Does a patient with an anterior STEMI and depressed left ventricular function need empiric anticoagulation?

Post-MIAntithrombotics
Written By Lakshmi Tummala

This one comes up a lot and seems to be very institutionally dependent. Based on my training and experience, I do not routinely anticoagulate, though of course each case is different. I really like this excellent review from JAMA Cardiology that explains what we know and poses some intriguing questions for the future management of this clinical scenario.

McCarthy CP, Vaduganathan M, McCarthy KJ, Januzzi JL, Bhatt DL, McEvoy JW. Left Ventricular Thrombus After Acute Myocardial Infarction. JAMA Cardiology. 2018;3(7):642. doi:https://doi.org/10.1001/jamacardio.2018.1086

Lakshmi Tummala
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Do patients with dilated/ectatic coronary arteries need full anticoagulation?