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  1. 15 wrz 2022 · Example of an LV apical mural (laminar) thrombus (red arrows) seen on gadolinium-enhanced CMR. Note the adjacent white appearing areas indicating infarcted myocardium. CMR indicates cardiac magnetic resonance; and LV, left ventricular.

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  2. Introduction. The advent of reperfusion therapy and the widespread use of primary percutaneous coronary intervention (PCI) have markedly reduced the incidence of post–myocardial infarction (MI) left ventricular thrombus (LVT) over the last decades (1–3).

  3. 5 mar 2024 · Left ventricular (LV) thrombus may develop after acute myocardial infarction (MI) and occurs most often with a large, anterior ST-elevation MI (STEMI). However, the use of reperfusion therapies, including percutaneous coronary intervention and fibrinolysis, has significantly reduced the risk. LV thrombus can lead to arterial embolic ...

  4. 4 lip 2023 · Mural thrombi are thrombi that attach to the wall of a blood vessel and cardiac chamber. Mural thrombus occurrence in a normal or minimally atherosclerotic vessel is a rare entity in the absence of a hypercoagulative state or inflammatory, infectious, or familial aortic ailments.

  5. Regarding frequency of cases seen annually, 41% reported seeing <20 cases and 8% >60 cases. For treatment, 66% preferred VKA whilst 30% used a DOAC (Figure 1). The majority (72%) used repeat imaging to decide on anticoagulation duration, whilst 20% reported advising indefinite treatment.

  6. Current treatment strategies for LV thrombus, including direct oral anticoagulant (DOAC) use, are also unclear and require examination . We identified patients with LV thrombus on echocardiography (with and without contrast) at Brigham and Women’s Hospital between January 2008 and May 2015.

  7. 23 wrz 2022 · On the basis of limited data, it may be prudent to treat patients with OAC for newly diagnosed mural (laminated) LV thrombus as one would a patient with a protruding or mobile thrombus. On the basis of supportive though insufficiently powered randomized data, in patients with LV thrombus, DOAC seems to be a reasonable alternative to warfarin.

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