原创力文档assessment right atrial thrombus by real-time three dimensional transthoracic echocardiography in patient with dilated cardiomyopathy超音波检查发现评估右心房血栓的实时三维在扩张型心肌病患者.pdfVIP
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assessment right atrial thrombus by real-time three dimensional transthoracic echocardiography in patient with dilated cardiomyopathy超音波检查发现评估右心房血栓的实时三维在扩张型心肌病患者
Bai et al. Cardiovascular Ultrasound 2011, 9:12
/content/9/1/12
CARDIOVASCULAR
ULTRASOUND
CASE REPORT Open Access
Assessment right atrial thrombus by real-time
three dimensional transthoracic
echocardiography in patient with dilated
cardiomyopathy
1 1 2 1*
Wenjuan Bai , Hui Li , Qing Zhang and Li Rao
Abstract
We report a case of a 52-year-old patient with dilated cardiomyopathy who presented with worsening heart failure.
Two-dimensional transthoracic echocardiography and real-time three dimensional transthoracic echocardiography
showed severe dilated cardiac chambers, impaired ejection fraction and a mobile right atrial thrombus 2.6 × 1.0
cm in size, traversing the right atrial cavity during the whole cardiac cycle. After one week therapeutic
anticoagulation, echocardiography confirmed no evidence of residual thrombus.
Keywords: Thrombus Dilated cardiomyopathy, Echocardiography
Introduction from 2 months ago. On examination his vital signs were
Dilated cardiomyopathy (DCM) is a kind of malignant body temperature 37°C, blood pressure 80/40 mmHg,
cardiac disorder, which affects 5 in 100,000 adults and respiratory rate 24 breaths per minute, and electrocar-
0.57 in 100,000 children [1,2]. It represents a poor long- diogram showed atrial fibrillation with heart rate 50
term prognosis with the mortality rate is 70% to 80% at beats per minute. Physical examination revealed the
eight years for most patients who undergo heart fai
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