当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY期刊下所有文献 > Should all patients undergo transesophageal echocardiography before electrical cardioversion of atrial fibrillation?

Should all patients undergo transesophageal echocardiography before electrical cardioversion of atrial fibrillation?

Abstract：

:The management of anticoagulant therapy in patients with atrial fibrillation undergoing electrical cardioversion remains controversial, largely because of inadequate studies demonstrating risk or benefit, a relatively inconvenient anticoagulation management strategy and the increasing use of transesophageal echocardiography. Recent investigations into the potential mechanisms involved in the development of thrombus and systemic embolism in patients undergoing electrical cardioversion of atrial fibrillation may provide insight into underlying predisposing factors, with subsequent modification of management strategies. Conventional wisdom suggests that preexisting thrombus is responsible for thromboembolic events after cardioversion. However, development of a thrombogenic milieu after cardioversion, particularly in the left atrial appendage, may also be an important predisposing factor. To protect against both potential mechanisms of embolization, these data support therapeutic anticoagulation for all patients with atrial fibrillation of > 2 days in duration from the time of, as well as after cardioversion for a total of 4 weeks, undergoing cardioversion, even in the absence of thrombus on echocardiography. Therefore, the role of transesophageal echocardiography in this setting should be to enable early cardioversion if atrial thrombus is excluded and to identify high risk patients with atrial thrombi so as to postpone cardioversion and avoid the risk of embolization. Ultimately, however, a controlled, randomized and prospective clinical trial will be required to compare conventional management with a transesophageal echocardiography-guided strategy.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Grimm RA,Stewart WJ,Black IW,Thomas JD,Klein AL

doi

10.1016/0735-1097(94)90443-x

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

533-41

issue

2

eissn

0735-1097

issn

1558-3597

pii

0735-1097(94)90443-X

journal_volume

23

pub_type

杂志文章,评审

相关文献

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY文献大全
  • Streptokinase for the treatment of acute myocardial infarction: a brief review of randomized trials.

    abstract：:This is a review of the important randomized trials of intracoronary and intravenous streptokinase therapy for treatment of acute myocardial infarction. Trials carried out before 1980 failed to recognize the relations between early coronary reperfusion and myocardial salvage and therefore have not been included in thi...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章,评审

    doi：10.1016/s0735-1097(87)80425-4

    authors： Kennedy JW

    更新日期：1987-11-01 00:00:00

  • Do cardiologists do it better?

    abstract：:Pressure to lower the cost of health care delivery has fostered widespread efforts to limit patients' access to specialists such as cardiologists. However, there is concern that diminished specialist involvement may lead to poorer patient outcomes for specific clinical conditions. As part of a state-sponsored effort t...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(96)00528-1

    authors： Nash IS,Nash DB,Fuster V

    更新日期：1997-03-01 00:00:00

  • Influence of systolic blood pressure and body mass index on left ventricular structure in healthy African-American and white young adults: the CARDIA study.

    abstract：OBJECTIVES:In the Coronary Artery Risk Development in Young Adults (CARDIA) Study comprised of a generally healthy, biracial cohort of 28- to 40-year-old adults, we sought to characterize the distribution of left ventricular (LV) mass and LV geometry and the relationship of systolic blood pressure (SBP), body mass inde...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(03)00052-4

    authors： Lorber R,Gidding SS,Daviglus ML,Colangelo LA,Liu K,Gardin JM

    更新日期：2003-03-19 00:00:00

  • Carotid Artery Stenting Versus Endarterectomy for Stroke Prevention: A Meta-Analysis of Clinical Trials.

    abstract：BACKGROUND:Data conflict regarding the relative effectiveness of carotid artery stenting (CAS) and carotid artery endarterectomy (CEA) for the prevention of stroke due to carotid artery stenosis. OBJECTIVES:The authors performed an updated meta-analysis evaluating the efficacy and safety of CAS versus CEA, given recen...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.jacc.2017.02.053

    authors： Sardar P,Chatterjee S,Aronow HD,Kundu A,Ramchand P,Mukherjee D,Nairooz R,Gray WA,White CJ,Jaff MR,Rosenfield K,Giri J

    更新日期：2017-05-09 00:00:00

  • Renal response to candoxatrilat in patients with heart failure.

    abstract：OBJECTIVES:Our primary objective was to compare the effects of three different doses of candoxatrilat with the effects of placebo on urinary volume in patients with moderately severe heart failure. The effects of candoxatrilat on urinary composition, neuroendocrine indexes and renal hemodynamic function were also studi...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0735-1097(94)00561-4

    authors： Good JM,Peters M,Wilkins M,Jackson N,Oakley CM,Cleland JG

    更新日期：1995-05-01 00:00:00

  • Sex-Specific Thresholds of High-Sensitivity Troponin in Patients With Suspected Acute Coronary Syndrome.

    abstract：BACKGROUND:Major disparities between women and men in the diagnosis, management, and outcomes of acute coronary syndrome are well recognized. OBJECTIVES:The aim of this study was to evaluate the impact of implementing a high-sensitivity cardiac troponin I assay with sex-specific diagnostic thresholds for myocardial in...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jacc.2019.07.082

    authors： Lee KK,Ferry AV,Anand A,Strachan FE,Chapman AR,Kimenai DM,Meex SJR,Berry C,Findlay I,Reid A,Cruickshank A,Gray A,Collinson PO,Apple FS,McAllister DA,Maguire D,Fox KAA,Newby DE,Tuck C,Keerie C,Weir CJ,Shah ASV,

    更新日期：2019-10-22 00:00:00

  • Insulin resistance, lipoproteins, body fat and hemostasis in nonobese men with angina and a normal or abnormal coronary angiogram.

    abstract：OBJECTIVES:The aim of this study was to compare metabolic risk factors in men with anginal chest pain and a normal or abnormal coronary angiogram with those in healthy men. BACKGROUND:Risk factors for coronary heart disease, including lipoprotein abnormalities, hypertension and adiposity, may be metabolically interlin...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(94)90423-5

    authors： Ley CJ,Swan J,Godsland IF,Walton C,Crook D,Stevenson JC

    更新日期：1994-02-01 00:00:00

  • Cardiac regeneration.

    abstract：:The role and even the existence of new myocyte formation in the adult heart remain controversial. Documentation of cell cycle regulators, deoxyribonucleic acid synthesis, and mitotic images has only in part modified the view that myocardial growth can be accomplished exclusively from hypertrophy of an irreplaceable po...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2006.02.003

    authors： Anversa P,Leri A,Kajstura J

    更新日期：2006-05-02 00:00:00

  • Endocardial mapping of ventricular tachycardia in the intact human ventricle. III. Evidence of multiuse reentry with spontaneous and induced block in portions of reentrant path complex.

    abstract：OBJECTIVES:This study was conducted to characterize the functional nature of the reentrant tract responsible for ventricular tachycardia due to ischemic heart disease. BACKGROUND:A zone of slow conduction forming the return path is though to form a critical component of the reentrant mechanism in ventricular tachycard...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(95)00086-j

    authors： Downar E,Saito J,Doig JC,Chen TC,Sevaptsidis E,Masse S,Kimber S,Mickleborough L,Harris L

    更新日期：1995-06-01 00:00:00

  • Coronary stenting in cardiac allograft vasculopathy.

    abstract：OBJECTIVE:The purpose of this study was to evaluate acute angiographic success, in-hospital complications and long-term outcome after intracoronary stenting in patients with cardiac allograft vasculopathy. BACKGROUND:The application of conventional interventional modalities to treat discrete lesions in patients with c...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(98)00432-x

    authors： Jain SP,Ramee SR,White CJ,Mehra MR,Ventura HO,Zhang S,Jenkins JS,Collins TJ

    更新日期：1998-11-15 00:00:00

  • Diagnostic accuracy of 64-slice computed tomography coronary angiography: a prospective, multicenter, multivendor study.

    abstract：OBJECTIVES:This study sought to determine the diagnostic accuracy of 64-slice computed tomographic coronary angiography (CTCA) to detect or rule out significant coronary artery disease (CAD). BACKGROUND:CTCA is emerging as a noninvasive technique to detect coronary atherosclerosis. METHODS:We conducted a prospective,...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1016/j.jacc.2008.08.058

    authors： Meijboom WB,Meijs MF,Schuijf JD,Cramer MJ,Mollet NR,van Mieghem CA,Nieman K,van Werkhoven JM,Pundziute G,Weustink AC,de Vos AM,Pugliese F,Rensing B,Jukema JW,Bax JJ,Prokop M,Doevendans PA,Hunink MG,Krestin GP,de Fey

    更新日期：2008-12-16 00:00:00

  • Monitored atrial fibrillation duration predicts arterial embolic events in patients suffering from bradycardia and atrial fibrillation implanted with antitachycardia pacemakers.

    abstract：OBJECTIVES:The aim of our study was to evaluate arterial embolism (AE) occurrence rates and predictors in patients suffering from bradycardia and wearing a pacemaker with antitachycardia pacing therapies. BACKGROUND:Atrial fibrillation (AF) is associated with a high incidence of AE. METHODS:A total of 725 patients (3...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jacc.2005.07.044

    authors： Capucci A,Santini M,Padeletti L,Gulizia M,Botto G,Boriani G,Ricci R,Favale S,Zolezzi F,Di Belardino N,Molon G,Drago F,Villani GQ,Mazzini E,Vimercati M,Grammatico A,Italian AT500 Registry Investigators.

    更新日期：2005-11-15 00:00:00

  • Lessons from the past and promises for the future for carotid intima-media thickness.

    abstract：:Carotid intima-media thickness (CIMT) measurements have been used in cardiovascular research for more than 2 decades. There is a wealth of evidence showing that CIMT can be assessed in a reproducible manner and that increased CIMT relates to unfavorable risk factor levels and atherosclerosis elsewhere in the arterial ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2011.12.061

    authors： Bots ML,Sutton-Tyrrell K

    更新日期：2012-10-23 00:00:00

  • Effects of n-3 polyunsaturated fatty acids on left ventricular function and functional capacity in patients with dilated cardiomyopathy.

    abstract：OBJECTIVES:This study was designed to test the effects of n-3 polyunsaturated fatty acids (PUFAs) on left ventricular (LV) systolic function in chronic heart failure (HF) due to nonischemic dilated cardiomyopathy (NICM). BACKGROUND:One hundred thirty-three patients with NICM and minimal symptoms on standard therapy we...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/j.jacc.2010.11.017

    authors： Nodari S,Triggiani M,Campia U,Manerba A,Milesi G,Cesana BM,Gheorghiade M,Dei Cas L

    更新日期：2011-02-15 00:00:00

  • Experimental ultrasonic angioplasty: disruption of atherosclerotic plaques and thrombi in vitro and arterial recanalization in vivo.

    abstract：:To investigate the use of high energy ultrasound as an alternative energy for angioplasty, an experimental ultrasonic angioplasty device was developed. The device was studied in two bioassay systems: an in vitro system for the disruption of atherosclerotic plaques and thrombi and an in vivo system for the recanalizati...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(90)90651-5

    authors： Rosenschein U,Bernstein JJ,DiSegni E,Kaplinsky E,Bernheim J,Rozenzsajn LA

    更新日期：1990-03-01 00:00:00

  • Clopidogrel responsiveness regardless of the discontinuation date predicts increased blood loss and transfusion requirement after off-pump coronary artery bypass graft surgery.

    abstract：OBJECTIVES:the purpose of this study was to evaluate the association of the percentage of platelet inhibitory response to clopidogrel as assessed by modified thromboelastography with bleeding and transfusion requirement after off-pump coronary artery bypass graft (OPCABG) surgery. BACKGROUND:Interindividual variabilit...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jacc.2010.03.108

    authors： Kwak YL,Kim JC,Choi YS,Yoo KJ,Song Y,Shim JK

    更新日期：2010-12-07 00:00:00

  • Serial Doppler echocardiographic follow-up of left ventricular diastolic function in cardiac amyloidosis.

    abstract：:A spectrum of left ventricular diastolic filling abnormalities noted on Doppler echocardiography has been demonstrated in patients with cardiac amyloidosis. To determine how these filling abnormalities evolve over time and the significance of any change, serial pulsed wave Doppler studies of left ventricular inflow we...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(90)90545-z

    authors： Klein AL,Hatle LK,Taliercio CP,Taylor CL,Kyle RA,Bailey KR,Seward JB,Tajik AJ

    更新日期：1990-11-01 00:00:00

  • Response of human coronary arteries to acetylcholine after injury by coronary angioplasty.

    abstract：OBJECTIVES:The aim of this study was to investigate the effect of intracoronary administration of acetylcholine on large epicardial vessels 8 days after successful coronary angioplasty. BACKGROUND:Intracoronary infusion of acetylcholine causes vessel dilation in patients without angiographic evidence of coronary ather...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(93)90239-w

    authors： el-Tamimi H,Davies GJ,Crea F,Maseri A

    更新日期：1993-04-01 00:00:00

  • Association between frequency of atrial and ventricular ectopic beats and biventricular pacing percentage and outcomes in patients with cardiac resynchronization therapy.

    abstract：BACKGROUND:A high percentage of biventricular pacing is required for optimal outcome in patients treated with cardiac resynchronization therapy (CRT), but the influence of ectopic beats on the success of biventricular pacing has not been well established. OBJECTIVES:This study sought to determine if increased ectopic ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jacc.2014.06.1177

    authors： Ruwald MH,Mittal S,Ruwald AC,Aktas MK,Daubert JP,McNitt S,Al-Ahmad A,Jons C,Kutyifa V,Steinberg JS,Wang P,Moss AJ,Zareba W

    更新日期：2014-09-09 00:00:00

  • Data for cardiovascular modeling.

    abstract：:Data are required for a meaningful approach to quality and cost-conscious cardiovascular care. How to identify the types of data available and their sources, advantages and limitations to their use, issues involved in combining data from different sources for decision modeling and some possible solutions are discussed...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(89)90166-6

    authors： Muhlbaier LH,Pryor DB

    更新日期：1989-09-01 00:00:00

  • Baroreflex sensitivity and variants of the renin angiotensin system genes.

    abstract：OBJECTIVES:Because the renin-angiotensin-aldosterone system (RAS) modifies cardiovascular autonomic regulation, we studied the possible associations between baroreflex sensitivity (BRS) and polymorphism in the RAS genes. BACKGROUND:Wide intersubject variability in BRS is not well explained by cardiovascular risk facto...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(99)00506-9

    authors： Ylitalo A,Airaksinen KE,Hautanen A,Kupari M,Carson M,Virolainen J,Savolainen M,Kauma H,Kesäniemi YA,White PC,Huikuri HV

    更新日期：2000-01-01 00:00:00

  • Transcatheter versus surgical closure of perimembranous ventricular septal defects in children: a randomized controlled trial.

    abstract：OBJECTIVES:The objective of this study was to evaluate the safety and efficacy of the surgical versus transcatheter approach to correct perimembranous ventricular septal defects (pmVSDs) in a prospective, randomized, controlled clinical trial. BACKGROUND:pmVSD is a common congenital heart disease in children. Surgical...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jacc.2014.01.008

    authors： Yang J,Yang L,Yu S,Liu J,Zuo J,Chen W,Duan W,Zheng Q,Xu X,Li J,Zhang J,Xu J,Sun L,Yang X,Xiong L,Yi D,Wang L,Liu Q,Ge S,Ren J

    更新日期：2014-04-01 00:00:00

  • Akinesia becoming dyskinesia after exercise testing: prevalence and relationship to clinical outcome.

    abstract：OBJECTIVES:The aim of this study was to determine the prevalence and prognostic implications of dyskinesia developing after exercise. BACKGROUND:The prevalence and prognostic implications of new-onset dyskinesia with exercise testing have not been previously described. METHODS:We considered 1005 consecutive patients ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jacc.2003.08.053

    authors： Hillis GS,Oh JK,Mahoney DW,McCully RB,Pellikka PA

    更新日期：2004-02-18 00:00:00

  • STICH (Surgical Treatment for Ischemic Heart Failure) trial enrollment.

    abstract：OBJECTIVES:The aim of this study was to assess the influence of enrolling site location and enrollment performance on the generalizability of STICH (Surgical Treatment for Ischemic Heart Failure) trial results. BACKGROUND:The international STICH trial seeks to define the role of cardiac surgery for patients with ische...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jacc.2009.11.102

    authors： Jones RH,White H,Velazquez EJ,Shaw LK,Pietrobon R,Panza JA,Bonow RO,Sopko G,O'Connor CM,Rouleau JL

    更新日期：2010-08-03 00:00:00

  • Valvular heart disease and pregnancy: part II: prosthetic valves.

    abstract：:A large number of prosthetic heart valves (PHV) are being implanted in patients with both congenital and acquired valvular disease. Many of the recipients of such valves are women of childbearing age who desire to have children. The main issues involved with pregnancy in a patient with PHV include the selection of PHV...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,评审

    doi：10.1016/j.jacc.2005.02.087

    authors： Elkayam U,Bitar F

    更新日期：2005-08-02 00:00:00

  • Intraaortic balloon counterpulsation as a temporary support measure in decompensated critical aortic stenosis.

    abstract：:Intraaortic balloon counterpulsation was instituted in two adult patients whose condition was rapidly deteriorating because of critical decompensated valvular aortic stenosis. The acute hemodynamic effect of counterpulsation in these patients was compared with the effect of counterpulsation in three control patients w...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/s0735-1097(85)80399-5

    authors： Folland ED,Kemper AJ,Khuri SF,Josa M,Parisi AF

    更新日期：1985-03-01 00:00:00

  • Reproducibility of left ventricular myocardial volume and mass measurements by ultrafast computed tomography.

    abstract：:Ultrafast computed tomography has been reported to be an accurate method of measuring left ventricular mass in dogs. To assess the interstudy, intraobserver and interobserver variability of left ventricular myocardial mass measurements in humans, left ventricular myocardial volume was measured three times within 24 h ...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章

    doi：10.1016/0735-1097(91)90758-2

    authors： Roig E,Georgiou D,Chomka EV,Wolfkiel C,LoGalbo-Zak C,Rich S,Brundage BH

    更新日期：1991-10-01 00:00:00

  • Impact of cytochrome P450 2C19 loss-of-function polymorphism and of major demographic characteristics on residual platelet function after loading and maintenance treatment with clopidogrel in patients undergoing elective coronary stent placement.

    abstract：OBJECTIVES:The aim of this study was to evaluate the relative impact of demographic and clinical variables versus the cytochrome P450 2C19 (CYP2C19) polymorphism on antiplatelet effects of clopidogrel. BACKGROUND:Platelet responses to clopidogrel show a marked interindividual variability with substantial impact on cli...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jacc.2010.02.031

    authors： Hochholzer W,Trenk D,Fromm MF,Valina CM,Stratz C,Bestehorn HP,Büttner HJ,Neumann FJ

    更新日期：2010-06-01 00:00:00

  • T wave changes consistent with epicardial involvement in acute myocardial infarction. Observations in patients with a postinfarction pericardial effusion without clinically recognized postinfarction pericarditis.

    abstract：OBJECTIVES:This study was designed to evaluate the presence or absence of atypical T wave evolution in patients with a postinfarction pericardial effusion but without clinically recognized postinfarction pericarditis. A second purpose was to evaluate the frequency of atypical T wave evolution in a previous study of pos...

    journal_title：Journal of the American College of Cardiology

    pub_type： 临床试验,杂志文章

    doi：10.1016/0735-1097(94)90872-9

    authors： Oliva PB,Hammill SC,Talano JV

    更新日期：1994-10-01 00:00:00

  • Arterial Stiffening With Exercise in Patients With Heart Failure and Preserved Ejection Fraction.

    abstract：BACKGROUND:Aortic stiffening and reduced nitric oxide (NO) availability may contribute to the pathophysiology of heart failure with preserved ejection fraction (HFpEF). OBJECTIVES:This study compared indices of arterial stiffness at rest and during exercise in subjects with HFpEF and hypertensive control subjects to e...

    journal_title：Journal of the American College of Cardiology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jacc.2017.05.029

    authors： Reddy YNV,Andersen MJ,Obokata M,Koepp KE,Kane GC,Melenovsky V,Olson TP,Borlaug BA

    更新日期：2017-07-11 00:00:00