Cardiac Computed Tomography to exclude left atrial appendage thrombus in atrial arrhythmias prior to electrical cardioversion during the COVID-19 pandemic

Jen‐Li Looi; Jeffrey Sebastian; T. TURNER THOMAS; Francis Wu; Su Tang; Budresh Joshi; Niels van Pelt; R. Gabriel; T. Sutton; M. Turaga

doi:10.26635/6965.5837

October 7, 2022New Zealand Medical JournalOpen Access

Cardiac Computed Tomography to exclude left atrial appendage thrombus in atrial arrhythmias prior to electrical cardioversion during the COVID-19 pandemic

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Why the study?

Does Cardiac Computed Tomography (CCT) safely and effectively exclude left atrial appendage thrombus prior to direct current cardioversion in patients with atrial arrhythmias?

Structured PICO

Does Cardiac Computed Tomography (CCT) safely and effectively exclude left atrial appendage thrombus prior to direct current cardioversion in patients with atrial arrhythmias?

P

Population

97 patients with atrial arrhythmia (atrial fibrillation or atrial flutter) requiring direct current cardioversion (DCCV) who underwent cardiac computed tomography (CCT) as inpatients at Middlemore Hospital, New Zealand, from January 1, 2021 to January 1, 2022. Mean age 58.2, 71.1% male.

I

Intervention

Cardiac Computed Tomography (CCT) to exclude left atrial appendage (LAA) thrombus prior to direct current cardioversion

O

Outcome

Detection of left atrial appendage thrombus and periprocedural stroke rate after direct current cardioversionsurrogate

Limitations

small number of patients

Implication

Cardiac computed tomography appears to be a safe and effective alternative to transesophageal echocardiography for excluding left atrial appendage thrombus prior to direct current cardioversion in patients with atrial arrhythmias.

Abstract

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Cite This Study

Looi et al. (2022) studied this question.

synapsesocial.com/papers/6a75ffd667b8a7e5487075fe https://doi.org/10.26635/6965.5837

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Cardiac Computed Tomography to exclude left atrial appendage thrombus in atrial arrhythmias prior to electrical cardioversion during the COVID-19 pandemic

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

Cardiac Computed Tomography to exclude left atrial appendage thrombus in atrial arrhythmias prior to electrical cardioversion during the COVID-19 pandemic

Structured PICO

Limitations

Implication

Abstract

Discussion

Cite This Study

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