Methods: Clinical, two-dimensional and Doppler echocardiographic data were prospectively obtained in 104 patients with acute myocardial infarction within 48 h of admission. Ventricular flow was assessed by Doppler echocardiography and considered normal when brisk ventricular inflow with simultaneous onset at the mitral valve and apical levels was present, together with alternating directions of apical flow throughout the cardiac cycle. In addition to normal flow, two abnormal flow patterns were recognized: apical rotating flow and vortex ring formation. Oral anticoagulant agents were prescribed only to patients with abnormal flow at admission. The incidence of left ventricular thrombosis was assessed by echocardiography during 9 months of follow-up. Results: Abnormal flow pattern had a positive predictive value of 63% and a negative predictive value of 99%. On stepwise logistic regression analysis, only abnormal flow pattern had an independent relation to left ventricular thrombus (odds ratio 92). Conclusions: Left ventricular flow pattern derived by Doppler echocardiography soon after admission is superior to conventional clinical and two-dimensional echocardiographic assessment in estimating the risk of left ventricular thrombosis after myocardial infarction.


PMID: 7722131

DOI: 10.1016/0735-1097(94)00548-5

Other references

Smith, C., 1971: Recurrence risks for multifactorial inheritance. The abrupt threshold model of liability to genetic disease is shown to correspond to a normal genetic distribution of liability with a cumulative normal risk function. A method for estimating recurrence risks for any family history in conditions w...

Buchanan M.R.; Hirsh J., 1982: Prostaglandins their role in hemostasis and thrombosis. Barnett, H J M , J Hirsh And J F Mustard (Ed ) Acetylsalicylic Acid: New Uses For An Old Drug First Canadian Conference, Banff, Alberta, Canada, April 1980 X+278p Raven Press: New York, N Y , Usa Illus P33-48

Stepin, V.V., 1983: Efficiency of land improvement in the non-black earth zone of the RSFSR. Of the total 47 Mha of agricultural land in the USSR non-black earth zone some 90% requires melioration. This mainly involves drainage and irrigation works as well as the supply of lime and organic manures. At the same time a large scale land cons...

Peregrino-Uriarte, A.B.; Pacheco-Aguilar, R.; Varela-Romero, A.; Yepiz-Plascencia, G., 2007: Diferencias en los genes 16SrRNA y citocromo c oxidasa subunidad I de las lisas Mugil cephalus y Mugil curema y los robalos Centropomus viridis y Centropomus robalito. The mitochondrial genes coding for 16SrRNA and cytochrome c oxidase subunit I (COI) in four commercially important fish species from the Gulf of California were studied. These fish species were the striped mullet Mugil cephalus and white mullet M...

Black P.B.; Miller R.D., 1990: Hydraulic conductivity and unfrozen water content of air-free frozen silt. Unfrozen water content and hydraulic conductivity data were obtained for an air-free frozen Alaskan silt using a new form of an ice sandwich dilatometer/permeameter that was designed to allow control of effective stress in the granular matrix thro...

Jimeno, R.; Gomariz, R.P.; Garín, M.; Gutiérrez-Cañas, I.; González-Álvaro, I.; Carrión, M.; Galindo, Mía.; Leceta, J.; Juarranz, Y., 2015: The pathogenic Th profile of human activated memory Th cells in early rheumatoid arthritis can be modulated by VIP. Our aim is to study the behavior of memory Th cells (Th17, Th17/1, and Th1 profiles) from early rheumatoid arthritis (eRA) patients after their in vitro activation/expansion to provide information about its contribution to RA chronicity. Moreover,...

Beye, M.D.; Calton, B.; Launoy, A.; Pottecher, T.; Sall, K.B., 2005: Role of MRI in the diagnostic of Gayet Wernicke's encephalopathy (GWE) after gastrectomy and parenteral nutrition. GWE is rarely described after gastric surgery following parenteral nutrition. The case of a 33 years old female with no previous alcohol addiction, who presented severe neurological disorders after reoperation for postoperative peritonitis and tot...

Jones, M.L.; Woodson, W.R., 1997: Pollination-induced ethylene in carnation. Role of stylar ethylene in corolla senescence. In carnation (Dianthus caryophyllus L. cv White Sim) cell to cell communication between the pollen and pistil induces ovary development and corolla senescence. The production of elevated ethylene by the style is the first measurable postpollinatio...

Thill, A., 1913: Bericht uber Temperatur-Experimente im Sommer 1912. Bulletin de la Societe des Naturalistes Luxembourgeois, 23: 40-42

Nardi I.; Batistoni R.; Barsacchi Pilone G.; Bartol M.; Andronico F., 1974: The genes for 28s 18s and 5s ribosomal rna in the chromosomes of triturus vulgaris meridionalis amphibia urodela. Bollettino di Zoologia 41(4): 509