Muhammad Tufail, Arz Muhammad, Waseem Ibrahim.
Prevalence of Left Ventricular (LV) Thrombus after Acute MI at Shaikh Zayed Hospital, Lahore.
Pak J Med Health Sci Jan ;13(1):335-7.

Aim: To examine the prevalence of left ventricular thrombus after acute myocardial infarction in our hospital. Study design: Descriptive study Place and duration: Department of Cardiology, Sh. Zayed Hospital, Lahore from 1st July 2017 to 30th June 2018. Methods: In this study, 80 patients of both genders with anterior wall ST-segment elevation acute myocardial infarction were included. Patient’s ages were ranging from 30 to 80 years. Patient’s demographical detail was examined after taking informed consent from all the patients. For acute myocardial infarction initial treatment was given to all the patients. 2D transthoracic echocardiography was performed to diagnose left ventricular thrombus. Results:There were 67 (83.75%) patients were men and 13 (16.25%) patients were women. Eight 8 (10%) patients had ages 30 to 44 years, 48 (60%) patients were ages between 45 to 60 years and 24 (30%) patients were ages >60 years. 26 (32.5%) patients found to had Left ventricular thrombus. Out of 26 (100%),left ventricular thrombus (LVT) patients diagnoses by transthoracic echocardiography, 22 (84.62%) patients were men and 4 (15.38%) patients were women. Left ventricular thrombus rate was less in those patients whom had treated with thrombolytic therapy as compared to non-thrombolytic patients with P-value <0.05.Conclusion:There was a high risk of development of left ventricular thrombus in patients having anterior wall ST segment elevation acute myocardial infarction. Moreover, thrombolytic therapy was the essential treatment for reducing the rate of LV thrombus.

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