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The M-mode sweep in panel A is from the left ventricular (LV) cavity to the aortic root (Ao) in a patient with a large pericardial effusion (EFF) and cardiac tamponade. Right ventricular (RV) narrowing is seen in the minor axis; only minimal cavitary expansion occurs with inspiration (IN), although it becomes more marked toward the right .
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A small retrospective study (n=21) of patients with known LV apical thrombus requiring cardioversion (AF in 38% and ventricular tachycardia in 62%) reported no clinically apparent embolic events after cardioversion, despite only 81% of patients been anticoagulated beforehand . Nonetheless, most of the LV thrombi were .
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