Abstract:
:The mortality and morbidity associated with residual intracardiac floating thrombi in patients with acute pulmonary thromboembolism remain uncertain. Thirteen patients (2 men and 11 women, mean age 56 +/- 15 years) with pulmonary thromboembolism underwent echocardiography within 24 hours from onset of symptoms. Four patients (31%) had floating intracardiac thrombi in the right heart: 3 in the right atrium and one in the inferior vena cava. The time to evaluation by echocardiography was shorter than in the patients without thrombi. The thrombi disappeared shortly (3.2 +/- 2.4 hr) after thrombolysis without adverse effects in these patients. After thrombolysis, clinical symptoms improved and pressure gradient between the right ventricle and right atrium decreased significantly (p < 0.01) from baseline 47 +/- 6 to 26 +/- 5 mmHg. Major bleeding complications occurred in 3 (43%) of the patients who underwent thrombolysis. Right-side intracardiac floating thrombus was easily detectable by early echocardiography. Thrombolytic agents are likely to be effective in patients with intracardiac floating thrombi.
journal_name
J Cardioljournal_title
Journal of cardiologyauthors
Ikeda R,Yuda S,Nakahara N,Kobayashi N,Uno K,Nakata T,Tsuchihashi K,Shimamoto Ksubject
Has Abstractpub_date
2000-06-01 00:00:00pages
433-8issue
6eissn
0914-5087issn
1876-4738journal_volume
35pub_type
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doi:
更新日期:2002-05-01 00:00:00
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更新日期:2012-05-01 00:00:00
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pub_type: 杂志文章
doi:
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journal_title:Journal of cardiology
pub_type: 杂志文章
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更新日期:2003-06-01 00:00:00
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journal_title:Journal of cardiology
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doi:
更新日期:2006-02-01 00:00:00
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