Frequency of Left Ventricular Thrombus in ST Elevation Myocardial Infarction patients Treated with Primary Percutaneous Coronary Intervention | [Journal of Sheikh Zayed Medical College • 2022]

Author(s):

1. Muhammad Qasim Khan: National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan

2. Rahid Ullah: National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan

3. Adnan Fazal: National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan

4. Abdul Wahab Buzdar: National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan

5. Muhammad Asim Shaikh: National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan

6. Farman Ali: National Institute of Cardiovascular Diseases (NICVD) Karachi, Pakistan

Abstract:

Background: In current era mortality is very high due to ST-segment elevation myocardial infarction (STEMI) worldwide. one of the most dangerous complication is formation of left ventricular(LV) thrombus specially after STEMI and is considered major high risk factor for morbidity and mortality. Although nowdays with primary percutaneous coronary intervention its incidence is reduced but still significant. Objective: To determine frequency of left ventricular thrombus in ST elevation myocardial infarction (STEMI) patients treated with primary percutaneous coronary intervention (PCI). Methodology: This was cross sectional study done at Department of Cardiology, National Institute of Cardiovascular Disease (NICVD), Karachi from October 3, 2021 to April 2, 2022. Patients who fulfilled the inclusion criteria and able to give informed consent were enrolled. Primary PCI was performed by consultant cardiologist and post PPCI all the patients were observed, and transthoracic echocardiography (TTE) was performed to assess the left ventricular thrombus. The data was collected on predesigned proforma. Results: Mean ± SD of age was 59.39±14.79 years. In distribution of gender, 101 (73.7%) were male while 36 (26.3%) were female. Left ventricular thrombus was noted in 24 (17.5%) patients. Conclusion: Ventricular thrombus is common (17.5%) after primary percutaneous coronary intervention for STEMI patients. Further large-scale work is recommended for validation of current findings.

Page(s): 8-11

DOI: 10.47883/jszmc.v13i3.227

Published: Journal: Journal of Sheikh Zayed Medical College, Volume: 13, Issue: 3, Year: 2022

Keywords:

STEMI , left ventricular thrombus , PPCI

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