Cardiac magnetic resonance is emerging as a valuable alternative to echocardiography and computed tomography for detecting and monitoring left heart intracardiac thrombus.
This review highlights the clinical importance of detecting left heart intracardiac thrombus and evaluates the diagnostic performance of echocardiography, CT, and emerging CMR techniques.
Intracardiac thrombus in the left atrium and atrial appendage (LA/LAA) and left ventricle (LV) increases the risk of systemic thromboembolism and causes potentially devastating diseases such as ischemic stroke and acute ischemia in abdominal organs and lower extremities. Detecting the presence and monitoring the resolution of left heart intracardiac thrombus are of vital importance for stratifying patients and guiding treatment decisions. Currently, echocardiography is the most frequently used method for the above clinical needs, followed by computed tomography. An increasing number of studies have been performed to investigate the value of cardiac magnetic resonance (CMR) as an alternative imaging modality given its several unique strengths. This article provides an overview of the clinical relevance of the LA/LAA and LV thrombus as well as the diagnostic performance of the current imaging modalities and emerging CMR techniques.
Chang et al. (Sat,) conducted a review in Left heart intracardiac thrombus. Cardiac magnetic resonance (CMR), echocardiography, computed tomography was evaluated. Cardiac magnetic resonance is emerging as a valuable alternative to echocardiography and computed tomography for detecting and monitoring left heart intracardiac thrombus.
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