Asfandyar Ahmad, Amber Ashraf, Noorul Hadi, Javid Shah.
Frequency of left ventricular thrombus among patients with acute coronary syndrome.
Pak Heart J Jan ;51(1):49-53.
Objective: To determine the frequency of left ventricular thrombus among patients with Acute Coronary Syndrome presenting to cardiology department,Khyber Teaching Hospital, Peshawar. Methodology: This study was conducted at Department of Cardiology, Khyber teaching hospital, Peshawar from 20 January to 20 July, 2016. It was a descriptive cross sectional study. Patients with new-onset ACS were included in the study, subjected to 1-hourly serial ECGs. Troponin-I levels were sent at 0, 6 and 12 hours after admission and echocardiography was performed after stabilization. Results: Out of 404 selected ACS patients, 8 patients (1.98%) had an LV thrombus. LV-thrombus was found in 0.74% in patients with unstable angina,0.70% in NSTEMI, 2.7% in thrombolysed STEMI patients and 26.6% in non-thrombolysed STEMI patients. Conclusion: Left ventricular thrombus is a common finding in patients with acute coronary syndrome and echocardiography should be performed as soon as possible in patients with acute coronary syndrome.
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