Acute anterior myocardial infarction; the incidence of left ventricular thrombus. | [Professional Medical Journal • 2004]

Author(s):

1. Abdul Hafeez Chaudhry: Punjab Medical College, Faisalabad, Pakistan

2. Khalid Amin: Punjab Medical College, Faisalabad, Pakistan

3. Aamir Shaoukat: Allied Hospital (PMC), Faisalabad, Pakistan

4. Hanif Nagra: Allied Hospital (PMC), Faisalabad, Pakistan

5. Israr Kafeel: Allied Hospital (PMC), Faisalabad, Pakistan

Abstract:

Objectives: The study was designed to see the incidence of left ventricular thrombus in first episode of acute MI. Material & Methods: This study was carried in patients admitted in Coronary Care Unit of Allied Hospital Faisalabad. Total No of patients were 30 and patients included in the study were who have first Q wave acute MI and FCG changes of ST elevation of > Imm in two contiguous lead. This diagnosis of left ventricular thrombus was made by echocardiography which was done 6 days after the admission. Results: A total of 30 patients with first episode of acute anterior wall MI were studied, 24(70%) were males and 6(30%) were females. The mean age of males was 51.79±13.86 and that of females was 54.83±10.15 years. On echocardiography, 8 patients had LVT, 6(75%) were males and 2(25%) were females. On admission 16(53.33%) patients were thrombolised with streptokinase. Two of them developed LVT. While others did not. Among LVT remaining 14(42.70%) patients, 6 were found to have LVT on the 6th day of admission. Conclusion: The study has revealed that the incidence of LVT after acute anterior MI in one population in quite significant. The increasing use of thrombolytic therapy in our setting may have favourable outcome. Patients older than 50 years of age may be at increased risk of post infarct LVT.

Page(s): 57-62

DOI: DOI not available

Published: Journal: Professional Medical Journal, Volume: 11, Issue: 1, Year: 2004

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