Patients With Atrial Fibrillation and Dense Spontaneous Echo Contrast at High Risk
A Prospective and Serial Follow-Up Over 12 Months With Transesophageal Echocardiography and Cerebral Magnetic Resonance Imaging
Peter Bernhardt, MD*,*,
Harald Schmidt, MD ,
Christoph Hammerstingl, MD*,
Berndt Lüderitz, MD, PhD, FACC, FESC, FAHA* and
Heyder Omran, MD, PhD
* Department of MedicineCardiology, University of Bonn, Bonn, Germany
St. Marien Hospital Bonn, Bonn, Germany

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Figure 1 Transesophageal echocardiography with dense spontaneous echo contrast (SEC). LA = left atrium; LAAv = left atrial appendage peak emptying velocity.
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Figure 2 Cerebral magnetic resonance imaging scan in (A) T2- and (B) diffusion-weighted imaging with (arrow) a cerebral lesion after an embolic event.
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Figure 3 Kaplan-Meier graph for the combined end point (death and embolism) during the 12-month observation period.
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