Limits...
Prevalence and Aetiology of Left Ventricular Thrombus in Patients Undergoing Transthoracic Echocardiography at the University of Maiduguri Teaching Hospital.

Talle MA, Buba F, Anjorin CO - Adv Med (2014)

Bottom Line: Abnormalities associated with LVT were observed in 782/949 (82.40%) subjects among whom 84/782 (8.85%) had LVT.Conclusions.Multiple LVTs were documented in peripartum cardiomyopathy.

View Article: PubMed Central - PubMed

Affiliation: Cardiology Unit, Department of Medicine, University of Maiduguri Teaching Hospital, PMB 1414, Maiduguri 600001, Nigeria ; Department of Medicine, College of Medical Sciences, University of Maiduguri, PMB 1069, Maiduguri 600001, Nigeria.

ABSTRACT
Objectives. We sought to determine the prevalence and aetiology of LVT among patients undergoing echocardiography. Methods. We reviewed case notes and echocardiographic data of patient diagnosed with LVT using noncontrast transthoracic echocardiography. Definition of various conditions was made using standard guidelines. Mean ± SD were derived for continuous variables and comparison was made using Student's t-test. Results. Total of 1302 transthoracic echocardiograms were performed out of which 949 adult echocardiograms were considered eligible. Mean age of all subjects with abnormal echocardiograms was 44.73 (16.73) years. Abnormalities associated with LVT were observed in 782/949 (82.40%) subjects among whom 84/782 (8.85%) had LVT. The highest prevalence of 39.29% (33/84) was observed in patients with dilated cardiomyopathy, followed by myocardial infarction with a prevalence of 29.76% (25/84). Peripartum cardiomyopathy accounted for 18/84 (21.43%) cases with some having multiple thrombi, whereas hypertensive heart disease was responsible for 6/84 (7.14%) cases. The lowest prevalence of 2.38% (2/84) was observed in those with rheumatic heart disease. Left ventricular EF of <35% was recorded in 55/84 (65.48%). Conclusions. Left ventricular thrombus is common among patients undergoing echo, with dilated cardiomyopathy being the most common underlying aetiology followed by myocardial infarction. Multiple LVTs were documented in peripartum cardiomyopathy.

No MeSH data available.


Related in: MedlinePlus

Locations of left ventricular thrombus observed.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4590966&req=5

fig3: Locations of left ventricular thrombus observed.

Mentions: The various locations of LVT are illustrated in Figure 3. Multiple apical LVTs were recorded in 24/46 (52.17%) cases, whilst 11/46 (23.91%) of those with apical LVT had coexisting right ventricular thrombus. The highest rate of biventricular thrombus was observed among patients with DCM (45.5%) and PPCM (27.3%) with EF < 30%. Coexisting left and right atrial thrombi were each identified in 2/46 (4.35%). Huge solitary LVTs were identified in subjects with DCM and PPCM, whereas extensive anterior/apical LVTs were observed among subjects with myocardial infarction and extensive regional wall motion abnormalities. The distribution of the various locations of LVT and representative images obtained from the subjects are illustrated in Figures 3 and 4.


Prevalence and Aetiology of Left Ventricular Thrombus in Patients Undergoing Transthoracic Echocardiography at the University of Maiduguri Teaching Hospital.

Talle MA, Buba F, Anjorin CO - Adv Med (2014)

Locations of left ventricular thrombus observed.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4590966&req=5

fig3: Locations of left ventricular thrombus observed.
Mentions: The various locations of LVT are illustrated in Figure 3. Multiple apical LVTs were recorded in 24/46 (52.17%) cases, whilst 11/46 (23.91%) of those with apical LVT had coexisting right ventricular thrombus. The highest rate of biventricular thrombus was observed among patients with DCM (45.5%) and PPCM (27.3%) with EF < 30%. Coexisting left and right atrial thrombi were each identified in 2/46 (4.35%). Huge solitary LVTs were identified in subjects with DCM and PPCM, whereas extensive anterior/apical LVTs were observed among subjects with myocardial infarction and extensive regional wall motion abnormalities. The distribution of the various locations of LVT and representative images obtained from the subjects are illustrated in Figures 3 and 4.

Bottom Line: Abnormalities associated with LVT were observed in 782/949 (82.40%) subjects among whom 84/782 (8.85%) had LVT.Conclusions.Multiple LVTs were documented in peripartum cardiomyopathy.

View Article: PubMed Central - PubMed

Affiliation: Cardiology Unit, Department of Medicine, University of Maiduguri Teaching Hospital, PMB 1414, Maiduguri 600001, Nigeria ; Department of Medicine, College of Medical Sciences, University of Maiduguri, PMB 1069, Maiduguri 600001, Nigeria.

ABSTRACT
Objectives. We sought to determine the prevalence and aetiology of LVT among patients undergoing echocardiography. Methods. We reviewed case notes and echocardiographic data of patient diagnosed with LVT using noncontrast transthoracic echocardiography. Definition of various conditions was made using standard guidelines. Mean ± SD were derived for continuous variables and comparison was made using Student's t-test. Results. Total of 1302 transthoracic echocardiograms were performed out of which 949 adult echocardiograms were considered eligible. Mean age of all subjects with abnormal echocardiograms was 44.73 (16.73) years. Abnormalities associated with LVT were observed in 782/949 (82.40%) subjects among whom 84/782 (8.85%) had LVT. The highest prevalence of 39.29% (33/84) was observed in patients with dilated cardiomyopathy, followed by myocardial infarction with a prevalence of 29.76% (25/84). Peripartum cardiomyopathy accounted for 18/84 (21.43%) cases with some having multiple thrombi, whereas hypertensive heart disease was responsible for 6/84 (7.14%) cases. The lowest prevalence of 2.38% (2/84) was observed in those with rheumatic heart disease. Left ventricular EF of <35% was recorded in 55/84 (65.48%). Conclusions. Left ventricular thrombus is common among patients undergoing echo, with dilated cardiomyopathy being the most common underlying aetiology followed by myocardial infarction. Multiple LVTs were documented in peripartum cardiomyopathy.

No MeSH data available.


Related in: MedlinePlus