Abstract
The objective of this study is to determine the incidence of left ventricular thrombus formation in both acute and old anteroseptal myocardial infarction. This prospective study was performed through 51 patients (age range 21-85 years, 34 males and 17 females) with AAMI and 92 patients (age range 43-90 years, 70 males and 22 females) with OAMI at Al- Hussain Teaching Hospital in Kerbala and privet clinic from March 2015 to April 2017. Transthoracic echocardiographic study was performed within the first month of AAMI and for OAMI (one echo study for every patient). The incidence of LVT in AAMI was 5.9% while for OAMI was 4.3% and for both AAMI and OAMI was 4.9%. For the AAMI and OAMI cases, the patients mean age was 55.65 ± 11.03 and 63.70 ± 11.33 year respectively. Thirty eight percent of the patients were smokers, and smoking was significantly more among AAMI cases and it was more in male patients. Fifty-six percent of the patients were hypertensive, and fifty-three percent had diabetes mellitus. Both hypertension and diabetes mellitus were significantly more among females. No significant causal association between smoking, hypertension (HT) and diabetes mellitus (DM) with development of LVT in both AAMI and OAMI. In this study the incidence of LVT after AAMI and OAMI was relatively low, for more accurate detection of LVT by transthoracic echo (TTE) need serial echo study pre and post-hospital discharge.
Keywords: AAMI; LVT; AMI; OAMI
Copyright © 2020 by THaider Sobhy Al Hadad
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