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Related Concept Videos

Imaging Studies for Cardiovascular System II:Types of Echocardiography01:20

Imaging Studies for Cardiovascular System II:Types of Echocardiography

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Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

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Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
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Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

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Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

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Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

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The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Updated: Jul 11, 2025

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Right Ventricular Thrombus on Echocardiography.

Rukmini Roy1, Brittney Guile1, Deyu Sun1

  • 1Section of Cardiology, Heart and Vascular Center, University of Chicago, Chicago, Illinois.

The American Journal of Cardiology
|November 2, 2023
PubMed
Summary
This summary is machine-generated.

Isolated right ventricular thrombi (RVT) on echocardiography are often linked to pulmonary embolism and deep vein thrombosis. Many RVTs are found in dilated, dysfunctional right ventricles, suggesting underdiagnosis.

Keywords:
Echocardiographydeep vein thrombosispulmonary embolismright ventricleright ventricular thrombusthrombus

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Area of Science:

  • Cardiology
  • Diagnostic Imaging

Background:

  • Right ventricular thrombi (RVT) are primarily studied in the context of pulmonary embolism (PE).
  • The clinical significance and diagnostic features of isolated RVT, often found via transthoracic echocardiography (TTE), remain underexplored.

Purpose of the Study:

  • To identify echocardiographic and clinical features associated with the presence of RVTs.
  • To understand the prevalence of associated conditions like deep vein thrombosis (DVT) and PE in patients with RVT.

Main Methods:

  • Retrospective review of 138 patients with RVT documented on TTE between 1998 and 2023.
  • Abstraction of demographic data, intracardiac devices, hypercoagulable conditions, history of DVT, PE, and left ventricular thrombus.
  • Assessment of right and left ventricular size and function using TTE measurements.

Main Results:

  • Nearly half of patients with RVT had intracardiac devices; 29% had hypercoagulable states.
  • The majority of patients presented with dilated (77%) and dysfunctional (72%) right ventricles.
  • Approximately 50% of RVTs were detected in nonstandard imaging planes, indicating potential underestimation.
  • Among those evaluated, 80% had PE and 53% had DVT.

Conclusions:

  • RVT findings on TTE are frequently associated with PE and DVT.
  • The high prevalence of right ventricular dilation and dysfunction in RVT patients warrants further investigation.
  • Additional research is needed to guide RVT investigation protocols and understand their impact on patient outcomes.