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Revista chilena de cardiología

versión On-line ISSN 0718-8560

Resumen

NOCHE, Julián et al. Intracardiac thrombus identified by Nuclear Magnetic Resonance not previously diagnosed by transthoracic echocardiography. Rev Chil Cardiol [online]. 2015, vol.34, n.3, pp.175-181. ISSN 0718-8560.  http://dx.doi.org/10.4067/S0718-85602015000300002.

Cardiac Magnetic Resonance imaging allows, among others, a better localization and tissue characterization of cardiac structures, which may be missed by other imaging modalities, namely ultrasonography. Aim: to describe the finding and characteristics of intracardiac thrombus in a series of patients referred for cardiac NMR imaging, whose previous transthoracic echocardiogram had been negative for the diagnosis of this condition. Methods: the study is a description of NMR imaging findings in patients with intracardiac thrombus. There were 62 patients, 72% males, aged 18 to 64 years. LV systolic function was normal in 11%, mo-derately decreased in 26% and severely depressed in 63% of patients. A remote or a recent cerebrovas-cular accident (CVA) was present in 38% of cases. All patients had a previous transthoracic echocar-diogram with no evidence of thrombus. Patients had been referred for NMR with a diagnosis of non is-chemic cardiomyopathy (41%), study of myocardial viability (41%) and CVA with unidentified embolic source (18%). The study was performed at Vander-bilt University Medical Center, between July 2014 and July 2015.

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