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Of the patients who developed left ventricular thrombi while on dabigatran, 1 patient was prescribed a total daily dose of 220 mg for AF and left ventricular thrombus was found incidentally on TTE done because of worsening dyspnea; the patient was switched to warfarin and followed-up for 8 months with partial resolution of the left .
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As discussed, as the right-sided pressure increases, the shape of the RV changes to a rounded structure, which compresses the LV in diastole. This can be visualised on TTE as causing a D-shaped LV. The interventricular septum will shift in diastole and the left ventricular eccentricity index (LVEI) can measure this effect by .
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