The mechanism of endovenous thrombus formation induced by laser irradiation is different from thromboplastic phlebitis, thus endovenous thrombus formation doesn't affect whole body cruor function.
Alternatively, initially perform a TEE, and if no thrombus is present, cardiovert and therapeutically anticoagulate for a minimum of 4-6 weeks after sinus rhythm is restored.
Harrison's PodClass: Internal Medicine Cases and Board Prep
The major source of thromboembolism and stroke in non-valvular AFib is formation of thrombus in the left atrial appendage where flow is relatively stagnant.
Harrison's PodClass: Internal Medicine Cases and Board Prep
But remember, even if thrombus is not present, the patient should have at least 4 weeks of anticoagulation after the cardioversion because of the stunning risk.
Harrison's PodClass: Internal Medicine Cases and Board Prep
Therefore, he should be either initiated on anticoagulation with cardioversion deferred for at least three weeks after uninterrupted anticoagulation or evaluated to exclude the presence of a left atrial appendage thrombus.
Harrison's PodClass: Internal Medicine Cases and Board Prep
Most commonly, transesophageal echocardiography is used to evaluate for left atrial appendage thrombus, although cardiac computed tomography and geography has been demonstrated to have excellent sensitivity and specificity as well.
People who died from sudden cardiac death, they'll take the thrombus or the embolus that occluded that coronary artery and they basically biopsy it and they find oral bacteria in that plaque that caused the heart attack or stroke.