Frequency of left ventricular thrombi after acute ST-Segment elevation myocardial infarction.

Abstract

Objective: To determine the frequency of left ventricular thrombi after acute ST-Segment elevation myocardial infarction. Study Design: Case Series study. Setting: Cardiology Department, Lady Reading Hospital, Peshawar. Period: July 2018 to December 2018. Material & Methods: Patients were included in study were of both gender having age 30-65 year admitted with acute STEMI (under the treatment of ST-Segment elevation myocardial infarction). Routine examination like ECG (cardiofax) and transthoracic echocardiography (Siemens’ Accuson CV-70) was done for all the patients who are already admitted and having treatment of acute ST-Segment elevation myocardial infarction. Left ventricular thrombus was measure on the basis of not contracting with systole, Wall motion near the structure is abnormal, color flow Doppler differentiates from stagnant flow after 2 weeks follow up. Any patients who lost to follow up were excluded from the study. Results: In this study a total of 120 patients were observed. The mean age was 48 years with standard deviation ± 11.45. Sixty two percent patients were male while 38% patients were female. More over 7% patients had Left ventricular thrombi while 93% patients didn’t had Left ventricular thrombi. Conclusion: Our study concludes that the frequency of left ventricular thrombi was 7% after acute ST-Segment elevation myocardial infarction.