Skip to content

    Announcements

    Exciting News for WebMD Members!

    We've been busy behind the scenes building new message boards for you. You'll have new and easier ways to find messages, connect with others, and share your stories.

    And, this will all be available on your smartphone or other mobile device!

    What Do You Need to Do?

    The message board you're used to will be closing in the coming weeks. While many of your boards will be making the move to our new home, your posts will not. Want to keep a discussion going? Save posts you want to continue (this includes your member profile story), so that you can re-post them in the new message boards.

    Keep an eye here and on your email inbox, we'll be back in touch soon to give you all the information you need!


    Yours in health,
    WebMD Message Boards Management

    Includes Expert Content
    Thrombus in appendage
    avatar
    son01 posted:
    Hi,
    My mom has a thrombus in her appendage extending to the body. The ejection fraction was 30% on 12.02.2013 and was 42% on 22.02.2013. She is on warfarin 5 mg and her INR is around 2.35. Should I do something else o cure her quickly. How much time will it take for the thrombus to dissolve completely....???
    Reply
     
    avatar
    cardiostarusa1 responded:
    Hi:

    "How much time will it take for the thrombus to dissolve completely."

    This is a variable, as the body breaks the thrombus (blood clot) down in time, which can span from weeks to months. Warfarin (brand name Coumadin) only prevents the thrombus from becoming larger and new ones from forming.

    "The ejection fraction was 30% on 12.02.2013 and was 42% on 22.02.2013".

    As reported, left ventricular ejection fraction (LVEF) can vary throughout the day, and can vary from one type of diagnostic imaging test/modality to another, such as non-invasive echocardiogram, **MUGA scan/ERNA (reported as being the most accurate of the non-invasive methods, yields reproducible results), gated-SPECT scan with Cardiolite or Myoview (common nuclear stress test), Cardiac PET, Cardiac MR/MRI, and invasive X-ray angiography (heart catheterization).

    **To get a decent estimate of LVEF, a MUGA scan is reported as being the most accurate of the non-invasive methods.

    Pertinent excerpt from an About. com article - Richard N. Fogoros, M.D.

    When is the MUGA scan more useful than other heart tests?

    The advantages of the MUGA scan over other techniques (such as the echocardiogram) for measuring the LVEF are twofold
    . First, the MUGA ejection fraction is highly accurate, probably more accurate than that obtained by any other technique. Second, The MUGA ejection fraction is highly reproducible. That is, if the LVEF measurement is repeated several times, nearly the same answer is always obtained. (With other tests, variations in the measured LVEF are much greater.)

    Best of luck to your mom down the road of life.

    Take care,

    CardioStar*

    WebMD member (since 8/99)

    -

    -

    Understanding Your Ejection Fraction

    http://my.clevelandclinic.org/heart/disorders/heartfailure/ejectionfraction.aspx
    .

    WebMD/WebMD forums does not provide medical advice, diagnosis or treatment.
     
    avatar
    James Beckerman, MD, FACC responded:
    It often dissolves after a month of warfarin treatment. Her doctor may recommend a repeat transesophageal echocardiogram to take a look.


    Helpful Tips

    potassium levels
    talk to your physician and check your meds on WebMD -- some med combinations either deplete or increase potassium levels in your ... More
    Was this Helpful?
    1 of 1 found this helpful

    Expert Blog

    The Heart Beat - James Beckerman, MD, FACC

    Dr. James Beckerman shares how small, livable lifestyle changes can have a real impact on your risk of heart attack and stroke...Read More

    Related Drug Reviews

    • Drug Name User Reviews

    Report Problems With Your Medications to the FDA

    FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

    For more information, visit the Duke Health General and Consultative Heart Care Center