Left Ventricular Thrombus in Acute St Segment Elevated Myocardial Infarction

Objectives: To determine the frequency of left ventricular thrombus in acute ST segment elevation myocardial infarction, relation of left ventricular thrombus to degree of left ventricular-dysfunction, and effects of adjuvant therapy on left ventricular thrombus formation. Material & Methods: It was a descriptive cross sectional study conducted at Cardiology Department, Hayatabad Medical Complex, PGMI, Peshawar. One hundred ninteen patients, having acute myocardial infarction were included in the study. Main outcome measure, presence or absence of LV Thrombus ,was ascertained in ST Elevation Myocardial Infarction (STEMI) patients. Results: Total 119 patients were included in the study. There were 36(30.2%) female patients and 83(69.7%) male patients. The mean age of presentation was 59.5 ± 11.0 years. Left ventricular thrombus was found in 9(7.5%) of STEMI patients, 6 out of 9 patients had anterior wall STEMI. Conclusion: LVT is important complication of acute myocardial infarction and require timely diagnosis and treatment in form of anticoagulation so that its potential to embolize can be minimized.