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At present, there are insufficient data to recommend surgical excision (without other indications for surgery) for the treatment of LV thrombus. Because of the risks of surgery and lack of supportive data, such an approach should be limited to rare circumstances such as .
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Left ventricular (LV) thrombus formation is a well‐known complication in the course of .eLetters should relate to an article recently published in the journal and are not a .We sought to determine whether an association existed between the .
If OAC is initiated, a treatment duration might be 1–3 months, depending on bleeding risk. On the basis of reasonable data and evidence, post-MI patients with LV . 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 . At present, there are insufficient data to recommend surgical excision (without other indications for surgery) for the treatment of LV thrombus. Because of the risks of surgery and lack of supportive data, such an approach should be limited to rare circumstances such as inability to tolerate anticoagulation therapy (other than that briefly . If OAC is initiated, a treatment duration might be 1–3 months, depending on bleeding risk. On the basis of reasonable data and evidence, post-MI patients with LV thrombus should be treated with OAC, typically for a duration of 3 months.
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. The optimal management of left ventricular thrombus (LVT) remains controversial. Despite decreasing incidence with improvements in early percutaneous revascularization, LVT is estimated to occur after 6.3% of ST elevation myocardial infarctions. 1 Because a key tenet of Virchow's triad for thrombosis includes blood stasis, nonischemic . To date there is no standardized therapy in the guidelines for treatment of LV thrombi. Surgical thrombectomy, treatment with low molecular weight or unfractionated heparin, new oral anticoagulation therapy, and thrombolysis .
The following are key points to remember from this state-of-the-art review on left ventricular (LV) thrombus following myocardial infarction (MI): LV thrombus after acute MI (AMI) has declined significantly since the introduction of reperfusion therapy.
Left ventricular (LV) thrombus is a feared complication of LV dysfunction associated with high rates of systemic embolism, morbidity, and mortality. Traditionally, LV thrombus has been associated with acute myocardial infarction (MI). However, with improvements in percutaneous coronary intervention and adjunctive medical therapies, the .
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Importance Left ventricular (LV) thrombus is a complication of acute myocardial infarction (MI) and is associated with systemic thromboembolism. With randomized clinical trials investigating the optimal antithrombotic regimen in patients with MI who require concomitant chronic anticoagulation and with the emergence of the direct-acting oral anticoagulants, treatment .
Left ventricular (LV) thrombus development following acute myocardial infarction is driven by the elements of Virchow’s triad: endothelial injury, blood stasis, and hypercoagulability. Each of these components further serves as a therapeutic target in the treatment and prevention of left ventricular thrombus following acute myocardial infarction. Standard transthoracic echocardiography (TTE) is typically the screening modality of choice for LV thrombus detection and should be performed within 24 hours of admission in those at high risk for apical LV thrombus (e.g., those with large or anterior MI or those receiving delayed reperfusion). At present, there are insufficient data to recommend surgical excision (without other indications for surgery) for the treatment of LV thrombus. Because of the risks of surgery and lack of supportive data, such an approach should be limited to rare circumstances such as inability to tolerate anticoagulation therapy (other than that briefly .
If OAC is initiated, a treatment duration might be 1–3 months, depending on bleeding risk. On the basis of reasonable data and evidence, post-MI patients with LV thrombus should be treated with OAC, typically for a duration of 3 months. 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.
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The optimal management of left ventricular thrombus (LVT) remains controversial. Despite decreasing incidence with improvements in early percutaneous revascularization, LVT is estimated to occur after 6.3% of ST elevation myocardial infarctions. 1 Because a key tenet of Virchow's triad for thrombosis includes blood stasis, nonischemic .
To date there is no standardized therapy in the guidelines for treatment of LV thrombi. Surgical thrombectomy, treatment with low molecular weight or unfractionated heparin, new oral anticoagulation therapy, and thrombolysis . The following are key points to remember from this state-of-the-art review on left ventricular (LV) thrombus following myocardial infarction (MI): LV thrombus after acute MI (AMI) has declined significantly since the introduction of reperfusion therapy.
Left ventricular (LV) thrombus is a feared complication of LV dysfunction associated with high rates of systemic embolism, morbidity, and mortality. Traditionally, LV thrombus has been associated with acute myocardial infarction (MI). However, with improvements in percutaneous coronary intervention and adjunctive medical therapies, the .
Importance Left ventricular (LV) thrombus is a complication of acute myocardial infarction (MI) and is associated with systemic thromboembolism. With randomized clinical trials investigating the optimal antithrombotic regimen in patients with MI who require concomitant chronic anticoagulation and with the emergence of the direct-acting oral anticoagulants, treatment .Left ventricular (LV) thrombus development following acute myocardial infarction is driven by the elements of Virchow’s triad: endothelial injury, blood stasis, and hypercoagulability. Each of these components further serves as a therapeutic target in the treatment and prevention of left ventricular thrombus following acute myocardial infarction.
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lv thrombus surgery|Lv thrombus prevention guidelines
