Open AccessLeft Ventricular Mural Thrombus after Acute Myocardial Infarction
Author(s) -
Keeley Ellen C.,
David Hillis L.
Publication year - 1996
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960190203
Subject(s) - medicine , thrombus , left ventricular thrombus , cardiology , myocardial infarction , complication , left ventricular aneurysm , embolization , magnetic resonance imaging , infarction , radiology , warfarin , electrocardiography in myocardial infarction , atrial fibrillation
Left ventricular mural thrombus is a well‐recognized complication of acute myocardial infarction. In survivors of infarction, the incidence with which mural thrombus occurs is influenced by the location and magnitude of infarction, so that it occurs commonly in those with large anterior Q‐wave infarctions, particularly in the presence of a left ventricular aneurysm. Echocardiography, radionuclide imaging with indium‐111 labeled platelets, computerized tomography, and magnetic resonance imaging may be used to identify a left ventricular mural thrombus. Acute and chronic anticoagulation with heparin and warfarin, respectively, is given to prevent further thrombus formation and to reduce the incidence of systemic embolization.