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Fig 1.

Flow diagram illustrating the systemic literature and study selection process.

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Table 1.

Characteristics of eligible studies.

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Fig 2.

Quality assessment of 16 observational studies by the Newcastle and Ottawa risk of bias criteria.

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Fig 3.

Risk of bias assessment of 9 diagnostic tests by QUADAS-2.

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Fig 4.

Forest plot of the standard mean difference in d-dimer levels between patients with and without left atrial spontaneous echo contrast/left atrial thrombus.

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Fig 5.

Egger’s test for the assessment of publication bias of 16 observational studies.

SND, standard normal deviate.

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Fig 6.

Risk ratios for the presence of LAT comparing the top third with the bottom third based on d-dimer distributions.

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Fig 7.

Egger’s test for the assessment of publication bias of 11 studies.

SND, standard normal deviate.

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Fig 8.

Summary receiver operating characteristic curves (SROC) for overall diagnostic accuracy of d-dimer for the presence of left atrial thrombus.

① Abu-Mahfouz M et al. [12]; ② Habara S et al. [20]; ③ Sugiura S et al. [21]; ④ Rajappa M et al. [33];⑤ Somloi M et al. [22]; ⑥ Kadle N et al. [34]; ⑦ Naresh K et al. [36]; ⑧ Yoshida N et al. [31]; ⑨ Kurakula N et al. [23].

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Fig 9.

Funnel plot for the assessment of publication bias of 9 diagnostic tests.

① Abu-Mahfouz M et al. [12]; ② Habara S et al. [20]; ③ Sugiura S et al. [21]; ④ Rajappa M et al. [33];⑤ Somloi M et al. [22]; ⑥ Kadle N et al. [34]; ⑦ Naresh K et al. [36]; ⑧ Yoshida N et al. [31]; ⑨ Kurakula N et al. [23].

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Fig 9 Expand