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Left ventricular thrombus in patients with acute anterior wall myocardial infarction

Jalal-ud-din Mir, Jadoon Raheel Jahangir, Qureshi Asfandyar

    Journal of Ayub Medical College, Abbottabad : JAMC
    |February 13, 2015
    PubMed

    Insights

    Left ventricular thrombus (LVT) affects 34.1% of patients with acute anterior myocardial infarction (MI). Early hospitalization and ST-elevation MI (STEMI) are key factors influencing LVT risk.

    Area of Science:

    • Cardiology
    • Internal Medicine

    Background:

    • Left ventricular thrombus (LVT) is a significant complication of acute myocardial infarction (MI).
    • LVT increases the risk of systemic embolization.
    • The frequency of LVT in acute anterior wall MI requires further investigation.

    Purpose of the Study:

    • To determine the frequency of left ventricular thrombus (LVT) in patients experiencing acute anterior wall myocardial infarction (MI).

    Main Methods:

    • A descriptive cross-sectional study was conducted at Ayub Teaching Hospital, Abbottabad.
    • Data was collected from 85 patients diagnosed with acute anterior MI between April and October 2011.
    • Echocardiography was used to diagnose LVT, and data were analyzed using SPSS-16.

    Main Results:

    • The study included 85 patients with acute anterior MI (68.2% males, 31.8% females).
    • Left ventricular thrombus (LVT) was detected in 34.1% of patients via echocardiography.
    • ST-elevation MI (STEMI) patients had a higher incidence of LVT (43.1%) compared to non-ST-elevation MI (NSTEMI) patients (5%). Patients diagnosed more than 12 hours after symptom onset had a significantly higher LVT rate (63.6%).

    Conclusions:

    • The incidence of LVT following acute anterior MI in the studied population is substantial.
    • Risk factors for LVT include male gender, age over 50, and STEMI.
    • Prompt hospitalization appears to reduce the risk of developing LVT.
    Abstract

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