Research Article

Left Atrial Enlargement on Transthoracic Echocardiography Predicts Left Atrial Thrombus on Transesophageal Echocardiography in Ischemic Stroke Patients

Table 3

Transesophageal echocardiographic determination of cardiac characteristics of AIS patients (results stated with number of patients observed with noted characteristic on TEE; percentage noted subsequently is a comparison to the number of patients who have a certain characteristic on TTE).

AIS subjects without LAE on TTE
(48.4%)
AIS subjects with LAE on TTE
(51.6%)
value

Left atrial size, median (range), mL/m23.4 (2.3–13.0)4.2 (2.7–6.7)<0.001
Left ventricular size, median (range), mL/m289 (44–303)98 (31.6–1333)0.081
TTE detection of LAT, %0 (0.00%)0 (0.00%)NA
PFO, %1 (1.32%)3 (3.85%)0.324
ASD, %29 (27.89%)30 (28.30%)0.052
Interatrial shunt, %5 (5.95%)10 (11.24%)0.217
Mitral valve regurgitation, %32 (30.18%)62 (54.86%)<0.001
Mitral valve prolapse, %0 (0.00%)2 (3.12%)0.136
Mitral annular calcification, %18 (21.43%)44 (46.81%)<0.001
Left ventricular dilatation, %4 (4.04%)16 (17.02%)0.003
Left ventricular hypertrophy, %13 (19.12%)19 (54.93%)<0.001
Diastolic dysfunction, %59 (62.11%)71 (83.53%)0.001
Aortic valve regurgitation, %28 (26.42%)42 (38.19%)0.230
Aortic valve stenosis, %17 (16.04%)35 (31.25%)0.004
TEE LAE, %13 (15.29%)63 (70.79%)<0.001
TEE detection of LAT, %1 (1.04%)8 (8.42%)0.016

Key: LAE, left atrial enlargement; PFO, patent foramen ovale; ASD, atrial septal defect; TTE, transthoracic echocardiogram; TEE, transesophageal echocardiogram; LAT, left atrial thrombus; NA, not applicable.