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September 1, 1979Heart92 citationsOpen Access

Diagnosis of left ventricular thrombi by two-dimensional echocardiography.

RMRichard S. MeltzerDGDiana F. GuthanerHRHarry Rakowski

Key Result

Two-dimensional echocardiography correctly identified left ventricular thrombi in 10 of 11 positive diagnoses and correctly excluded them in 3 of 5 negative diagnoses.

Key Points

  • To assess the diagnostic accuracy of two-dimensional echocardiography in identifying or excluding left ventricular thrombi compared with anatomical, radiological, or clinical verification.
  • Evaluated 16 patients undergoing two-dimensional echocardiography for the suspected presence or absence of left ventricular thrombi.
  • Verified echocardiographic findings against anatomical, radiological, or clinical outcomes, including records of surgical aneurysmectomy.
  • Identified positive thrombi diagnoses in 11 patients, with 10 confirmed and 1 potentially incorrect.
  • Identified 3 true negative and 2 false negative diagnoses among 5 patients who underwent post-echocardiogram aneurysmectomy.

Study Design

Type

Observational (n=16)

Structured PICO

Does two-dimensional echocardiography accurately diagnose left ventricular thrombi compared to anatomical, radiological, or clinical confirmation?

P
Population
16 patients evaluated for the presence or absence of left ventricular thrombi with anatomical, radiological, or clinical confirmation.
I
Intervention
Two-dimensional echocardiography
C
Comparator
Anatomical, radiological, or clinical confirmation (reference standard)
O
Outcome
Diagnostic accuracy for the presence or absence of left ventricular thrombisurrogate

Two-dimensional echocardiography demonstrates utility in diagnosing left ventricular thrombi, though false negatives can occur.

Abstract

Sixteen patients had two-dimensional echocardiographic diagnosis of the presence or absence of left ventricular thrombi and anatomical, radiological, or clinical confirmation of the diagnosis. Eleven patients had positive diagnoses, which were confirmed in 10 and possibly incorrect in one. Five other records were reviewed because the patients had undergone aneurysmectomy after two-dimensional echocardiograms: three were true negative and two were false negative studies.

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Cite This Study

Meltzer et al. (1979) conducted an observational in Left ventricular thrombi (n=16). Two-dimensional echocardiography vs. Anatomical, radiological, or clinical confirmation was evaluated on Diagnostic accuracy of left ventricular thrombi. Two-dimensional echocardiography correctly identified left ventricular thrombi in 10 of 11 positive diagnoses and correctly excluded them in 3 of 5 negative diagnoses.

synapsesocial.com/papers/6a0ccd77a4d785ea81625b78https://doi.org/10.1136/hrt.42.3.261
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