In patients with post-MI LV thrombus which resolves after 3-6 months of anticoagulation, would you consider surveillance imaging for thrombus recurrence if there is persistent apical akinesis?  

I would stop DOAC after 6 months and use DAP and then reimage in 3 weeks off DOAC.

Yes. Theoretically, the risk for clot formation is highest immediately post MI. One can hope apical function improves over time. An anti-platelet regimen may also help prevent recurrence of thrombus formation. Surveillance with Echo [and CMR] will be helpful in detecting recurrence, in which case a...