Left ventricular thrombus following acute myocardial infarction: A prospective serial echocardiographic study of 96 patients
- 1 May 1983
- journal article
- research article
- Published by Oxford University Press (OUP) in European Heart Journal
- Vol. 4 (5) , 333-337
- https://doi.org/10.1093/oxfordjournals.eurheartj.a061470
Abstract
In a prospective serial study of 96 patients with acute myocardial infarction, two dimensional echocardiography identified left ventricular thrombus in 18 patients. The majority of thrombi (15) developed within the first 4 days after admission. In three patients thrombi were identified for the first time 4 months after the acute episode. All 18 patients had received therapeutic anticoagulants on admission and had large anterior wall infarctions complicated by serve pump failure and motion abnormalities echocardiographically. None of the patients had systemic embolisation during the study period. Thus, left ventricular thrombus is a not uncommon though silent complication of acute anterior wall infarction even when patients receive therapeutic anticoagulants.Keywords
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