Elderly Patients With Cardiac Thrombosis Clinical Characteristics Analysis

Objective:The aim of this study is to prevent the thrombosis complications in elderly patients by retrospective analysis of the clinical characteristics of elderly patients with cardiac thrombosis.Methods:We enrolled 166 patients who have been in hospital from January 2013 to June 2016 of The First Affiliated Hospital of Guangxi Medical University,who were diagnosed as cardiac thrombosis with echocardiography for the first time,which had complete medical records.To investigate the clinical characteristics of cardiac thrombosis patients,comparing the similarities and differences of cardiac thrombosis patients between the different gender and presence of atrial fibrillation.Results:1.The average age of the 166 patients were 68.5±7.5 years old.The group includs 91 men and 75 women,in which 165 patients with 10 diferent kinds of diseases,and one patient without heart disease.Combined with rheumatic valvular heart disease in 72 cases,56 cases of CHD,combined withsimple AF in 24 cases,9 cases of Cardiomyopathy,combined with 8 cases of Hypertensive Heart Disease,4 cases of Congenital Heart Disease,combined with elderly degeneration 4 cases of Valvular Heart Disease,combined with Pulmonary Heart Disease in 2 cases,combined with Right Atrial Leiomyoma in1 case,combined with infective endocarditis in 1 case,with Pulmonary Embolism in 1 case;Of the 166 patients,113(68.1%)were atrial fibrillation and53(31.9%)were non-atrial fibrillation.2.Men with CHD,Rheumatic Heart Disease,simple AF were ranked the first three,while women were Rheumatic Heart Disease,CHD,simple AF,the two groups of patients with disease spectrum distribution difference was statistically significant(P <0.001);AF patients with Rheumatic Valvular Heart disease,CHD,simple AF in the first three,non-AF in patients with CHD,Rheumatic Heart Disease,Hypertensive Heart Disease,two groups of patients with disease spectrum differences(P<0.001);3.In 166 patients,162 cases of single embolus,4 cases of multiple emboli(left atrial and left atrial appendage thrombosis in 3 cases,left atrium and right ear thrombosis in 1 case);a total of 170 embolus were found,in the heart distribution of the main situation for the left atrial appendage 78,left atrium 61,left ventricular 27,a very small number can be seen in the right ear,right atrium and right ventricle,left atrial appendage and left atrial thrombosis detection rate is highest;4.The distribution of emboli in the male group and the female group was basically the same,but the left atrial appendage in the men was significantly higher than that in the female(P <0.05);AF group patients were mainlyconcentrated in the left atrial appendage and left atrium,but non-AF in patients embolization distribution is more dispersed,and the majority of left ventricle,The rate of left ventricular embolism in non-AF patients was higher than that of AF group(P <0.05);5.LAD and LVEF in left atrial thrombosis group and left atrial thrombosis group were significantly higher than those in other thrombosis group(P <0.05),LVDD was smaller than that in other thrombosis groups(P<0.05),while left ventricular thrombosis group and left ventricle no hrombosis group was compared with the results(P <0.05).Conclusion:1.Rheumatic Valvular Heart disease is the first cause of cardiac thrombosis in elderly patients.CHD is the second cause.AF is closely related to the cardiac thrombosis.2.The increased diameter of the heart cavity indicate increased susceptibility of the embolus.3.Left atrium and the left atrial were the predilection site of thrombosis.4.According our study,echocardiography analysis of the right ventricular thrombosis is important for the older male patients and non-atrial fibrosis patients,which can avoid the missed diagnosis of cardiac thrombosis.