Prognostic usefulness of left ventricular thrombus by echocardiography in dilated cardiomyopathy in predicting stroke, transient ischemic attack, and death.

Journal Article (Journal Article)

Echocardiograms of 290 patients with dilated cardiomyopathy (ejection fraction < or =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).

Full Text

Duke Authors

Cited Authors

  • Crawford, TC; Smith, WT; Velazquez, EJ; Taylor, SM; Jollis, JG; Kisslo, J

Published Date

  • February 15, 2004

Published In

Volume / Issue

  • 93 / 4

Start / End Page

  • 500 - 503

PubMed ID

  • 14969636

International Standard Serial Number (ISSN)

  • 0002-9149

Digital Object Identifier (DOI)

  • 10.1016/j.amjcard.2003.10.056


  • eng

Conference Location

  • United States