Jun 16, 2018 · INTRODUCTION. Left ventricular mural thrombus (LVT) complicating myocardial infarction has significant morbidity and potential mortality. Studies have demonstrated high incidence of LVT following anterior myocardial infarction[].LVT carries both short term and long term risk of embolic events which may result in stroke and systemic complications[2,3].
Background: Once a diagnosis of left ventricular thrombus has been established, the classical attitude consists in the administration of unfractionated heparin relayed by oral anticoagulation therapy. However, the use of unfractionated heparins in this indication was only assessed in an open, non-randomized study with no control group, including 23 patients.
Aug 21, 2018 · In order to prevent acc guidelines lv thrombus potential embolization, the 2013 American College of Cardiology/American Heart Association STEMI guidelines advise that it is reasonable to add oral anticoagulation (OAC) to DAPT among patients with STEMI and asymptomatic LV thrombus for 3 months, targeting a lower INR goal of 2.0‐2.5 4 followed by a TTE to ensure ...
It is now the method of choice for detecting left ventricular thrombus, although the sensitivity oftwo-dimensional echocardio-graphyin the detectionofleft ventricular thrombusvaries between77and95% with a specificity of86-93%.273O Clear delineation ofthe endocardium and
According to the 2013 American College of Cardiology/American Heart Association (ACC/AHA) guidelines , vitamin K antagonist therapy can be limited to 3 months in patients who have LV thrombus or are at risk for LV thrombus, such as patients with antero-apical akinesis or dyskinesis.
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