当前位置： SCI文献检索 > EUROPEAN HEART JOURNAL期刊下所有文献 > Diagnosis of left atrial thrombi in mitral stenosis--usefulness of ultrasound techniques compared with other methods.

Diagnosis of left atrial thrombi in mitral stenosis--usefulness of ultrasound techniques compared with other methods.

Abstract：

:The purpose of this study was to evaluate various methods of diagnosis of left atrial thrombi (LAT) in patients (pts) with mitral stenosis (MS). From 1980 to 1990, 581 pts with MS have undergone open mitral commissurotomy (n = 169) or valve replacement (n = 412). All pts had transthoracic 2D echocardiography (TTE), 101 transoesophageal echocardiography (TEE), 192 a left atrial angiography (A) (from a left ventricular injection if associated mitral regurgitation grade 3 (n = 154) or from an injection in the pulmonary artery (n = 38) and 229 a coronary angiography (CA). Tomodensitometry (TD), nuclear magnetic resonance (NMR) and 111 Indium platelet imaging (IPI) were performed in some cases, 2, 8 and 5 respectively. All these examinations were carried out in the month before surgery. LAT was found by the surgeon in 43 pts (7%). The site was left atrial appendage in 26 cases (60%) and left atrial cavity in 17 cases. Sensitivity (Se), specificity (Sp) of TTE/TEE/A/CA were the following: TTE, Se% 28, Sp% 99; TEE, Se% 83, Sp% 97; A, Se% 28, Sp% 99; CA, Se% 14, Sp% 100. Specificity was high with all methods but sensitivity was high only with TEE and poor with other methods because of difficulty in detecting thrombi of the left atrial appendage. Specificity and sensitivity of TD, NMR and IPI require more information. False-negative cases are possible with NMR (1 case) and IPI (1 case) in well established LAT. We conclude: TEE is the easiest way to detect LAT, particularly when located in the left atrial appendage. It should be carried out systematically before percutaneous mitral valvuloplasty or surgery.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Acar J,Cormier B,Grimberg D,Kawthekar G,Iung B,Scheuer B,Farah E

doi

10.1093/eurheartj/12.suppl_b.70

subject

Has Abstract

pub_date

1991-07-01 00:00:00

pages

70-6

eissn

0195-668X

issn

1522-9645

journal_volume

12 Suppl B

pub_type

杂志文章,评审

相关文献

EUROPEAN HEART JOURNAL文献大全
  • Oxygen therapy in acute coronary syndrome: are the benefits worth the risk?

    abstract：:Oxygen supplementation is a standard treatment for all patients who present with acute coronary syndrome, regardless of oxygen saturation levels. Most of the data regarding the function of oxygen in myocardial infarction is based on a limited number of basic and clinical studies. We performed a systematic literature r...

    journal_title：European heart journal

    pub_type： 杂志文章,评审

    doi：10.1093/eurheartj/eht110

    authors： Shuvy M,Atar D,Gabriel Steg P,Halvorsen S,Jolly S,Yusuf S,Lotan C

    更新日期：2013-06-01 00:00:00

  • Genetic counselling and testing in cardiomyopathies: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases.

    abstract：:Advances in molecular genetics present new opportunities and challenges for cardiologists who manage patients and families with cardiomyopathies. The aims of this position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases are to review the general issues related to ge...

    journal_title：European heart journal

    pub_type： 共识发展会议,杂志文章

    doi：10.1093/eurheartj/ehq271

    authors： Charron P,Arad M,Arbustini E,Basso C,Bilinska Z,Elliott P,Helio T,Keren A,McKenna WJ,Monserrat L,Pankuweit S,Perrot A,Rapezzi C,Ristic A,Seggewiss H,van Langen I,Tavazzi L,European Society of Cardiology Working Group on

    更新日期：2010-11-01 00:00:00

  • One-year clinical outcomes of protected and unprotected left main coronary artery stenting.

    abstract：AIMS:To evaluate outcomes for left main coronary artery (LMCA) stenting and compare results between protected (left coronary grafted) and unprotected LMCA stenting in the current bare-metal stent era. METHODS:We reviewed outcomes among 142 consecutive patients who underwent protected or unprotected LMCA stenting since...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1016/s0195-668x(03)00314-2

    authors： Kelley MP,Klugherz BD,Hashemi SM,Meneveau NF,Johnston JM,Matthai WH Jr,Banka VS,Herrmann HC,Hirshfeld JW Jr,Kimmel SE,Kolansky DM,Horwitz PA,Schiele F,Bassand JP,Wilensky RL

    更新日期：2003-09-01 00:00:00

  • Quantifying the heart failure epidemic: prevalence, incidence rate, lifetime risk and prognosis of heart failure The Rotterdam Study.

    abstract：AIMS:To determine the prevalence, incidence rate, lifetime risk and prognosis of heart failure. METHODS AND RESULTS:The Rotterdam Study is a prospective population-based cohort study in 7983 participants aged > or =55. Heart failure was defined according to criteria of the European Society of Cardiology. Prevalence wa...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1016/j.ehj.2004.06.038

    authors： Bleumink GS,Knetsch AM,Sturkenboom MC,Straus SM,Hofman A,Deckers JW,Witteman JC,Stricker BH

    更新日期：2004-09-01 00:00:00

  • Accuracy and reproducibility of biplane two-dimensional echocardiographic measurements of left ventricular dimensions and function.

    abstract：OBJECTIVE:To investigate sources of variability in serial echocardiographic recordings in a core laboratory we assessed the impact of repeated echo recordings, repeated video measurements and measurements made by different investigators. PATIENTS, METHODS:Two investigators each recorded and analysed two-dimensional ec...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/oxfordjournals.eurheartj.a015273

    authors： Otterstad JE,Froeland G,St John Sutton M,Holme I

    更新日期：1997-03-01 00:00:00

  • Accelerating impact of diabetes mellitus on mortality in the years following an acute myocardial infarction. TRACE Study Group. Trandolapril Cardiac Evaluation.

    abstract：AIMS:The development of risk associated with diabetes mellitus during long-term follow-up after a myocardial infarction has not been studied in detail. We have studied time-related changes of risk of death during 10 years of follow-up in a cohort of patients not treated with thrombolytic therapy (the Glostrup cohort) a...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1053/euhj.1999.1530

    authors： Melchior T,Kober L,Madsen CR,Seibaek M,Jensen GV,Hildebrandt P,Torp-Pedersen C

    更新日期：1999-07-01 00:00:00

  • Early diastolic strain rate in relation to systolic and diastolic function and prognosis in acute myocardial infarction: a two-dimensional speckle-tracking study.

    abstract：AIMS:Diastolic dysfunction in acute myocardial infarction (MI) is associated with adverse outcome. Recently, the ratio of early mitral inflow velocity (E) to global diastolic strain rate (e'sr) has been proposed as a marker of elevated LV filling pressure. However, the prognostic value of this measure has not been demo...

    journal_title：European heart journal

    pub_type： 杂志文章,多中心研究

    doi：10.1093/eurheartj/eht179

    authors： Ersbøll M,Andersen MJ,Valeur N,Mogensen UM,Fakhri Y,Thune JJ,Møller JE,Hassager C,Søgaard P,Køber L

    更新日期：2014-03-01 00:00:00

  • Bleeding complications with the P2Y12 receptor antagonists clopidogrel and ticagrelor in the PLATelet inhibition and patient Outcomes (PLATO) trial.

    abstract：:AIMS More intense platelet-directed therapy for acute coronary syndrome (ACS) may increase bleeding risk. The aim of the current analysis was to determine the rate, clinical impact, and predictors of major and fatal bleeding complications in the PLATO study. METHODS AND RESULTS PLATO was a randomized, double-blind, ac...

    journal_title：European heart journal

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1093/eurheartj/ehr422

    authors： Becker RC,Bassand JP,Budaj A,Wojdyla DM,James SK,Cornel JH,French J,Held C,Horrow J,Husted S,Lopez-Sendon J,Lassila R,Mahaffey KW,Storey RF,Harrington RA,Wallentin L

    更新日期：2011-12-01 00:00:00

  • Myocardial catecholamine concentrations in dilated cardiomyopathy and heart failure of different origins.

    abstract：:Myocardial catecholamine concentrations were determined in endomyocardial biopsies from patients with heart failure to assess if tissue catecholamine levels relate to the severity of myocardial damage or the aetiology of the underlying disease. Methodological studies revealed a good reproducibility of catecholamine de...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/12.suppl_d.171

    authors： Regitz V,Leuchs B,Bossaller C,Sehested J,Rappolder M,Fleck E

    更新日期：1991-08-01 00:00:00

  • Use of transthoracic Doppler echocardiography combined with clinical and electrocardiographic data to predict acute pulmonary embolism.

    abstract：:Transthoracic echocardiography and continuous wave Doppler were prospectively performed in 132 out-patients with suspicion of pulmonary embolism, and who had no previous history of severe cardiac or pulmonary disease. Bedside echocardiography determined diagnosis other than pulmonary embolism in 55 patients. Further s...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/oxfordjournals.eurheartj.a014946

    authors： Nazeyrollas P,Metz D,Jolly D,Maillier B,Jennesseaux C,Maes D,Chabert JP,Chapoutot L,Elaerts J

    更新日期：1996-05-01 00:00:00

  • Once more unto the breach: endothelial permeability and atherogenesis.

    abstract：: ...

    journal_title：European heart journal

    pub_type： 评论,杂志文章

    doi：10.1093/eurheartj/ehz081

    authors： Libby P

    更新日期：2019-03-14 00:00:00

  • Cardiac electrophysiology in New Zealand: a small but vital speciality.

    abstract：:Dr Martin Stiles talks about the electrophysiology scene in NZ with Iona MacDonald. ...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：

    authors： MacDonald I

    更新日期：2012-06-01 00:00:00

  • Ratio of transmitral early filling velocity to early diastolic strain rate predicts long-term risk of cardiovascular morbidity and mortality in the general population.

    abstract：Aims:It has previously been demonstrated that the ratio of early mitral inflow velocity to global diastolic strain rate (E/e'sr) is a significant predictor of cardiac events in specific patient populations. The utility of this measurement to predict cardiovascular events in a general population has not been evaluated. ...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehy164

    authors： Lassen MCH,Biering-Sørensen SR,Olsen FJ,Skaarup KG,Tolstrup K,Qasim AN,Møgelvang R,Jensen JS,Biering-Sørensen T

    更新日期：2019-02-07 00:00:00

  • A comparison of single-lead atrial pacing with dual-chamber pacing in sick sinus syndrome.

    abstract：AIMS:In patients with sick sinus syndrome, bradycardia can be treated with a single-lead pacemaker or a dual-chamber pacemaker. Previous trials have revealed that pacing modes preserving atrio-ventricular synchrony are superior to single-lead ventricular pacing, but it remains unclear if there is any difference between...

    journal_title：European heart journal

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1093/eurheartj/ehr022

    authors： Nielsen JC,Thomsen PE,Højberg S,Møller M,Vesterlund T,Dalsgaard D,Mortensen LS,Nielsen T,Asklund M,Friis EV,Christensen PD,Simonsen EH,Eriksen UH,Jensen GV,Svendsen JH,Toff WD,Healey JS,Andersen HR,DANPACE Investigato

    更新日期：2011-03-01 00:00:00

  • Atrial fibrillation.

    abstract：:Atrial fibrillation is a common arrhythmia and one which may cause pilot incapacitation. In many cases there may be no more than one episode and there will be no organic heart disease. Prediction of the risk of recurrence is not possible. Atrial fibrillation in both paroxysmal and persistent forms should be disqualify...

    journal_title：European heart journal

    pub_type： 杂志文章,评审

    doi：10.1093/eurheartj/5.suppl_a.89

    authors： Bennett D

    更新日期：1984-03-01 00:00:00

  • Adenosine test in the diagnosis of unexplained syncope: marker of conducting tissue disease or neurally mediated syncope?

    abstract：:Adenosine test (supine administration of a 20 mg intravenous bolus with electrocardiographic and blood pressure monitoring) has been endorsed by the European Society of Cardiology guidelines on syncope management as an 'experimental' test in the diagnosis of unexplained syncope. The test is quick and cheap, but there ...

    journal_title：European heart journal

    pub_type： 杂志文章,评审

    doi：10.1093/eurheartj/ehi844

    authors： Parry SW,Nath S,Bourke JP,Bexton RS,Kenny RA

    更新日期：2006-06-01 00:00:00

  • Avoiding non-responders to cardiac resynchronization therapy: a practical guide.

    abstract：:Over two decades after the introduction of cardiac resynchronization therapy (CRT) into clinical practice, ∼30% of candidates continue to fail to respond to this highly effective treatment of drug-refractory heart failure (HF). Since the causes of this non-response (NR) are multifactorial, it will require multidiscipl...

    journal_title：European heart journal

    pub_type： 杂志文章,评审

    doi：10.1093/eurheartj/ehw270

    authors： Daubert C,Behar N,Martins RP,Mabo P,Leclercq C

    更新日期：2017-05-14 00:00:00

  • Increased cardiac sympathetic nervous activity in patients with unstable coronary heart disease.

    abstract：:We have evaluated overall and cardiac sympathetic activity in 47 patients undergoing coronary angiography, 27 with stable angina of at least 3 months duration, and 20 with unstable ischaemic symptoms within this period. Cardiac and overall sympathetic activity were assessed using radiotracer noradrenaline kinetic tech...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/14.6.751

    authors： McCance AJ,Thompson PA,Forfar JC

    更新日期：1993-06-01 00:00:00

  • Prognostic value of tissue inhibitor of metalloproteinase-1 for cardiovascular death among patients with cardiovascular disease: results from the AtheroGene study.

    abstract：AIMS:Metalloproteinases are proteolytic enzymes, which decompose the extracellular matrix, influence cardiac remodelling, and are inhibited by tissue inhibitor of metalloproteinases (TIMPs). Little is known about the prognostic impact of the TIMP-1/matrix metalloproteinase complex in patients with future cardiovascular...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehi582

    authors： Lubos E,Schnabel R,Rupprecht HJ,Bickel C,Messow CM,Prigge S,Cambien F,Tiret L,Münzel T,Blankenberg S

    更新日期：2006-01-01 00:00:00

  • Imaging techniques for the assessment of myocardial hibernation. Report of a Study Group of the European Society of Cardiology.

    abstract：:This report of an ESC Study Group reviews current knowledge on myocardial hibernation and relevant imaging techniques, and provides an algorithm for investigation and management when a patient presents with ischaemic left ventricular dysfunction. It covers the definitions of myocardial viability, stunning and hibernat...

    journal_title：European heart journal

    pub_type： 杂志文章,评审

    doi：10.1016/j.ehj.2004.03.012

    authors： Underwood SR,Bax JJ,vom Dahl J,Henein MY,Knuuti J,van Rossum AC,Schwarz ER,Vanoverschelde JL,van der Wall EE,Wijns W,Study Group of the European Society of Cardiology.

    更新日期：2004-05-01 00:00:00

  • Effect of flecainide on left ventricular ejection fraction.

    abstract：:Antiarrhythmic agents may depress cardiac contractility and worsen heart failure. Flecainide is an effective antiarrhythmic drug, but when administered orally in patients with left ventricular (LV) dysfunction, its effect on LV function is unknown. To assess the effects of flecainide on cardiac function, LV ejection f...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章

    doi：10.1093/eurheartj/8.7.754

    authors： Brembilla-Perrot B,Amor M,Auque F,Isaaz K,Terrier de la Chaise A,Bertrand A,Cherrier F,Pernot C

    更新日期：1987-07-01 00:00:00

  • Genetic defects in a His-Purkinje system transcription factor, IRX3, cause lethal cardiac arrhythmias.

    abstract：AIM:Ventricular fibrillation (VF), the main cause of sudden cardiac death (SCD), occurs most frequently in the acute phase of myocardial infarction: a certain fraction of VF, however, develops in an apparently healthy heart, referred as idiopathic VF. The contribution of perturbation in the fast conduction system in th...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehv449

    authors： Koizumi A,Sasano T,Kimura W,Miyamoto Y,Aiba T,Ishikawa T,Nogami A,Fukamizu S,Sakurada H,Takahashi Y,Nakamura H,Ishikura T,Koseki H,Arimura T,Kimura A,Hirao K,Isobe M,Shimizu W,Miura N,Furukawa T

    更新日期：2016-05-07 00:00:00

  • Effects of transdermal nitroglycerin in combination with an ACE inhibitor in patients with chronic stable angina pectoris.

    abstract：:We have previously shown that transdermal nitroglycerin may induce an increase in the activity of the adrenergic and the renin-angiotensin-aldosterone systems (SRAA) in patients with chronic stable angina pectoris (SA); when the activation of these systems is more pronounced, the antianginal effect of this drug seems ...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1093/eurheartj/14.12.1701

    authors： Muiesan ML,Boni E,Castellano M,Beschi M,Cefis G,Cerri B,Verdecchia P,Porcellati C,Pollavini G,Agabiti-Rosei E

    更新日期：1993-12-01 00:00:00

  • Comparative study on the effects of intracoronary nicorandil and nitroglycerin in ischaemic, reperfused porcine hearts.

    abstract：:The direct cardioprotective properties of nitroglycerin and nicorandil were compared in regionally ischaemic (45 min), reperfused (24 h) porcine hearts. Intracoronary treatments, which were started 15 min prior to occlusion of the distal left anterior descending coronary artery (LAD), were continuously administered fo...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/oxfordjournals.eurheartj.a060962

    authors： Klein HH,Pich S,Lindert-Heimberg S,Schade-Brittinger C,Maisch B,Nebendahl K

    更新日期：1995-05-01 00:00:00

  • Relationship of arterial stiffness and early mild diastolic heart failure in general middle and aged population.

    abstract：AIMS:The brachial-ankle pulse wave velocity (baPWV) has been recognized as a marker that reflects arterial stiffness. We conducted an investigation to evaluate whether baPWV is independently associated with early mild diastolic heart failure (DHF) in a general middle and aged population. METHODS AND RESULTS:From 1 Jul...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehq296

    authors： Kang S,Fan HM,Li J,Fan LY,Miao AY,Bao Y,Wu LZ,Zhu Y,Zhang DF,Liu ZM

    更新日期：2010-11-01 00:00:00

  • Acute and one year follow-up results after vessel size adapted PTCA using intracoronary ultrasound.

    abstract：AIMS:Recent randomized clinical trials have reported a reduction in restenosis with intracoronary stents and have suggested that this restenosis reduction is a result of the higher immediate luminal gain, in comparison to conventional percutaneous transluminal coronary angioplasty (PTCA). The hypothesis of this study i...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章

    doi：10.1053/euhj.1997.0614

    authors： Haase KK,Athanasiadis A,Mahrholdt H,Treusch A,Wullen B,Jaramillo C,Baumbach A,Voelker W,Meisner C,Karsch KR

    更新日期：1998-02-01 00:00:00

  • Defining the genetic architecture of hypertrophic cardiomyopathy: re-evaluating the role of non-sarcomeric genes.

    abstract：Aim:Hypertrophic cardiomyopathy (HCM) exhibits genetic heterogeneity that is dominated by variation in eight sarcomeric genes. Genetic variation in a large number of non-sarcomeric genes has also been implicated in HCM but not formally assessed. Here we used very large case and control cohorts to determine the extent t...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehw603

    authors： Walsh R,Buchan R,Wilk A,John S,Felkin LE,Thomson KL,Chiaw TH,Loong CCW,Pua CJ,Raphael C,Prasad S,Barton PJ,Funke B,Watkins H,Ware JS,Cook SA

    更新日期：2017-12-07 00:00:00

  • The diagnostic accuracy of 256-row computed tomographic angiography compared with invasive coronary angiography in patients with suspected coronary artery disease.

    abstract：AIMS:To assess the diagnostic accuracy of 256-row computed tomographic angiography (CTA) in patients with suspected coronary artery disease (CAD). Non-invasive imaging of the coronary artery by CTA has increasingly been used in recent years. The accuracy of 256-row CTA has not yet been studied. We sought to assess the ...

    journal_title：European heart journal

    pub_type： 杂志文章

    doi：10.1093/eurheartj/ehq072

    authors： Chao SP,Law WY,Kuo CJ,Hung HF,Cheng JJ,Lo HM,Shyu KG

    更新日期：2010-08-01 00:00:00

  • How many patients with heart failure are eligible for cardiac resynchronization? Insights from two prospective cohorts.

    abstract：AIMS:To determine what proportion of patients with heart failure are eligible for cardiac resynchronization therapy (CRT). METHODS AND RESULTS:Eligibility criteria from the trials establishing the efficacy of CRT were applied to two prospective cohorts: the first enrolled patients with newly diagnosed heart failure di...

    journal_title：European heart journal

    pub_type： 杂志文章,多中心研究

    doi：10.1093/eurheartj/ehi446

    authors： McAlister FA,Tu JV,Newman A,Lee DS,Kimber S,Cujec B,Armstrong PW

    更新日期：2006-02-01 00:00:00

  • The haemodynamic side-effects of ionic and non-ionic contrast media in the presence of pulmonary hypertension: experimental and clinical investigation.

    abstract：:The haemodynamic side-effects of ionic (amidotrizoate) and non-ionic (iopamidol) contrast media after injection into the right atrium were compared in experimental and clinical studies. Pulmonary hypertension was induced in 10 dogs by embolization of the pulmonary vascular bed with agar-agar solution (mean pulmonary a...

    journal_title：European heart journal

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1093/oxfordjournals.eurheartj.a062219

    authors： Schräder R,Hellige G,Kaltenbach M,Kober G

    更新日期：1987-12-01 00:00:00