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In patients with resolved LV thrombus post-MI after 3-6 months of anticoagulation, would you consider surveillance imaging for thrombus recurrence if there is persistent apical akinesis?
If so, how often would you do this?
Answer from: at Academic Institution
There is no good data to guide surveillance in this cases. If the patient remains with low EF and an akinetic apex, I usually don't stop anticoagulation at all as long as they are tolerating. This is simply because being wrong on this would be an intolerable outcome.
If the LV function improv...
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