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Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
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Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients

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Specific situations may require different relative indications

Tamer Mohamed Zaalouk1, Zouheir Ibrahim Bitar1, Ossama Sajeh Maadarani1

  • 1Critical Care Unit Ahmadi Hospital Kuwait Oil Company Fahaheel Kuwait.

Clinical Case Reports
|March 26, 2021
PubMed

Insights

For patients with a severely dilated left ventricle and spontaneous echo contrast, oral anticoagulation may be acceptable to prevent future thromboembolic (TE) events after a prior ischemic stroke.

Area of Science:

  • Cardiology
  • Neurology
  • Thrombosis

Background:

  • Severely dilated left ventricles can increase the risk of blood clot formation.
  • Spontaneous echo contrast (SEC) in the left ventricle is a marker of blood stasis and potential thrombosis.
  • Ischemic stroke is a serious complication associated with thromboembolic events.

Purpose of the Study:

  • To evaluate the potential indication for oral anticoagulation in specific high-risk patients.
  • To assess the role of anticoagulation in preventing recurrent thromboembolic events.

Main Methods:

  • Review of clinical data for patients with severely dilated left ventricles, SEC, and prior ischemic stroke.
  • Analysis of outcomes related to oral anticoagulation therapy.

Main Results:

  • Oral anticoagulation was considered an acceptable strategy in select patients.
  • Anticoagulation aimed to reduce the risk of further thromboembolic events.

Conclusions:

  • Patients with severely dilated left ventricles and SEC, who have a history of ischemic stroke, may benefit from oral anticoagulation.
  • This approach may be a viable option for preventing recurrent thromboembolic events in this specific population.

Keywords:
anticoagulationdilated cardiomyopathy

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