Impairment of left atrial appendage function after spontaneous conversion of atrial flutter
This paper reports a patient in atrial flutter who spontaneously converted to sinus rhythm while undergoing a transesophageal echocardiogram. Atrial appendage flow velocities were noted to be significantly decreased after conversion to sinus rhythm. Spontaneous contrast also developed in the left at...
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| Veröffentlicht in: | Clinical cardiology (Mahwah, N.J.) N.J.), 1998-10, Vol.21 (10), p.769-771 |
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| container_issue | 10 |
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| container_title | Clinical cardiology (Mahwah, N.J.) |
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| creator | Kontos, Michael C. Paulsen, Walter H.J. |
| description | This paper reports a patient in atrial flutter who spontaneously converted to sinus rhythm while undergoing a transesophageal echocardiogram. Atrial appendage flow velocities were noted to be significantly decreased after conversion to sinus rhythm. Spontaneous contrast also developed in the left atrium shortly after conversion. Spontaneous cardioversion may be associated with decreased mechanical activity of the left atrium and appendage, resulting in “stunning.” This provides a possible explanation for the occurrence of thromboembolic events in patients without apparent thrombus before cardioversion. |
| doi_str_mv | 10.1002/clc.4960211015 |
| format | Article |
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Atrial appendage flow velocities were noted to be significantly decreased after conversion to sinus rhythm. Spontaneous contrast also developed in the left atrium shortly after conversion. Spontaneous cardioversion may be associated with decreased mechanical activity of the left atrium and appendage, resulting in “stunning.” This provides a possible explanation for the occurrence of thromboembolic events in patients without apparent thrombus before cardioversion.</description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.4960211015</identifier><identifier>PMID: 9789701</identifier><identifier>CODEN: CLCADC</identifier><language>eng</language><publisher>New York: Wiley Periodicals, Inc</publisher><subject>atrial flutter ; Atrial Flutter - diagnosis ; Atrial Flutter - physiopathology ; Atrial Function, Left ; Biological and medical sciences ; Cardiac dysrhythmias ; Cardiology. 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Atrial appendage flow velocities were noted to be significantly decreased after conversion to sinus rhythm. Spontaneous contrast also developed in the left atrium shortly after conversion. Spontaneous cardioversion may be associated with decreased mechanical activity of the left atrium and appendage, resulting in “stunning.” This provides a possible explanation for the occurrence of thromboembolic events in patients without apparent thrombus before cardioversion.</description><subject>atrial flutter</subject><subject>Atrial Flutter - diagnosis</subject><subject>Atrial Flutter - physiopathology</subject><subject>Atrial Function, Left</subject><subject>Biological and medical sciences</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>Echocardiography, Transesophageal</subject><subject>Heart</subject><subject>Heart Atria - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Short Communication</subject><subject>Short Communications</subject><subject>transesophageal echocardiogram</subject><subject>Ultrasonography, Doppler, Pulsed</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkTtvFDEUhS0ECkugpUOaAtHNxq_x2A0SWvGItBINqVJYdz3XwcjzwJ4Jyr-PVztaQkXl4nzn3Ht9CHnL6JZRyq9cdFtpFOWMUdY8IxtmBK91K9rnZEOZorXh2rwkr3L-VXiqubggF6bVpqVsQ26v-wlC6nGYq9FXEf1cwZwCxAqmCYcO7rDyy-DmMA4V-BlTladxmGHAccmVG4d7TPkoFvvq9HGZC_iavPAQM75Z30ty8-Xzj923ev_96_Xu0752Usmm7g5KdUYyjdgehGHMCy1EgxQ64I1QXGqpRceaFiUDjbqh4MFxbJRARC4uycdT7rQceuxcuSVBtFMKPaQHO0Kw_ypD-GnvxnurVKO4PgZ8WAPS-HvBPNs-ZIcxno60LaWUSSELuD2BLo05J_TnIYzaYx221GH_1lEM756udsbX_y_6-1WH7CD6BIML-YxxSQ1nomDmhP0JER_-M9Tu9rsnKzwCVxulgA</recordid><startdate>19981001</startdate><enddate>19981001</enddate><creator>Kontos, Michael C.</creator><creator>Paulsen, Walter H.J.</creator><general>Wiley Periodicals, Inc</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19981001</creationdate><title>Impairment of left atrial appendage function after spontaneous conversion of atrial flutter</title><author>Kontos, Michael C. ; Paulsen, Walter H.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4645-db66d9418ee7b3911f38335e0ada2536248483d157e41a8e850afac2e563eee23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>atrial flutter</topic><topic>Atrial Flutter - diagnosis</topic><topic>Atrial Flutter - physiopathology</topic><topic>Atrial Function, Left</topic><topic>Biological and medical sciences</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology. Vascular system</topic><topic>Echocardiography, Transesophageal</topic><topic>Heart</topic><topic>Heart Atria - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Short Communication</topic><topic>Short Communications</topic><topic>transesophageal echocardiogram</topic><topic>Ultrasonography, Doppler, Pulsed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kontos, Michael C.</creatorcontrib><creatorcontrib>Paulsen, Walter H.J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kontos, Michael C.</au><au>Paulsen, Walter H.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impairment of left atrial appendage function after spontaneous conversion of atrial flutter</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><addtitle>Clin Cardiol</addtitle><date>1998-10-01</date><risdate>1998</risdate><volume>21</volume><issue>10</issue><spage>769</spage><epage>771</epage><pages>769-771</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><coden>CLCADC</coden><abstract>This paper reports a patient in atrial flutter who spontaneously converted to sinus rhythm while undergoing a transesophageal echocardiogram. Atrial appendage flow velocities were noted to be significantly decreased after conversion to sinus rhythm. Spontaneous contrast also developed in the left atrium shortly after conversion. Spontaneous cardioversion may be associated with decreased mechanical activity of the left atrium and appendage, resulting in “stunning.” This provides a possible explanation for the occurrence of thromboembolic events in patients without apparent thrombus before cardioversion.</abstract><cop>New York</cop><pub>Wiley Periodicals, Inc</pub><pmid>9789701</pmid><doi>10.1002/clc.4960211015</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical cardiology (Mahwah, N.J.), 1998-10, Vol.21 (10), p.769-771 |
| issn | 0160-9289 1932-8737 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | atrial flutter Atrial Flutter - diagnosis Atrial Flutter - physiopathology Atrial Function, Left Biological and medical sciences Cardiac dysrhythmias Cardiology. Vascular system Echocardiography, Transesophageal Heart Heart Atria - physiopathology Humans Male Medical sciences Middle Aged Short Communication Short Communications transesophageal echocardiogram Ultrasonography, Doppler, Pulsed |
| title | Impairment of left atrial appendage function after spontaneous conversion of atrial flutter |
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