Atrial flutter echocardiography: Difference between revisions
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==Echocardiography== | ==Echocardiography== | ||
Transthoracic echocardiography may be helpful in the diagnosis of atrial flutter. Findings on an echocardiography suggestive of atrial flutter include: | Transthoracic echocardiography may be helpful in the diagnosis of atrial flutter. Findings on an echocardiography suggestive of atrial flutter include:<ref name="pmid8006260">{{cite journal |vauthors=Santiago D, Warshofsky M, Li Mandri G, Di Tullio M, Coromilas J, Reiffel J, Homma S |title=Left atrial appendage function and thrombus formation in atrial fibrillation-flutter: a transesophageal echocardiographic study |journal=J. Am. Coll. Cardiol. |volume=24 |issue=1 |pages=159–64 |date=July 1994 |pmid=8006260 |doi=10.1016/0735-1097(94)90557-6 |url=}}</ref><ref name="pmid7486462">{{cite journal |vauthors=Manning WJ, Weintraub RM, Waksmonski CA, Haering JM, Rooney PS, Maslow AD, Johnson RG, Douglas PS |title=Accuracy of transesophageal echocardiography for identifying left atrial thrombi. A prospective, intraoperative study |journal=Ann. Intern. Med. |volume=123 |issue=11 |pages=817–22 |date=December 1995 |pmid=7486462 |doi=10.7326/0003-4819-123-11-199512010-00001 |url=}}</ref><ref name="pmid8249844">{{cite journal |vauthors=Hwang JJ, Chen JJ, Lin SC, Tseng YZ, Kuan P, Lien WP, Lin FY, Chu SH, Hung CR, How SW |title=Diagnostic accuracy of transesophageal echocardiography for detecting left atrial thrombi in patients with rheumatic heart disease having undergone mitral valve operations |journal=Am. J. Cardiol. |volume=72 |issue=9 |pages=677–81 |date=September 1993 |pmid=8249844 |doi=10.1016/0002-9149(93)90884-f |url=}}</ref> | ||
*Detection of left atrial appendage and right atrial appendage thrombi | *Detection of left atrial appendage and right atrial appendage thrombi | ||
*Estimation of blood flow velocity in the left or right atrium and left and right atrial appendage | *Estimation of blood flow velocity in the left or right atrium and left and right atrial appendage |
Revision as of 15:56, 5 December 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
Overview
Transthoracic echocardiography (TTE) is used in atrial flutter to evaluate the sizes of left and right atria. Transesophageal echocardiography (TEE) is used to evaluate the presence of thrombus and selection of candidates for cardioversion.
Echocardiography
Transthoracic echocardiography may be helpful in the diagnosis of atrial flutter. Findings on an echocardiography suggestive of atrial flutter include:[1][2][3]
- Detection of left atrial appendage and right atrial appendage thrombi
- Estimation of blood flow velocity in the left or right atrium and left and right atrial appendage
- Detection of right atrial and right atrial appendage thrombi
- Regular undulatory waves of the posterior left atrial wall
- Regular undulatory waves of the upper left interventricular septum
References
- ↑ Santiago D, Warshofsky M, Li Mandri G, Di Tullio M, Coromilas J, Reiffel J, Homma S (July 1994). "Left atrial appendage function and thrombus formation in atrial fibrillation-flutter: a transesophageal echocardiographic study". J. Am. Coll. Cardiol. 24 (1): 159–64. doi:10.1016/0735-1097(94)90557-6. PMID 8006260.
- ↑ Manning WJ, Weintraub RM, Waksmonski CA, Haering JM, Rooney PS, Maslow AD, Johnson RG, Douglas PS (December 1995). "Accuracy of transesophageal echocardiography for identifying left atrial thrombi. A prospective, intraoperative study". Ann. Intern. Med. 123 (11): 817–22. doi:10.7326/0003-4819-123-11-199512010-00001. PMID 7486462.
- ↑ Hwang JJ, Chen JJ, Lin SC, Tseng YZ, Kuan P, Lien WP, Lin FY, Chu SH, Hung CR, How SW (September 1993). "Diagnostic accuracy of transesophageal echocardiography for detecting left atrial thrombi in patients with rheumatic heart disease having undergone mitral valve operations". Am. J. Cardiol. 72 (9): 677–81. doi:10.1016/0002-9149(93)90884-f. PMID 8249844.