Clinical characteristics | All patients (n=48) | TTE and subsequent TOE patients (n=20) | TTE or TOE only (n=28)* | P value |
Age, years | 60.0±13.8 | 59.2±15.1 | 60.6±13.1 | 0.7289 |
Gender, female | 36 (75.0) | 16 (80.0) | 20 (71.4) | 0.4990 |
Race (white) | 42 (87.5) | 17 (85.0) | 25 (89.3) | 0.6580 |
Ethnicity (not Hispanic or Latino) | 42 (87.5) | 17 (85.0) | 25 (89.3) | 0.6580 |
Hypertension | 18 (37.5) | 10 (50.0) | 8 (28.6) | 0.1306 |
Diabetes mellitus | 17 (35.4) | 7 (35.0) | 10 (35.7) | 0.9593 |
Myocardial infarction | 13 (27.1) | 4 (20.0) | 9 (32.1) | 0.3507 |
Heart failure | 10 (20.8) | 5 (25.0) | 5 (17.9) | 0.5480 |
CKD | 10 (20.8) | 4 (20.0) | 6 (21.4) | 0.9044 |
COPD | 9 (18.8) | 2 (10.0) | 7 (25.0) | 0.1893 |
Hemiplegia | 3 (6.3) | 2 (10.0) | 1 (3.6) | 0.3643 |
PVD | 4 (8.3) | 1 (5.0) | 3 (10.7) | 0.4801 |
Cirrhosis | 2 (4.2) | 1 (5.0) | 1 (3.6) | 0.8071 |
CTD | 18 (37.5) | 6 (30.0) | 12 (42.9) | 0.3643 |
SLE | 12 (25.0) | 4 (20.0) | 8 (28.6) | 0.4990 |
AAS | 11 (22.9) | 3 (15.0) | 8 (28.6) | 0.2701 |
Scleroderma | 2 (4.2) | 1 (5.0) | 1 (3.6) | 0.8071 |
Sjogren syndrome | 2 (4.2) | 1 (5.0) | 1 (3.6) | 0.8071 |
Rheumatoid arthritis | 1 (2.1) | 0 | 1 (3.6) | 0.3931 |
Spondylitis ankylosing | 1 (2.1) | 0 | 1 (3.6) | 0.3931 |
Malignancy | 25 (52.1) | 9 (45.0) | 16 (57.1) | 0.4064 |
Metastatic solid tumour | 9 (18.8) | 1 (5.0) | 8 (28.6) | 0.0391 |
Lung cancer | 10 (20.8) | 1 (5.0) | 9 (32.1) | 0.0224 |
Ovarian cancer | 3 (6.3) | 0 | 3 (10.7) | 0.1306 |
Endometrial cancer | 2 (4.2) | 1 (5.0) | 1 (3.6) | 0.8071 |
Breast cancer | 2 (4.2) | 1 (5.0) | 1 (3.6) | 0.8071 |
Pancreatic cancer | 2 (4.2) | 2 (10.0) | 0 | 0.0874 |
AML | 2 (4.2) | 1 (5.0) | 1 (3.6) | 0.8071 |
CML | 1 (2.1) | 0 | 1 (3.6) | 0.3931 |
LCL | 1 (2.1) | 1 (5.0) | 0 | 0.2318 |
Colon cancer | 1 (2.1) | 1 (5.0) | 0 | 0.2318 |
Brainstem glioma | 1 (2.1) | 1 (5.0) | 0 | 0.2318 |
Embolic event | 38 (79.2) | 14 (70.0) | 24 (85.7) | 0.1863 |
Stroke | 26 (54.2) | 9 (45.0) | 17 (60.7) | 0.2814 |
Peripheral ischaemic event | 12 (25.0) | 5 (25.0) | 7 (25.0) | 1.0000 |
TIA | 4 (8.3) | 1 (5.0) | 3 (10.7) | 0.4801 |
Stroke and peripheral ischaemic event | 4 (8.3) | 1 (5.0) | 3 (10.7) | 0.4801 |
Mitral valve prolapse | 5 (10.4) | 1 (5.0) | 4 (14.3) | 0.2991 |
Prosthetic valve | 4 (8.3) | 1 (5.0) | 3 (10.7) | 0.4801 |
CIED | 4 (8.3) | 1 (5.0) | 3 (10.7) | 0.4801 |
HCM | 2 (4.2) | 1 (5.0) | 1 (3.6) | 0.8071 |
Bicuspid aortic valve | 1 (2.1) | 1 (5.0) | 0 | 0.2318 |
Valvular vegetations | 41 (85.4) | 15 (75.0) | 26 (92.9) | 0.0840 |
Valvular thickening | 43 (89.6) | 19 (95.0) | 24 (85.7) | 0.2991 |
Moderate to severe valvular regurgitation | 26 (54.2) | 13 (65.0) | 13 (46.4) | 0.2030 |
*One patient had a TTE followed by a TOE >72 hours.
AAS, antiphospholipid antibody syndrome; AML, acute myeloid leukaemia; CIED, cardiac implanted electronic device; CKD, chronic kidney disease; CML, chronic myelogenous leukaemia; COPD, chronic obstructive pulmonary disease; CTD, connective tissue disease; HCM, hypertrophic cardiomyopathy; LCL, large cell lymphoma; NBTE, non-bacterial thrombotic endocarditis; PVD, peripheral vascular disease; SLE, systemic lupus erythematosus; TIA, transient ischaemic attack; TOE, transoesophageal echocardiogram; TTE, transthoracic echocardiogram.