Staff Members - Benha University
Left Ventricular Thrombus in Myocardial Infarction After Successful Primary Percutaneous Coronary Intervention: Prevalence and Predictors A Middle Eastern Single-Centre Experience
• 2020
Publication Information
Authors
Sheeren Khaled, MD, Zeineb Hachicha, MD, and Osama Elkhateeb, MD
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publication.type
International
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Abstract
Background: Left ventricular thrombus (LVT) is a well-recognized
complication of myocardial infarction that affects patient outcomes
and warrants screening.
Methods: This retrospective study included 308 consecutive patients
who presented with acute ST-elevation myocardial infarction and were
treated with primary percutaneous coronary intervention.
Results: Early screening for LVT by echocardiography and cardiac
magnetic resonance revealed the following: LVT (þ) group (36 patients
[11.7%]) and LVT () group (272 patients [88.3%]). The 2 powerful
independent variables associated with LVT formation were left anterior
descendingerelated infarct (odds ratio, 10.17; P < 0.0001) and severe
left ventricular systolic dysfunction (odds ratio, 8.3; P ¼ 0.0001).
complication of myocardial infarction that affects patient outcomes
and warrants screening.
Methods: This retrospective study included 308 consecutive patients
who presented with acute ST-elevation myocardial infarction and were
treated with primary percutaneous coronary intervention.
Results: Early screening for LVT by echocardiography and cardiac
magnetic resonance revealed the following: LVT (þ) group (36 patients
[11.7%]) and LVT () group (272 patients [88.3%]). The 2 powerful
independent variables associated with LVT formation were left anterior
descendingerelated infarct (odds ratio, 10.17; P < 0.0001) and severe
left ventricular systolic dysfunction (odds ratio, 8.3; P ¼ 0.0001).