Atrial thrombi in elective patients considered for atrial fibrillation rhythm control: Risk factors and prognostic value

The prognostic value of atrial thrombi (AT) among elective patients with atrial fibrillation (AF) referred for a rhythm control strategy is unclear. In this study, clinical variables were correlated with the presence of AT and long term survival among 205 patients submitted to transesophageal echoca...

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Autores principales: Caires, Marcella Cabral, Ferreira, Roberto Muniz, Rodrigues, Thaís Fonseca, Kang, David Hong, Salis, Lúcia Helena Alvares, de Souza e Silva, Nelson Albuquerque
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Research Brief
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8065352/
https://www.ncbi.nlm.nih.gov/pubmed/33865525
http://dx.doi.org/10.1016/j.ihj.2021.01.020
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author Caires, Marcella Cabral
Ferreira, Roberto Muniz
Rodrigues, Thaís Fonseca
Kang, David Hong
Salis, Lúcia Helena Alvares
de Souza e Silva, Nelson Albuquerque
author_facet Caires, Marcella Cabral
Ferreira, Roberto Muniz
Rodrigues, Thaís Fonseca
Kang, David Hong
Salis, Lúcia Helena Alvares
de Souza e Silva, Nelson Albuquerque
author_sort Caires, Marcella Cabral
collection PubMed
description The prognostic value of atrial thrombi (AT) among elective patients with atrial fibrillation (AF) referred for a rhythm control strategy is unclear. In this study, clinical variables were correlated with the presence of AT and long term survival among 205 patients submitted to transesophageal echocardiography before elective AF cardioversion or ablation. Atrial thrombi were present in 7.8% of cases and were significantly associated with reduced survival. Obesity was the only independent clinical predictor of AT [OR 4.27 (1.15–15.79), p = 0.03]. In patients with AF, AT appear to be associated with adverse outcomes, possibly indicating more advanced atrial cardiomyopathy.
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spelling pubmed-80653522021-04-27 Atrial thrombi in elective patients considered for atrial fibrillation rhythm control: Risk factors and prognostic value Caires, Marcella Cabral Ferreira, Roberto Muniz Rodrigues, Thaís Fonseca Kang, David Hong Salis, Lúcia Helena Alvares de Souza e Silva, Nelson Albuquerque Indian Heart J Research Brief The prognostic value of atrial thrombi (AT) among elective patients with atrial fibrillation (AF) referred for a rhythm control strategy is unclear. In this study, clinical variables were correlated with the presence of AT and long term survival among 205 patients submitted to transesophageal echocardiography before elective AF cardioversion or ablation. Atrial thrombi were present in 7.8% of cases and were significantly associated with reduced survival. Obesity was the only independent clinical predictor of AT [OR 4.27 (1.15–15.79), p = 0.03]. In patients with AF, AT appear to be associated with adverse outcomes, possibly indicating more advanced atrial cardiomyopathy. Elsevier 2021 2021-01-29 /pmc/articles/PMC8065352/ /pubmed/33865525 http://dx.doi.org/10.1016/j.ihj.2021.01.020 Text en © 2021 Cardiological Society of India. Published by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Brief
Caires, Marcella Cabral
Ferreira, Roberto Muniz
Rodrigues, Thaís Fonseca
Kang, David Hong
Salis, Lúcia Helena Alvares
de Souza e Silva, Nelson Albuquerque
Atrial thrombi in elective patients considered for atrial fibrillation rhythm control: Risk factors and prognostic value
title Atrial thrombi in elective patients considered for atrial fibrillation rhythm control: Risk factors and prognostic value
title_full Atrial thrombi in elective patients considered for atrial fibrillation rhythm control: Risk factors and prognostic value
title_fullStr Atrial thrombi in elective patients considered for atrial fibrillation rhythm control: Risk factors and prognostic value
title_full_unstemmed Atrial thrombi in elective patients considered for atrial fibrillation rhythm control: Risk factors and prognostic value
title_short Atrial thrombi in elective patients considered for atrial fibrillation rhythm control: Risk factors and prognostic value
title_sort atrial thrombi in elective patients considered for atrial fibrillation rhythm control: risk factors and prognostic value
topic Research Brief
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8065352/
https://www.ncbi.nlm.nih.gov/pubmed/33865525
http://dx.doi.org/10.1016/j.ihj.2021.01.020
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