https://www.vetsurgeon.org/f/clinical-questions/29145/right-atrial-thrombus-in-dog--do-i-give-clopridogrel 11 year old female labrador with ascites, pleural effusion, and small pericardial effusion. Atrial fibrillation - HR200-300. Tricuspid regurgitation identified on CFM. Relatively large thrombus in right atrium, small possible thrombus in left ventricleen-USTelligent Community 10https://www.vetsurgeon.org/thread/223379?ContentTypeID=1Wed, 10 Jun 2020 11:41:06 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:ed8181ca-c339-4d01-b2fd-35a28a8e51b8Andrew Henfrey<p>Hi</p> <p>I didn&#39;t drain the pleural effusion. That was the plan if frusemide not improving things.</p> <p>Left ventricle was difficult to image from the right side so I couldn&#39;t fully assess its contractility. From the quick left sided scan [dog not happy in left lateral], the left ventricle didn&#39;t seem grossly dilated. That was my rationale for ACEi rather than pimobendan.</p> <p>Checking on Friday and adding digoxin if rate not controlling. Not insured so I will take your advice about relative improtance of drugs.</p> <p>Many thanks</p> <p>Andrew</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/223347?ContentTypeID=1Tue, 09 Jun 2020 12:05:30 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:8dc09959-8db9-4bf6-b8f7-c745175dc6d1Dave Dickson<p>Hi Andrew</p> <p></p> <p>Yikes. Yes, I&#39;d give clopidogrel. I&#39;d also have on pimobendan in almost all cases, plus probably digoxin as I find diltiazem is rarely enough on it&#39;s own for rate control especially at that rate of AF. If you need to drop a tablet, I&#39;d stop the benazecare. Have you drained the pleural effusion?</p> <p></p> <p>Dave</p><div style="clear:both;"></div>