FREQUENCY OF LEFT VENTRICULAR THROMBUS AMONG PATIENTS WITH ACUTE CORONARY SYNDROME

Abstract

Objective: To determine the frequency of left ventricular thrombus amongpatients with Acute Coronary Syndrome presenting to cardiology department,Khyber Teaching Hospital, Peshawar.

Methodology: This study was conducted at Department of Cardiology, Khyberteaching hospital, Peshawar from 20 January to 20 July, 2016. It was adescriptive cross sectional study. Patients with new-onset ACS were included inthe study, subjected to 1-hourly serial ECGs. Troponin-I levels were sent at 0, 6and 12 hours after admission and echocardiography was performed afterstabilization.

Results: Out of 404 selected ACS patients, 8 patients (1.98%) had an LVthrombus.LV-thrombus was found in 0.74% in patients with unstable angina,0.70% in NSTEMI, 2.7% in thrombolysed STEMI patients and 26.6% in nonthrombolysedSTEMI patients.

Conclusion: Left ventricular thrombus is a common finding in patients withacute coronary syndrome and echocardiography should be performed as soonas possible in patients with acute coronary syndrome.