Acute Myocardial Infarction, Apical Thrombus Formation
Conditions
Keywords
Vortex, Thrombus, Contrast echocardiography, Prediction and prevention of apical thrombus formation in acute myocardial infarction patient by using Vortex parameters.
Brief summary
Implication of left veNtricle vortex flow guided aNticOagulation therapy for preVenting Apical Thrombus formation In patients with acute myOcardial infarctioN: Multicenter Prospective Randomized Clinical Trial; INNOVATION study
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Patient is ≥ 30 years old 2. Acute anterior wall myocardial infarction showing akinetic or dyskinetic apical wall motion abnormalities on an initial transthoracic echocardiogram 3. Left ventricular ejection fraction less than 40%
Exclusion criteria
1. Prior history of myocardial infarction 2. Chronic medication with Coumadin 3. Contraindication of contrast echocardiography 4. Significant atrial or ventricular arrhythmia 5. Valvular heart disease more than moderate degree 6. Decompensated heart failure 7. Very poor echo window, which cannot evaluate the presence of apical thrombus
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Apical thrombus formation in echocardiography | 30 days after initial echocardiography | Evaluate and compare the incidence of thrombus formation in high risk group (Vortex depth \< 0.45) and low risk group (Vortex Depth ≥ 0.45) |
Countries
South Korea