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Optimal Use of Echocardiography in Management of Thrombosis After Anterior Myocardial Infarction
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  • Andrea Barbieri,
  • francesca mantovani,
  • Francesca Bursi,
  • Andrea Faggiano,
  • Giuseppe Boriani,
  • Pompilio Faggiano
Andrea Barbieri
Azienda Ospedaliero-Universitaria di Modena Policlinico di Modena
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francesca mantovani
Azienda Unità Sanitaria Locale - IRCCS Tecnologie Avanzate e Modelli Assistenziali in Oncologia di Reggio Emilia
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Francesca Bursi
Azienda Ospedaliera San Paolo
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Andrea Faggiano
Università degli Studi di Milano
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Giuseppe Boriani
Azienda Ospedaliero-Universitaria di Modena Policlinico di Modena
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Pompilio Faggiano
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia
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Abstract

Despite advancement in therapy and management, left ventricular thrombus (LVT) after anterior myocardial infarction (MI) is sporadically encountered and remains associated with a very high risk of major cardiovascular events and mortality. Cardiac magnetic resonance (CMR) is considered the gold standard technique for LVT detection, but it is a time consuming and expensive test not available in all centers, especially when repeated exams are necessary. Transthoracic echocardiography represents a useful tool to screen for LVT and to identify predictors of high risk of developing LVT. The advances in ultrasound technology and the use of contrast agents may potentially help clinicians to identify LVT and the use of sequential echocardiography for each patient with acute MI complicated by LVT may provide an opportunity to quantify regression and its correlation with outcomes to tailor the management of these patients. Hence, this narrative review focuses on the added value of echocardiographic-guided LVT management in patients with recent anterior MI to reduce mortality and morbidity excess related to LVT based on current evidence.

Peer review status:Published

19 Jun 2020Submitted to Echocardiography
22 Jun 2020Submission Checks Completed
22 Jun 2020Assigned to Editor
28 Jun 2020Reviewer(s) Assigned
05 Jul 2020Review(s) Completed, Editorial Evaluation Pending
05 Jul 2020Editorial Decision: Revise Minor
06 Jul 20201st Revision Received
10 Jul 2020Submission Checks Completed
10 Jul 2020Assigned to Editor
10 Jul 2020Reviewer(s) Assigned
16 Jul 2020Review(s) Completed, Editorial Evaluation Pending
16 Jul 2020Editorial Decision: Accept
05 Aug 2020Published in Echocardiography. 10.1111/echo.14808