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What is “Smoke” on Echo? That swirling, fog-like appearance inside the atrium is called Spontaneous Echo Contrast (SEC) — a sign of very slow blood flow. It forms when red blood cells start clumping together, scattering ultrasound and creating the “smoke.” SEC = blood stasis higher risk of clot higher risk of stroke, especially in: • Atrial fibrillation • Dilated or poorly contracting atria • Mitral valve disease • Low-flow states If you see smoke… look carefully for thrombus. 🫀🌀 | The Echo Jo
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