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Management of Patients at Risk for and With Left Ventricular Thrombus …
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001092
WEBSep 15, 2022 · A meta-analysis of 21 observational studies comprising 29 410 patients with takotsubo syndrome revealed a pooled estimated LV thrombus rate of 1.8%. 70 Similarly, multicenter international registry data of 541 patients reported LV thrombus in 2.2%, with apical ballooning pattern and troponin I levels >10 ng/mL associated with an increased risk ...
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Left ventricular thrombus after acute myocardial infarction
https://www.uptodate.com/contents/left-ventricular-thrombus-after-acute-myocardial-infarction
WEBMar 5, 2024 · This relative stasis of blood is thought to increase the risk of thrombus formation. Many, but not all, of these patients will have an LV apical aneurysm with akinesis or dyskinesis. In most cases, thrombus is located within or adjacent to the LV apex [ 1 ] but can also occur with large basal inferolateral infarctions/aneurysms.
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Management of left ventricular thrombus: a narrative review
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039643/
WEBDec 8, 2020 · Cardioversion. A small retrospective study (n=21) of patients with known LV apical thrombus requiring cardioversion (AF in 38% and ventricular tachycardia in 62%) reported no clinically apparent embolic events after cardioversion, despite only 81% of patients been anticoagulated beforehand ( 75 ).
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Management of Patients at Risk for and With Left Ventricular …
https://www.ahajournals.org/doi/epdf/10.1161/CIR.0000000000001092
WEBPATHOPHYSIOLOGY. A commonly accepted paradigm (based on Virchow’s triad of thrombogenesis) posits the pathogenesis of LV thrombus as occurring as a result of the interplay of 3 factors: (1) stasis attributable to reduced ventricular func-tion, (2) endocardial injury, and (3) inflammation/hyperco-agulability (Figure 1).
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LV Thrombus After Acute MI - American College of Cardiology
https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2018/05/15/15/45/left-ventricular-thrombus-after-acute-myocardial-infarction
WEBMay 15, 2018 · 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).
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Thrombosis: Symptoms & Treatment - Cleveland Clinic
https://my.clevelandclinic.org/health/diseases/22242-thrombosis
WEBMar 10, 2023 · Overview. How thrombosis can lead to a blocked blood vessel. What is thrombosis? Thrombosis is the formation of a blood clot (thrombus) inside one of your blood vessels or a chamber of your heart. Clots can block blood flow in your blood vessels or break free and travel elsewhere in your body.
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Apical mural thrombus: technical pitfalls | Heart
https://heart.bmj.com/content/80/suppl_1/S6
WEBFor the purpose of this paper our definition of an apical mural thrombus is a distinct mass of echoes, most commonly seen in the apex throughout the cardiac cycle, and in more than one view. Mural thrombi are most commonly seen between six and 10 days following an acute myocardial infarction (MI).
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Left Ventricular Thrombus: Contemporary Etiologies, …
https://www.jacc.org/doi/10.1016/j.jacc.2019.01.031
WEBLeft 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).
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Management of Patients at Risk for and With LV Thrombus: Key …
https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2022/09/23/13/56/management-of-patients-at-risk
WEBSep 23, 2022 · This AHA scientific statement was commissioned with the goals of addressing eight key clinical management questions related to LV thrombus, including the prevention and treatment after myocardial infarction (MI), prevention and treatment in dilated cardiomyopathy (DCM), management of mural (laminated) thrombus, imaging of LV thrombus, DOACs as a...
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Review on LV Thrombus Following MI - American College of …
https://www.acc.org/latest-in-cardiology/ten-points-to-remember/2022/03/07/20/18/left-ventricular-thrombus
WEBMar 7, 2022 · Blood stasis from LV dysfunction and apical/anterior aneurysms is complicated by a hypercoagulable state from inflammation, elevated fibrinogen and neutrophils, platelet aggregation, and clotting cascade activation. This is further potentiated by tissue injury impacting the subendothelial tissue and exposing collagen.
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