ArticlePakistan journal of medical sciences
The prevalence of left ventricular thrombus among patients with low ejection fraction by trans-thoracic echocardiography.
Article in Pakistan journal of medical sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- Prevalence and incidence of stroke, white matter hyperintensities, and silent brain infarcts in patients with chronic heart failure: A systematic review, meta-analysis, and meta-regression.Frontiers in cardiovascular medicine · 2022Pooled it
- Cancer-associated left ventricular thrombus with preserved ejection fraction: A multicenter descriptive study.American heart journal plus : cardiology research and practice · 2026Article
- Article
- Undetected intracardiac thrombus and subsequent embolism following cardiopulmonary bypass: a case report.Journal of cardiothoracic surgery · 2026Article
- Detection of left ventricular thrombus in newly diagnosed heart failure patients: diagnostic accuracy of 2D transthoracic echocardiography compared with cardiac MRI in a Kenyan cohort.Echo research and practice · 2025Article
- Severe Left Ventricular Thrombus in the Context of Heart Failure and COVID-19: A Case Report.The American journal of case reports · 2025Article
- Heart Failure and Stroke: A Narrative Review.Journal of clinical medicine · 2025Review
- Heart transplant in a patient with acute onset of heart failure and massive bi-ventricular thrombi: A case report.Journal of cardiology cases · 2025Article
- Cardiac thrombus in acute ischemic stroke: impact on endovascular thrombectomy utilization.Thrombosis journal · 2024Article
- Evaluation of the efficacy and safety of rivaroxaban compared to warfarin in patients with left ventricular apical thrombus: a randomized clinical trial.Thrombosis journal · 2024Article
- Stroke after Cardiac Surgery: A Risk Factor Analysis of 580,117 Patients from UK National Adult Cardiac Surgical Audit Cohort.Journal of personalized medicine · 2024Article
- A nomogram to predict ventricular thrombus in dilated cardiomyopathy patients.Journal of thrombosis and thrombolysis · 2024Article
- Retrospective Analysis of Left Ventricular Thrombus Among Heart Failure Patients with Reduced Ejection Fraction at a Single Tertiary Care Hospital in Somalia.Open access emergency medicine : OAEM · 2022Article
- Case report: Oral anticoagulant combined with percutaneous coronary intervention for peripheral embolization of left ventricular thrombus caused by myocardial infarction in a patient with diabetes mellitus.Frontiers in cardiovascular medicine · 2022Article
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesEjection fraction (EF) is a measurement of heart function that reflects the portion of pumped out blood from the filled left ventricle per each heartbeat. The current study aimed to investigate the prevalence of left ventricular thrombus in patients with EF lower than 35% by using Transthoracic Echocardiography (TTE).
methodsIn this prospective study, 82 cardiac patients underwent TTE procedure in order to assess the presence of left ventricular thrombus (LVT) from January 1
resultsOut of 82 patients enrolled in this study, the mean age was 49.13 ± 14.8 years and 87.8% were male. The mean of EF was 31.16% and LVT was found in 6.1%. The spontaneous contrast was seen in 25.6% of patients indicating strong relationship with low EF (p < 0.001). Among patients with low EF, ischemic heart disease (IHD) was identified in 50%, hypertension in 30.5%, diabetes mellitus (DM) type 2 in 23.2%, and hyperlipidemia 12.2%. Exactly 80% of LVT were detected in IHD patients with dilated cardiomyopathy (DCMP) and 80% of detected LVT were apical in site.
conclusionCardiac patients with low ejection fraction developed left ventricular thrombosis, and most of the affected patients were ischemic heart disease with dilated cardiomyopathy. Interestingly, spontaneous contrast was found high significantly in these patients, which may reflect the continuous process of thrombus formation.
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