Next Article in Journal
Surgical Site Infection after Breast Surgery: A Retrospective Analysis of 5-Year Postoperative Data from a Single Center in Poland
Next Article in Special Issue
Polymorphism of Interleukin 1B May Modulate the Risk of Ischemic Stroke in Polish Patients
Previous Article in Journal
Venous Thromboembolism Recurrence in Latvian Population: Single University Hospital Data
Previous Article in Special Issue
Thromboembolic Events Following Atrial Fibrillation Cardioversion and Ablation: What’s the Culprit?
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Medicina
Volume 55
Issue 9
10.3390/medicina55090511
medicina-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Review

Diagnosis and Management of Left Atrium Appendage Thrombosis in Atrial Fibrillation Patients Undergoing Cardioversion

by
Enrico Melillo
1,*,
Giuseppe Palmiero
1,
Adele Ferro
2,
Paola Elvira Mocavero
3,
Vittorio Monda
1 and
Luigi Ascione
1
1
Department of Cardiology, AO dei Colli, Monaldi Hospital, 80131 Naples, Italy
2
Institute of Biostructure and Bioimaging, National Council Research, 80131 Naples, Italy
3
Anesthesiology and Intensive Care Unit, AO dei Colli, Monaldi Hospital, 80131 Naples, Italy
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(9), 511; https://doi.org/10.3390/medicina55090511
Submission received: 25 June 2019 / Revised: 4 August 2019 / Accepted: 19 August 2019 / Published: 21 August 2019
(This article belongs to the Special Issue Stroke, Dementia and Atrial Fibrillation)
Browse Figures
Versions Notes

Abstract

Atrial fibrillation is the most common cardiac arrhythmia and is associated with an increased risk of stroke and thromboembolic complications. A rhythm control strategy with both electrical and pharmacological cardioversion is recommended for patients with symptomatic atrial fibrillation. Anticoagulant therapy for 3–4 weeks prior to cardioversion is recommended in order to avoid thromboembolic events deriving from restoring sinus rhythm. Transesophageal echocardiography has a pivotal role in this setting, excluding the presence of left atrial appendage thrombus before cardioversion. The aim of this review is to discuss the epidemiology and risk factors for left atrial appendage thrombosis, the role of echocardiography in the decision making before cardioversion, and the efficacy of different anticoagulant regimens on the detection and treatment of left atrial appendage thrombosis.
Keywords: atrial fibrillation; cardioversion; oral anticoagulation therapy; left atrial appendage thrombosis; transesophageal echocardiography atrial fibrillation; cardioversion; oral anticoagulation therapy; left atrial appendage thrombosis; transesophageal echocardiography

Share and Cite

MDPI and ACS Style

Melillo, E.; Palmiero, G.; Ferro, A.; Mocavero, P.E.; Monda, V.; Ascione, L. Diagnosis and Management of Left Atrium Appendage Thrombosis in Atrial Fibrillation Patients Undergoing Cardioversion. Medicina 2019, 55, 511. https://doi.org/10.3390/medicina55090511

AMA Style

Melillo E, Palmiero G, Ferro A, Mocavero PE, Monda V, Ascione L. Diagnosis and Management of Left Atrium Appendage Thrombosis in Atrial Fibrillation Patients Undergoing Cardioversion. Medicina. 2019; 55(9):511. https://doi.org/10.3390/medicina55090511

Chicago/Turabian Style

Melillo, Enrico, Giuseppe Palmiero, Adele Ferro, Paola Elvira Mocavero, Vittorio Monda, and Luigi Ascione. 2019. "Diagnosis and Management of Left Atrium Appendage Thrombosis in Atrial Fibrillation Patients Undergoing Cardioversion" Medicina 55, no. 9: 511. https://doi.org/10.3390/medicina55090511

APA Style

Melillo, E., Palmiero, G., Ferro, A., Mocavero, P. E., Monda, V., & Ascione, L. (2019). Diagnosis and Management of Left Atrium Appendage Thrombosis in Atrial Fibrillation Patients Undergoing Cardioversion. Medicina, 55(9), 511. https://doi.org/10.3390/medicina55090511

Article Metrics

Back to TopTop