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4. Ecocardiografia a fost metoda de diagnostic a trombozelor intracardiace, cea transesofagiană fiind metoda de depistare a trombozelor cu sediul în atriul stâng şi auriculul stâng. 5. Sediul predominant al trombozei a fost auriculul stâng, la 50% dintre pacienţi, urmată de tromboza în ventricului stâng (39,3%). Doar 4 pacienţi au prezentat tromboză de cord drept, ceea ce a făcut neconcludentă analiza localizării drepte în lotul studiat. 6. Dimensiunile atriului stâng măsurat transversal au fost predictive pentru prezenţa trombozei nu numai de atriu stâng, ci şi de auricul stâng (p
(6) Keren A, Goldberg S, Gottlieb S, Klein J, Schuger C, Medina A et al. Natural history of left ventricular thrombi: their appearance and resolution in the posthospitalization period of acute myocardial infarction. J Am Coll Cardiol 1990; 15(4):790-800. (7) Nihoyannopoulos P, Smith GC, Maseri A, Foale RA. The natural history of left ventricular thrombus in myocardial infarction: a rationale in support of masterly inactivity. J Am Coll Cardiol 1989; 14(4):903-911. (8) Seo Y, Maeda H, Ishizu T. Peak C-reactive protein concentration correlates with left ventricular thrombus formation diagnosed by contrast echocardiographic left ventricular opacification in patients with a first anterior acute myocardial infarction. Circ J 70, 1290-1296. 2006. (9) Balanescu S. Evaluarea prognosticului dupa infarctul miocardic acut. Editura Infomedica , 16- 17. 2005. (10) Cusick DA, Bonow RO, Chaudhry FA. Left ventricular apical thrombus and myocardial viability: a dobutamine stress echocardiographic study. Echocardiography. [17(6)], 547-554. 2000. (11) Vecchio C, Chiarella F, Lupi G. Left ventricular thrombus in anterior acute myocardial infarction after thrombolysis. A GISSI-2 connected study. Circulation 84(2), 512-519. 1991. (12) Murakami M, Takaki A, Nishida M, et al. Chronic stage left ventricular aneurysm and thrombus after myocardial infarction. Blood Coagul Fibrinolysis. [17(6)], 489-490. 2006. (13) Crawford TC, Smith WT, Velazquez EJ, et al. Prognostic usefulness of left ventricular thrombus by echocardiography in dilated cardiomyopathy in predicting stroke, transient ischemic attack, and death. Am J Cardiol. [93(4)], 500-503. 2004. (14) Crawford TC, Smith WT 4th, Velasquez EJ. Prognostic usefulness of left ventricular thrombus by echocardiography in dilated cardiomyopathy in predicting strokje, transient attack, and death. Am J Cardiol 94(11), 500-503. 2004. (15) Handke M, Harloff A, Hetzel A. Predictors of left atrial spontaneous echocardiographic contrast or thrombus formation in stroke patients with sinus rhythm and reduced left ventricular function. Am J Cardiol.2005; [96(9)], 1342-1344. 2005. (16) Laplace G, Lafitte S, Labeque JN, Perron JM, Baudet E, Deville C et al. Clinical significance of early thrombosis after prosthetic mitral valve replacement: A postoperative monocentric study of 680 patients. J Am Coll Cardiol 2004; 43(7):1283-1290. (17) Garcia Fernandez MA P-DEQJ, et al. Role of left atrial appendage obliteration in stroke reduction in patients with mitral valve prosthesis: a transesophageal echocardiographic study. J Am Coll Cardiol. [7], 1259-1261. 2003. (18) Gherasim L. Medicina interna-bolile cardiovasculare partea I. Editura Medicala , 56-57. 2004. (19) Benjamin EJ, D'Agostino RB, Belanger AJ, Wolf PA, Levy D. Left Atrial Size and the Risk of Stroke and Death : The Framingham Heart Study. Circulation 1995; 92(4):835-841. (20) Marcus F PSBD, et al. Left Atrial Thrombus Predicts Transient Ischemic Attack in Patients With Atrial Fibrillation. American Heart Journal . 5-22-2003. (21) Fuster V, Ryden LE, Asinger RW, Cannom DS, Crijns HJ, Frye RL et al. ACC/AHA/ESC Guidelines for the Management of Patients With Atrial Fibrillation: Executive Summary A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and Policy Conferences (Committee to Develop Guidelines for the Management of Patients With Atrial Fibrillation) Developed in Collaboration With the North American Society of Pacing and Electrophysiology. Circulation 2001; 104(17):2118-2150. 33
Page 1 and 2: UNIVERSITATEA DE MEDICINĂ ŞI FARM
Page 3 and 4: OBIECTIVELE STUDIULUI Lucrarea de f
Page 5 and 6: 3. ANALIZA STATISTICĂ Variabilele
Page 7 and 8: Figura 3. Repartiţia pacienţilor
Page 9 and 10: TAB FlA FA RS 1 12 0 5 10 15 20 25
Page 11 and 12: Figura 7. Aspectul ecografic al tro
Page 13 and 14: FlA, 11 RS, 1 FA, 21 La externare 1
Page 15 and 16: Figura 11. Prezenţa tulburărilor
Page 17 and 18: cerebral ischemic fiind înregistra
Page 19 and 20: 75 65 55 45 35 25 15 5 -5 45.5% 0 9
Page 21 and 22: Tabelul 9. Dimensiunile medii ale c
Page 23 and 24: BCI 3 11,5 Stenoză mitrală 1 3,8
Page 25 and 26: 7. Tratamentul Tratamentul primit d
Page 27 and 28: Figura de mai jos redă sursele str
Page 29 and 30: Vitezele de flux scăzute în AAS p
Page 31: Odată cu folosirea din ce în ce m
Page 35: (41) Ylmaz R, Celik S, Baykan M. Pu

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