Journal article
Evolving Strategies in the Detection and Management of Left Ventricular Thrombus: A Clinical Summary
Current cardiology reviews, Vol.21(6), e1573403X364065
05/09/2025
DOI: 10.2174/011573403X364065250429095440
PMCID: PMC12676046
PMID: 40353464
Abstract
Recent advancements have emerged in understanding the epidemiology and optimal therapeutic options for left ventricular thrombi (LVT). With early percutaneous interventions in acute myocardial infarction, the prevalence of LVT has decreased. However, the best strategies for prevention, risk stratification, and management remain unclear, especially among nonischemic cardiomyopathy disorders. This review outlines these advancements and provides an overview of the diagnostic and therapeutic implications of LVT in ischemic and non-ischemic cardiomyopathies. Significant gaps in the current evidence persist, particularly regarding the optimal timing for LVT screening and the need for prophylactic anticoagulation, highlighting opportunities for prospective cohort studies. Furthermore, a better understanding of the unique risk factors that contribute to increased LVT risk would lead to more comprehensive algorithms that may quantify the risk of LVT development, aiding in developing preventive strategies targeted at reducing rates of LVT. Until more definitive evidence is available, clinicians should custom LVT screening, preventive measures, and management strategies based on individual patient risk factors.
Details
- Title: Subtitle
- Evolving Strategies in the Detection and Management of Left Ventricular Thrombus: A Clinical Summary
- Creators
- Mahmoud Abdelnabi - Mayo ClinicRamzi Ibrahim - Mayo ClinicHoang Nhat Pham - University of ArizonaYehia Saleh - Alexandria UniversityAbdallah Almaghraby - Department of Cardiology, Ibrahim Bin Hamad Obaidallah Hospital, Ras Al Khaimah, UAE
- Resource Type
- Journal article
- Publication Details
- Current cardiology reviews, Vol.21(6), e1573403X364065
- DOI
- 10.2174/011573403X364065250429095440
- PMID
- 40353464
- PMCID
- PMC12676046
- NLM abbreviation
- Curr Cardiol Rev
- ISSN
- 1573-403X
- eISSN
- 1875-6557
- Publisher
- BENTHAM SCIENCE PUBL LTD
- Language
- English
- Date published
- 05/09/2025
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984823071702771
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