Prevention of Left Ventricular Thrombus Formation and Systemic Embolism After Anterior Myocardial Infarction: A Systematic Literature Review

2017 ◽  
Vol 33 (10) ◽  
pp. 1229-1236 ◽  
Author(s):  
Alexandra Bastiany ◽  
Marie-Eve Grenier ◽  
Alexis Matteau ◽  
Samer Mansour ◽  
Benoit Daneault ◽  
...  
2018 ◽  
Vol 25 (2) ◽  
pp. 110-112
Author(s):  
Shao-Feng Liao ◽  
Ching-Hsing Lee ◽  
Lung-Sheng Wu ◽  
Chih-Huang Li ◽  
Hsien-Yi Chen

Oral contraceptives are widely used because of their reliability. Although oral contraceptives are known to increase the risk of thromboembolic events, there are extremely few reports of oral contraceptive–induced left ventricular thrombus. Herein, we report a 37-year-old non-smoking female, who had regularly taken oral contraceptives for 14 years, developed an anterior myocardial infarction concomitant with left ventricular thrombus, bilateral segmental renal infarctions, and lower limb ischemia. Medical treatment with a combination of dual antiplatelet therapy and anticoagulants completely relieved her symptoms.


Angiology ◽  
2020 ◽  
Vol 71 (9) ◽  
pp. 804-811
Author(s):  
Omer Faruk Cirakoglu ◽  
Ahmet Oguz Aslan ◽  
Ahmet Seyda Yilmaz ◽  
Sinan Şahin ◽  
Ali Rıza Akyüz

Left ventricular thrombus (LVT) is associated with inflammatory response in survivors with anterior ST-elevation myocardial infarction (STEMI). The C-reactive protein to albumin ratio (CAR) has been proposed as a marker of inflammation. However, there is a lack of data with respect to the role of CAR in LVT development. We investigated the relationship between CAR and LVT development in patients with anterior STEMI treated percutaneously; 955 consecutive patients were enrolled and LVT was observed in 126 (13.2%) patients. Clinical, demographic, and laboratory parameters were recorded. The CAR was significantly higher in patients with LVT (12.6 [8.6-16.1] vs 18.1 [11.5-23], P < .001). Other independent predictors for LVT development were lower ejection fraction, the presence of left ventricular apical aneurysm, proximal left anterior descending lesion location, glycoprotein IIb/IIIa inhibitors treatment, >1 diseased arteries, higher total protein level, neutrophil count, and peak creatine kinase myocardial band activity. In conclusion, the CAR may be useful as a simple tool for predicting LVT development among survivors of anterior STEMI.


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