Journal of Clinical Medicine (May 2022)
Left Atrial Thrombus in Atrial Fibrillation/Flutter Patients in Relation to Anticoagulation Strategy: LATTEE Registry
- Agnieszka Kapłon-Cieślicka,
- Monika Gawałko,
- Monika Budnik,
- Beata Uziębło-Życzkowska,
- Paweł Krzesiński,
- Katarzyna Starzyk,
- Iwona Gorczyca-Głowacka,
- Ludmiła Daniłowicz-Szymanowicz,
- Damian Kaufmann,
- Maciej Wójcik,
- Robert Błaszczyk,
- Jarosław Hiczkiewicz,
- Katarzyna Łojewska,
- Katarzyna Mizia-Stec,
- Maciej T Wybraniec,
- Katarzyna Kosmalska,
- Marcin Fijałkowski,
- Anna Szymańska,
- Mirosław Dłużniewski,
- Maciej Haberka,
- Michał Kucio,
- Błażej Michalski,
- Karolina Kupczyńska,
- Anna Tomaszuk-Kazberuk,
- Katarzyna Wilk-Śledziewska,
- Renata Wachnicka-Truty,
- Marek Koziński,
- Paweł Burchardt,
- Piotr Scisło,
- Radosław Piątkowski,
- Janusz Kochanowski,
- Grzegorz Opolski,
- Marcin Grabowski
Affiliations
- Agnieszka Kapłon-Cieślicka
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Monika Gawałko
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Monika Budnik
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Beata Uziębło-Życzkowska
- Department of Cardiology and Internal Diseases, Military Institute of Medicine, 01-755 Warsaw, Poland
- Paweł Krzesiński
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Katarzyna Starzyk
- 1st Clinic of Cardiology and Electrotherapy, Świętokrzyskie Cardiology Centre, 25-558 Kielce, Poland
- Iwona Gorczyca-Głowacka
- 1st Clinic of Cardiology and Electrotherapy, Świętokrzyskie Cardiology Centre, 25-558 Kielce, Poland
- Ludmiła Daniłowicz-Szymanowicz
- Department of Cardiology and Electrotherapy, Medical University of Gdańsk, 80-210 Gdansk, Poland
- Damian Kaufmann
- Department of Cardiology and Electrotherapy, Medical University of Gdańsk, 80-210 Gdansk, Poland
- Maciej Wójcik
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Robert Błaszczyk
- Department of Cardiology, Medical University of Lublin, 20-059 Lublin, Poland
- Jarosław Hiczkiewicz
- Collegium Medicum, University of Zielona Góra, 65-417 Zielona Gora, Poland
- Katarzyna Łojewska
- Clinical Department of Cardiology, Nowa Sól Multidisciplinary Hospital, 67-100 Nowa Sol, Poland
- Katarzyna Mizia-Stec
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Maciej T Wybraniec
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Katarzyna Kosmalska
- Department of Cardiology, St. Vincent Hospital, 81-348 Gdynia, Poland
- Marcin Fijałkowski
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Anna Szymańska
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Mirosław Dłużniewski
- Department of Heart Diseases, Postgraduate Medical School, 00-002 Warsaw, Poland
- Maciej Haberka
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Michał Kucio
- Department of Cardiology, School of Health Sciences, Medical University of Silesia, 40-055 Katowice, Poland
- Błażej Michalski
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Karolina Kupczyńska
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Anna Tomaszuk-Kazberuk
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Katarzyna Wilk-Śledziewska
- Department of Cardiology, Medical University of Bialystok, 15-089 Bialystok, Poland
- Renata Wachnicka-Truty
- Department of Cardiology and Internal Medicine, Medical University of Gdańsk, 80-210 Gdynia, Poland
- Marek Koziński
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Paweł Burchardt
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Piotr Scisło
- 1st Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland
- Radosław Piątkowski
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- Janusz Kochanowski
- 1st Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland
- Grzegorz Opolski
- 1st Department of Cardiology, Medical University of Warsaw, 02-097 Warsaw, Poland
- Marcin Grabowski
- “Club 30”, Polish Cardiac Society, 02-097 Warsaw, Poland
- DOI
- https://doi.org/10.3390/jcm11102705
- Journal volume & issue
-
Vol. 11,
no. 10
p. 2705
Abstract
Background: Atrial fibrillation (AF) and flutter (AFl) increase the risk of thromboembolism. The aim of the study was to assess the prevalence of left atrial thrombus (LAT) in AF/AFl in relation to oral anticoagulation (OAC). Methods: LATTEE (NCT03591627) was a multicenter, prospective, observational study enrolling consecutive patients with AF/AFl referred for transesophageal echocardiography before cardioversion or ablation. Results: Of 3109 patients enrolled, 88% were on chronic, 1.5% on transient OAC and 10% without OAC. Of patients on chronic OAC, 39% received rivaroxaban, 30% dabigatran, 14% apixaban and 18% vitamin K antagonists (VKA). Patients on apixaban were oldest, had the worst renal function and were highest in both bleeding and thromboembolic risk, and more often received reduced doses. Prevalence of LAT was 8.0% (7.3% on chronic OAC vs. 15% without OAC; p p p p < 0.01 for both comparisons), however, not after propensity score weighting. Conclusions: The prevalence of LAT in AF is non-negligible even on chronic OAC. The risk of LAT seems higher on VKA compared to NOAC, and similar between different NOACs.
Keywords