Interventional Cardiology Expert Forum
atrial fib
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Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.

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atrial fib

i have left atrial enl 5.3 cm mod aortic  and  mitral regurg mod diastolic dysfunction htn hih chol.  i have mult daily episodes of irre heartbeat episodes rates exceedin 150.  my question is do these  episodes which have been documented as svt vt and atrial fi b  on a holter predispose one to clots in the atria?  would a tee clarify this issue?
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290383_tn?1193103921
With your left atrial size and the valvular heart disease if you have had atrial fibrillation you likely need to be on Coumadin as the atrial fibrillation does predispose you to clots in the left atrium.  You need Coumadin and the TEE would not change the decision in my opinion.
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