INCIDENCE, PREDICTORS AND COURSE OF LEFT VENTRICULAR THROMBUS IN INDIAN PATIENTS SURVIVING TO DISCHARGE AFTER ANTERIOR WALL MYOCARDIAL INFARCTION
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 15
Abstract
BACKGROUND To prospectively estimate the incidence of left ventricular (LV) thrombus over one-year follow-up in patients presenting with anterior wall myocardial infarction (AWMI) and to identify the predictors of LV thrombus, to study the course of LV thrombus including clinically evident thrombo-embolic manifestations over a one-year period in Indian population. METHODS Two hundred patients with first AWMI were prospectively and consecutively enrolled. At the time of hospitalization, key demographic and clinical characteristics were collected along with echocardiographic data. Patients were followed up for development or change in existing LV thrombus and thromboembolic event. RESULTS Incidence of LV thrombus was 6.5%. The mean platelet volume and LV wall motion score index (LVWMSI) were significantly higher in LV thrombus patients in comparison to non-LV thrombus patients. Baseline ejection fraction (EF), mean mitral E wave deceleration time (MDT) and mean mitral propagation velocity (MVP) were significantly lower in LV thrombus patients. At oneyear follow-up, 30.76% patients showed disappearance of thrombus, 46.15% showed decrease in size and 23.07% showed no change in size while 15.38% patients showed embolic events. CONCLUSIONS High MPV at admission, low baseline EF, high LVWMSI, low baseline MDT and low MVP are independent predictors of LV thrombus. Moreover, patients undergoing primary PTCA have decreased risk of LV thrombus.
Authors and Affiliations
Sajeev Chakanalil Govindan, Ankur Kamra, Haridasan Vellani
Keywords
Related Articles
- EP ID EP615991
- DOI 10.18410/jebmh/2019/252
- Views 68
- Downloads 0
DIAGNOSTIC VALUE OF CYTOLOGICAL EXAMINATION OF PLEURAL FLUID IN TUBERCULOSIS
BACKGROUND Tuberculosis is a worldwide health problem with highest incidence in developing countries like India. It involves a large number of organs including lungs, pleural lymph nodes, genital sytem, gastrointestinal...
A COMPARATIVE STUDY OF SUCCESS RATE AND COMPLICATIONS OF EXTERNAL DACRYOCYSTORHINOSTOMY AND LASER ASSISTED DACRYOCYSTORHINOSTOMY
PURPOSE: To compare the success rate and complications of external dacryocystorhinostomy (ExDCR) and transcanalicular laser assisted dacryocysto-rhinostomy (TCLDCR) surgeries performed in patients with primary acquired n...
VISUAL OUTCOME OF OCULAR INJURY IN PAEDIATRIC POPULATION PRESENTING AT TERTIARY EYE CARE CENTRE IN WEST BENGAL
BACKGROUND Ocular trauma is an important worldwide cause of visual morbidity. It includes a spectrum of simple ocular surface foreign bodies, minute corneal abrasions to devastating perforating injuries causing blindness...
A CLINICAL STUDY ON ORBITAL COMPLICATIONS OF NASAL AND PARANASAL SINUS DISEASES IN A TERTIARY GOVERNMENT HOSPITAL
BACKGROUND The orbit is an area of considerable interest to the otolaryngologist because of its close anatomical relationship to the Paranasal Sinuses (PNS). PNS may be involved in various types of pathology arising in t...
BILATERAL TESTICULAR METASTASIS IN A CASE OF PROSTATE CARCINOMA: A CASE REPORT
Prostate carcinoma is the most common malignancy in men in the world and the second leading cause of cancer death. The most common sites of metastasis are regional lymph nodes, bones, lungs, liver, bladder and brain. Tes...