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Electronic Letters to:
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Electronic letters published:
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Abel Maldonado-Ortiz. FCCP, MD Respiratory Care Unit, Hospital de la Mujer. Morelia, México, Hugo Villalon, Ruben Solorio and Julia Ramirez
Send letter to journal:
amaldor{at}yahoo.com Abel Maldonado-Ortiz. FCCP, et al.
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Is serial echocardiographic evaluation really necessary in patients with mobile thrombi in the rigth heart? Clinical benefict or clinical anxiety. We read with great interest the article by Ferrari et al. ( March 2005 ) 1 concerning the evolution of right heart mobil clots after surgical, thrombolytic treatment TT, or heparin alone. [1] We wonder if it is really necessary to perform serial echocardiographic evaluations? In this report, 50 echos were performed in 18 study subjects without clear indication that these studies changed management. [2] It is not immediately obvious which patients can be treated with heparin alone. References 1.- Ferrari E, Benhamou M, Berthier F and Baudouy M. Mobile Thrombi of the rigth heart in pulmonary embolism. Delayed disappearence after thrombolytic treatment. CHEST 2005; 127:1051-1053 |
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