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

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

Language

  • eng

Conference Location

  • United States