6533b7ddfe1ef96bd12736ba

RESEARCH PRODUCT

Embolic stroke, sinus rhythm and left atrial mechanical function

Caterina ReinaStefano De CastroRenzo M. R. LombardoAnnabella BraschiMaurizio Giuseppe Abrignani

subject

Malemedicine.medical_specialtymedicine.medical_treatmentElectric CountershockAtrial AppendageCatheter ablationInternal medicineAtrial FibrillationmedicineHumansAtrial AppendageRadiology Nuclear Medicine and imagingSinus rhythmcardiovascular diseasesThrombusAtrium (heart)business.industryInfarction Middle Cerebral ArteryThrombosisAtrial fibrillationGeneral MedicineMiddle Agedmedicine.diseaseThrombosisEchocardiography DopplerStrokemedicine.anatomical_structureIntracranial EmbolismAnesthesiaCatheter Ablationcardiovascular systemCardiologyAtrial Function LeftAtrial AblationTomography X-Ray ComputedCardiology and Cardiovascular MedicinebusinessBlood Flow VelocityEchocardiography Transesophageal

description

A 64-year-old man manifested a stroke two years after restoration of sinus rhythm through a radiofrequency catheter ablation. Transesophageal echo- cardiography demonstrated the presence of a thrombus in the left atrial appendage. Left atrial volumes and different parameters of atrial emptying showed that, de- spite the persistence of the sinus rhythm, atrial mechanical function was severely impaired. After atrial ablation procedures echocardiography can be useful to stratify pa- tients according to their risk of developing embolic events and hence be of help in deciding whether or not discontinuation of anticoagulant therapy is the appropri- ate choice.

yearjournalcountryeditionlanguage
2004-12-27European Journal of Echocardiography
https://doi.org/10.1016/j.euje.2005.07.014