Evidence map›Paper›PMID 36826537›Full record

ReviewJournal of cardiovascular development and disease2023

Anticoagulation for Left Ventricle Thrombus-Case Series and Literature Review for Use of Direct Oral Anticoagulants.

Akshyaya Pradhan, Monika Bhandari, Pravesh Vishwakarma, Chiara Salimei, Ferdinando Iellamo, Rishi Sethi, Marco Alfonso Perrone

Open access · goldAbstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Automated Annuloplasty with VirtuoSEWMedical sciences (Basel, Switzerland) · 2026
    Observational
  2. Article
  3. Article
  4. Left Ventricular Thrombus in Oncology Patients and Beyond: Imaging, Treatment Choices, and Duration.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Akshyaya PradhanDepartment of Cardiology, King George's Medical University, Lucknow 226003, India.ORCID 0000-0002-2360-7580
Monika BhandariDepartment of Cardiology, King George's Medical University, Lucknow 226003, India.
Pravesh VishwakarmaDepartment of Cardiology, King George's Medical University, Lucknow 226003, India.
Chiara SalimeiDepartment of Cardiology and CardioLab, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0002-1649-0417
Ferdinando IellamoDepartment of Cardiology and CardioLab, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0001-8421-5065
Rishi SethiDepartment of Cardiology, King George's Medical University, Lucknow 226003, India.
Marco Alfonso PerroneDepartment of Cardiology and CardioLab, University of Rome Tor Vergata, 00133 Rome, Italy.ORCID 0000-0002-0511-2621
King George's Medical University · INUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Left ventricular thrombus is a known complication following acute myocardial infarction that can lead to systemic thromboembolism. To obviate the risk of thromboembolism, the patient needs anticoagulation in addition to dual antiplatelet therapy. However, combining antiplatelets with anticoagulants substantially increases the bleeding risk. Traditionally, vitamin K antagonists (VKAs) have been the sheet anchor for anticoagulation in this scenario. The use of direct oral anticoagulants has significantly attenuated the bleeding risk associated with anticoagulation for atrial fibrillation and venous thromboembolism. Furthermore, in patients with atrial fibrillation undergoing percutaneous coronary intervention, the use of direct oral anticoagulants (DOACs) in conjunction with antiplatelets has been found to be noninferior in reducing ischemic events while significantly attenuating the bleeding compared with VKA. After initial case reports, multiple observational and nonrandomized studies have now safely and effectively utilized direct oral anticoagulants for anticoagulation in left ventricular thrombus. Here, we report a series of two cases presenting with left ventricular thrombus following acute myocardial infarction. In this case series, we try to address the issues concerning the choice and duration of anticoagulation in the case of postinfarct left ventricular thrombus. Pending the results of large randomized control trials, the judicious use of direct oral anticoagulant is warranted when taking into consideration the ischemic and bleeding profile in an individualized approach.

Indexed as

anterior wall myocardial infarctionanticoagulationdirect oral anticoagulantsdual therapyleft ventricular thrombus

Identifiers

PMID36826537
PMCPMC9962157
OpenAlexW4317885323

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.