ArticleCureus2026
Ischemic Stroke After Anticoagulation Discontinuation Following Apparent Resolution of Left Ventricular Thrombus: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Left ventricular thrombus (LVT) is a serious complication of ischemic cardiomyopathy and anterior myocardial infarction, with an important risk of systemic embolism and stroke. Transthoracic echocardiography is commonly used for diagnosis and follow-up, but it may fail to detect residual thrombus in some high-risk patients. We report the case of a 64-year-old Saudi man with diabetes mellitus, hypertension, severe ischemic cardiomyopathy, and a known left ventricular apical thrombus after prior anterior myocardial infarction and multivessel coronary intervention. He was treated with apixaban and guideline-directed medical therapy. Follow-up echocardiography later showed no visible thrombus, and anticoagulation was discontinued. However, the patient subsequently developed an ischemic stroke with prolonged disability. This case highlights the diagnostic uncertainty that may remain after apparent resolution of LVT on echocardiography and emphasizes the need for careful clinical judgment before stopping anticoagulation in patients with severe left ventricular dysfunction and high embolic risk. Advanced imaging, such as cardiac magnetic resonance imaging or contrast-enhanced echocardiography, may be considered when diagnostic certainty is required.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.