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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1992-6-4
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pubmed:abstractText |
Left ventricular thrombi were found in 25 patients by two-dimensional echocardiography. All patients were in atrial fibrillation, 16 had mitral or mitroaortic valve diseases and nine mitral or mitroaortic bioprosthetic valves. Nine patients (36%) had history of arterial embolism. At diagnostic time, oral anticoagulation with coumadin was instaured in all the patients. Periodic clinic and echocardiography follow-up was performed. Left atrial thrombi either disappeared (18 patients [72%]) or reduced their size (one patient). Six patients with mitral stenosis were considered as candidates to percutaneous mitral valvuloplasty, which was performed in 4 patients whose thrombi disappeared with anticoagulation therapy in 6 months. During the follow-up one patient had cerebral embolism without sequelae. Conclusions: 1st. Patients with left atrial thrombi have high risk for arterial embolism. 2nd. Left atrial thrombi disappear in a high proportion after prescribing oral anticoagulation, which has some important therapeutic implications.
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pubmed:language |
spa
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0300-8932
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
45
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
157-61
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1574628-Administration, Oral,
pubmed-meshheading:1574628-Aortic Valve,
pubmed-meshheading:1574628-Bioprosthesis,
pubmed-meshheading:1574628-Coumarins,
pubmed-meshheading:1574628-Drug Evaluation,
pubmed-meshheading:1574628-Echocardiography,
pubmed-meshheading:1574628-Heart Atria,
pubmed-meshheading:1574628-Heart Diseases,
pubmed-meshheading:1574628-Heart Valve Diseases,
pubmed-meshheading:1574628-Heart Valve Prosthesis,
pubmed-meshheading:1574628-Humans,
pubmed-meshheading:1574628-Mitral Valve,
pubmed-meshheading:1574628-Thrombosis
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pubmed:year |
1992
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pubmed:articleTitle |
[Left atrial thrombus. Its evolution with oral anticoagulation].
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pubmed:affiliation |
Unidad Médico Quirúrgica de Cardiología, Hospital La Paz, Facultad de Medicina, Universidad Autónoma, Madrid.
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pubmed:publicationType |
Journal Article,
English Abstract
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