Incidence of Left Ventricular Thrombus (LVT) in Acute Myocardial Infraction (AMI).

Abstract

A2-D echocardiographic and clinical prospective study in 235 consecutive, technically suitable patient of AMI was done. LVT was found in 12.7% of all AMI patients with 17.6% incidence among anterior and 4.4% incidence in inferior infraction patients. The LVT found to be more commonly associated with anterior infracts, LV dysfunction, mitra regurgitation, and diabetes mellitus. 2.9% of all patients showed evidence of systemic embolism. Though anticoagulant and thrombolytic agents did not reduce the incidence of LVT formation and systemic embolism the later significantly preserved LV function and reduce the complication rate of AMI such as, mitral regurgitation, LVT, cardiogenic shock and cardiac dilatation.