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September 10, 2025Arrhythmia & Electrophysiology ReviewOpen Access

Aortic Atherosclerosis Detection on Transesophageal Echocardiography is Associated with Left Atrial Appendage Thrombus in Low Thromboembolic Risk Patients

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Authors

SASamah AlkharjiMRMohamed Al RawahiAAAhmed AlTurki

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Overview

Retrospective review shows aortic atherosclerosis correlates with left atrial appendage thrombus in low CHA2DS2-VASc patients, suggesting enhanced risk stratification.

Key Points

  • Aortic atherosclerosis detected through transesophageal echocardiography is significantly associated with left atrial appendage thrombus risk.
  • In a cohort with CHA2DS2-VASc scores ≤1, 7.5% presented with left atrial appendage thrombus presence confirmed by echocardiography results.
  • The method involved a retrospective review of transesophageal echocardiograms from 2012 to 2017, analyzed using the Katz score and ASE grading.
  • Risk assessment incorporating aortic atherosclerosis may improve decision-making for anticoagulation therapy in patients with atrial fibrillation.

Cite This Study

Alkharji et al. (2025) studied this question.

synapsesocial.com/papers/68c243acb210217d647a809ahttps://doi.org/10.15420/aer.2025.02
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