TY - JOUR
T1 - Prognostic usefulness of left ventricular thrombus by echocardiography in dilated cardiomyopathy in predicting stroke, transient ischemic attack, and death
AU - Crawford, Thomas C.
AU - Smith IV, William T.
AU - Velazquez, Eric J.
AU - Taylor, Steve M.
AU - Jollis, James G.
AU - Kisslo, Joseph
PY - 2004/2/15
Y1 - 2004/2/15
N2 - Echocardiograms of 290 patients with dilated cardiomyopathy (ejection fraction ≤35%) were reviewed for the presence of left ventricular (LV) apical abnormalities; outcomes of stroke and death were then correlated with the presence of LV thrombus. During a follow-up of 31 months, 15 patients had a stroke or transient ischemic attack after the index echocardiogram (5.2%). Patients with LV thrombus on echocardiography had a significantly higher rate of stroke (adjusted odds ratio 3.4, p = 0.027) than those without echocardiographic evidence of thrombi. There was no difference in mortality between patients with and without thrombus (20.9% vs 21.1%, p = 0.726).
AB - Echocardiograms of 290 patients with dilated cardiomyopathy (ejection fraction ≤35%) were reviewed for the presence of left ventricular (LV) apical abnormalities; outcomes of stroke and death were then correlated with the presence of LV thrombus. During a follow-up of 31 months, 15 patients had a stroke or transient ischemic attack after the index echocardiogram (5.2%). Patients with LV thrombus on echocardiography had a significantly higher rate of stroke (adjusted odds ratio 3.4, p = 0.027) than those without echocardiographic evidence of thrombi. There was no difference in mortality between patients with and without thrombus (20.9% vs 21.1%, p = 0.726).
UR - http://www.scopus.com/inward/record.url?scp=1242338049&partnerID=8YFLogxK
U2 - 10.1016/j.amjcard.2003.10.056
DO - 10.1016/j.amjcard.2003.10.056
M3 - Article
C2 - 14969636
AN - SCOPUS:1242338049
SN - 0002-9149
VL - 93
SP - 500
EP - 503
JO - American Journal of Cardiology
JF - American Journal of Cardiology
IS - 4
ER -