Incidence and predictors of left ventricular thrombus by cardiovascular magnetic resonance in acute ST-segment elevation myocardial infarction treated by primary percutaneous coronary intervention: a meta-analysis.
Heerajnarain BulluckMervyn H H ChanValeria ParadiesRobert L YellonHe H HoMark Y ChanCalvin W L ChinJack W TanDerek J HausenloyPublished in: Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance (2018)
In the primary PCI era, CMR detection of an LV thrombus post-STEMI remains high with incidence of nearly 20% in anterior STEMI with depressed LVEF. Patients with LV thrombus treated by triple therapy had similar embolic complications but higher bleeding complications than those with no LV thrombus treated with dual antiplatelet therapy. A 3 month follow-up CMR scan to guide anticoagulation duration might help mitigate bleeding risk.
Keyphrases
- percutaneous coronary intervention
- st segment elevation myocardial infarction
- antiplatelet therapy
- atrial fibrillation
- acute myocardial infarction
- st elevation myocardial infarction
- acute coronary syndrome
- coronary artery disease
- coronary artery bypass grafting
- risk factors
- magnetic resonance
- left ventricular
- heart failure
- coronary artery bypass
- left atrial
- liver failure
- stem cells
- intensive care unit
- mesenchymal stem cells
- venous thromboembolism
- hypertrophic cardiomyopathy
- computed tomography
- drug induced
- catheter ablation
- contrast enhanced
- real time pcr
- respiratory failure
- magnetic resonance imaging
- bone marrow