MRCP UK EXAMINATIONS

Detailed explanation-1: -Even in patients with correct anticoagulation therapy, thrombi can be found in the left atrial appendage. For this reason, until further data are present, we suggest executing TEE before direct current cardioversion. Moreover, NOAC was shown to be safe for use before cardioversion.

Detailed explanation-2: -Transesophageal echocardiography (TEE) plays an important role in atrial fibrillation (AF), mainly to detect the presence of left atrial appendage (LAA) thrombus. It is useful in direct current cardioversion (DCC) guidance and for AF ablation and LAA occlusion.

Detailed explanation-3: -Indications for urgent EC in patients with AF include active myocardial ischemia, significant hypotension, acute heart failure and the presence of accessory pathways with preexcitation.

Detailed explanation-4: -Left atrial appendage thrombus occurs when blood coagulates in this tiny pocket, putting a person at risk for cerebral stroke or peripheral embolism.