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The role of TEE in the guidance of cardioversion of atrial fibrillation was studied. Thirty-seven (18%) of 206 patients had left atrial thrombus. Cardioversion was attempted in 153 patients receiving no (n = 107) or < 7 days (n = 46) of anticoagulation prophylaxis, in 27 patients after > or = 3 weeks of anticoagulation, and was cancelled in 26 patients,(More)
Recurrent thrombosis and pregnancy loss are well-recognized features of the antiphospholipid syndrome. Uncertainty exists, however, as to whether other reported features of the antiphospholipid syndrome such as cardiac valvular vegetations are truly part of this disorder or more reflective of associated systemic lupus erythematosus (SLE). Several recent(More)
BACKGROUND Cardiovascular and cerebrovascular disease is 2-3 times more common in bipolar patients than the general population. Asymptomatic bipolar patients have electrocardiogram abnormalities at high rates. The question of heart function in asymptomatic bipolar subjects arises. METHODS This study examined the impact of exhaustive exercise on cardiac(More)
Transthoracic echocardiography has played a useful role in the screening of cardiac transplant donors. However, transthoracic echocardiograms may be suboptimal in many patients on ventilators. The role of transesophageal echocardiography in cardiac donor screening is unknown. Therefore we compared the potential benefit of transesophageal echocardiography(More)
Two-dimensional transesophageal echocardiography has been shown to be an accurate method of measuring aortic valve area in patients with aortic stenosis. The accuracy of Doppler transesophageal echocardiography for this purpose is unknown. Thus 86 consecutive adult patients (mean age 68 +/- 11 years) with calcific (n = 79) or congenital bicuspid (n = 7) AS(More)
BACKGROUND Atrial fibrillation (AF) is widely accepted as a direct cause of cardioembolic stroke from left atrial (LA) thrombus formation. However, the relationship between LA thrombus and transient ischemic attack (TIA) in patients with AF is less well established. METHODS Two hundred sixty-one adult patients (mean age 66 +/- 11 years, 220 men and 41(More)
OBJECTIVES This study attempted to determine whether a subset of patients with mitral valve prolapse and no mitral regurgitation at rest will develop mitral regurgitation during exercise and have a higher than anticipated risk of morbid cardiovascular events. BACKGROUND Mitral regurgitation in patients with mitral valve prolapse identifies a subset of(More)
Transesophageal echocardiography (TEE) has advanced rapidly as a valuable cardiovascular diagnostic technique. As the use of TEE increases, so does the importance of well-defined normal cardiac measurements. Presently, few data exist on the accuracy of M-mode TEE-derived measurements. Therefore in 81 adult patients, TEE-derived M-mode measurements were(More)
Patients with obesity tend to have a higher incidence of hypertension, coronary artery disease, and sleep apnea, conditions that could potentially predispose to complications during transesophageal echocardiography (TEE). In addition, patients who are obese are more likely to have oxygen desaturation during upper gastrointestinal endoscopy. However, the(More)