Abstract

Left ventricular (LV) thrombus formation is a common complication of anterior acute myocardial infarction (AMI). The estimated incidence of LV thrombus in this setting may be as high as 46%. 1 Blood stasis, which is promoted by severe wall motion abnormalities and significant LV dysfunction, favors the appearance and propagation of LV thrombus. 2 Recently, it has been shown3 that the electrocardiogram at rest after AM1 could be used to predict the presence or absence of LV thrombus. In the present study, we extended this observation and determined whether there is a correlation between the electrocardiographic evolution of anterior Q-wave AM1 and the presence of LV thrombus.

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