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September 1, 1978Circulation133 citations

Echocardiography of left ventricular masses.

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TPThomas A. PortsInterventional CardiologyJCJohn CoganMemorial Healthcare SystemNSNelson B. SchillerCardiac Imaging

Key Result

Two-dimensional echocardiography identified 4 large left ventricular thrombi and 2 tumors but did not clearly identify 4 smaller mural thrombi in a series of 10 patients.

Key Points

  • The aim is to assess echocardiographic techniques in diagnosing left ventricular masses in patients.
  • Analyzed echocardiographic findings in 10 patients with left ventricular masses.
  • Patients included two with tumors and eight with thrombi, confirmed by angiography or surgery.
  • Compared M-mode and two-dimensional echocardiography for detecting masses.
  • Two-dimensional echocardiography successfully detected all large left ventricular thrombi.
  • M-mode echocardiography failed to identify smaller mural thrombi in four cases.
  • Diagnosis of masses was confirmed in all cases through angiography or surgical evaluation.

Study Design

Type

Observational (n=10)

Structured PICO

Does M-mode and two-dimensional echocardiography accurately detect left ventricular masses in patients with confirmed LV tumors or thrombi?

P
Population
10 patients with left ventricular masses (2 with left ventricular tumors and 8 with left ventricular thrombi)
I
Intervention
M-mode and two-dimensional real-time echocardiography
C
Comparator
Angiography or surgery (reference standard)
O
Outcome
Detection of left ventricular massessurrogate

Two-dimensional echocardiography is useful for detecting large left ventricular masses but may fail to identify smaller mural thrombi.

Abstract

The M-mode and two-dimensinal real-time echocardiographic findings in 10 patients with left ventricular masses are discussed. Two patients had left ventricular tumors and eight had left ventricular thrombi. In all cases the diagnosis was confirmed by angiography or surgery. The intracavitary and intramural left ventricular tumors were detected both by M-mode and two-dimensional echocardiography . M-mode echocardiography, however, did not detect the left ventricular thrombus in all instances. Two-dimensional echocardiography was able to identify the four large and inhomogeneous left ventricular thrombi but did not clearly identify four cases of smaller mural thrombi. Echocardiography techniques useful in detection of left ventricular masses are discussed.

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Cite This Study

Ports et al. (1978) conducted an observational in Left ventricular masses (n=10). M-mode and two-dimensional echocardiography was evaluated on Detection of left ventricular masses. Two-dimensional echocardiography identified 4 large left ventricular thrombi and 2 tumors but did not clearly identify 4 smaller mural thrombi in a series of 10 patients.

synapsesocial.com/papers/6a08ca15ff6725a945ba0afehttps://doi.org/10.1161/01.cir.58.3.528
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