Is Rivaroxaban a Safe Choice for Apical Thrombus in Atrial Fibrillation Patients? A Case Report

Fatih Aydin1, Ozge Turgay Yildirim1, Ayse Huseyinoglu Aydin1

  • 1Eskisehir State Hospital Cardiology Department, Eskisehir, Turkey.

Insights

Rivaroxaban effectively reduced left ventricular thrombus size in a patient with ischemic cardiomyopathy and atrial fibrillation. This novel anticoagulant offers a safe alternative when warfarin therapy is not feasible.

Area of Science:

  • Cardiology
  • Pharmacology

Background:

  • Left ventricular thrombi (LVT) commonly occur in akinetic left ventricular segments.
  • Warfarin is the established standard treatment for LVT.
  • Managing anticoagulation can be challenging due to international normalized ratio (INR) fluctuations.

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