Abstract
A 39-year-old man was admitted to the hospital because of left renal infarction. The electrocardiogram showed atrial fibrillation. The transthoracic echocardiography revealed dilatation of the right and left atria, mild mitral and tricupid regurgitation and normal function of the right and left ventricles. However, during the transesophageal echocardiography, additional risk factors for thromboembolism including spontaneous echo contrast in the left atrium and patent foramen ovale were unraveled. The atrial fibrillation was converted into sinus rhythm with amiodarone and quinidine. The demonstration of multiple risk factors for thromboembolism by transesophageal echocardiography in this patient suggests that a more aggressive anticoagulation strategy may be warranted in patients with atrial fibrillation and multiple risk factors.
| Original language | English |
|---|---|
| Pages (from-to) | 19-24 |
| Number of pages | 6 |
| Journal | Journal of Internal Medicine of Taiwan |
| Volume | 12 |
| Issue number | 1 |
| State | Published - 2001 |
| Externally published | Yes |
Keywords
- Atrial fibrillation
- Patent foramen ovale
- Spontaneous echo contrast
- Thromboembolism