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Linksventrikuläre Thromben — Morphologie, Verlauf, therapeutische Konsequenzen

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Zusammenfassung

Die häufigste Komplikation im Rahmen eines Myokardinfarktes besteht in der Entwicklung eines linksventrikulären Thrombus. Dabei stellt dieser per se noch gar nicht das eigentliche Problem dar, aber er beinhaltet die Gefahr einer arteriellen Embolie, die klinisch als zerebrale oder periphere Embolie in Erscheinung tritt.

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Literatur

  1. Asinger RW, Mikell FL, Elsperger S, Hodges M (1981) Incidence of left ventricular thrombosis after acute transmural myocardial infarction: serial evaluation by two-dimensional echocardiography. N Engl J Med 305:297–302

    Article  PubMed  CAS  Google Scholar 

  2. Bhatnagar SK, Yusuf AR (1991) Effects of intravenous recombinant tissue-type plasminogen activator therapy on the incidence und associations of left ventricular thrombus in patients with a first acute 0 wave anterior myocardial infarction. Am Heart J 122:1251–1256

    Article  PubMed  CAS  Google Scholar 

  3. Bubenheimer P, Kneissl D, Roskamm H (1983) Echokardiographische Diagnose und Verlaufsbeurteilung von Ventrikelthromben im chronischen Infarktstadium — Beziehung zur Antikoagulation. Vortrag beim 89. Tagung der Deutschen Gesellschaft für Innere Medizin, Wiesbaden

    Google Scholar 

  4. Chesebro JH, Fuster V (1986) Antithrombotic therapy for acute myocardial infarction: mechanisms and prevention of deep venous, left ventricular, and coronary artery thromboembolism. Circ 74 (Suppl. III): III-I.–III-10

    Google Scholar 

  5. Delemarre BJ, Visser CA, Bot H, Dunning AJ (1990) Prediction of apical thrombus formation in acute myocardial infarction based an left ventricular spatial flow pattern. J Am Coll Cardiol 15:355–360

    Article  PubMed  CAS  Google Scholar 

  6. Domenicucci S, Chiarella F, Bellotti P, Lupi G, Scarsi G, Vecchio C (1990) Early appearance of left ventricular thrombi after anterior myocardial infarction: a marker of higher in-hospital mortality in patients not treated with antithrombotic drugs. Eur Heart J 11:51–58

    PubMed  CAS  Google Scholar 

  7. Ezekowitz MD (1985) Editorial Comment: Acute infarction, left ventricular thrombus and systemic embolization: an approach to management. J Am Coll Cardiol 5:1281–1282

    Article  PubMed  CAS  Google Scholar 

  8. Jugdutt BI, Sivaram CA (1989) Prospective two-dimensional echocardiographic evaluation of left ventricular thrombus and embolism after acute myocardial infarction. J Am Coll Cardiol 13:554–564

    Article  PubMed  CAS  Google Scholar 

  9. Kerren A, Goldberg S, Gottlieb S, Klein J, Schuger C, Medina A, Tzivoni D, Stern S (1990) Natural history of left ventricular thrombi: Their appearance and resolution in the posthospitalization period of acute myocardial infarction. J Am Coll Cardiol 15:790–800

    Article  Google Scholar 

  10. Kneissl D, Bubenheimer P, Roskamm H (1983) Die morphologischen und funktionellen Voraussetzungen der muralen Thrombose und arteriellen Embolie nach Myokardinfarkt. Vortrag beim 20. Kongreßder Südwestdeutschen Gesellschaft für Innere Medizin, Offenburg

    Google Scholar 

  11. Kouvaras G, Chronopoulus G, Soufras G, Sofranas G, Solomos D, Bakirtzis A, Pissimissis E, Tzonou A, Cokkinos D (1990) The effects of long-term antithrombotic treatment on left ventricular thrombi in patients after an acute myocardial infarction. Am Heart J 119:73–78

    Article  PubMed  CAS  Google Scholar 

  12. Kupper AS, Verheugt FW, Peels CH, Galema TW, Ross JP (1989) Left ventricular thrombus incidende and behavior studied by serial two-dimensional echocardiography in acute anterior myocardial infarction: left ventricular wall motion, systemic embolism and oral anticoagulation. J Am Coll Cardiol 13:1514–1520

    Article  PubMed  CAS  Google Scholar 

  13. Motro M, Barbash GI, Hanoch H, Roth A, Kaplinsky E, Laniado G, Keren G (1991) Incidence of left ventricular thrombi formation after thrombolytic therapy with recombinant tissue plasminogen activator, heparin, and aspirin in patients with acute myocardial infarction. Am Heart J 122:23–26

    Article  PubMed  CAS  Google Scholar 

  14. Nihoyannopoulos P, Smith GC, Maseri A, Foale RA (1989) The natural history of left ventricular thrombus in myocardial infarction: a rationale in support of masterly inactivity. J Am Coll Cardiol 14:903–911

    Article  PubMed  CAS  Google Scholar 

  15. Spirito O, Bellotti P, Chiarella F, Domenicucci S, Sementa A, Vecchio C (1985) Prognostic significance and natural history of left ventricular thrombi in patients with acute anterior myocardial infarction: A two-dimensional echocardiographic study. Circ 72:774–780

    Article  CAS  Google Scholar 

  16. Stratton JR, Ritchie JL, Hamilton GW et al. (1983) Left ventricular thrombus: in vivo detection by indium-111 platelet imaging and two-dimensional echocardiography. Am J Cardiol 47:874–881

    Article  Google Scholar 

  17. Thakur ML, Welch MJ, Joist JH et al. (1976) Indium-111 labeled plateles: studies on preparation and evaluation of in vitro or in vivo functions. Thromb Res 9:345–357

    Article  PubMed  CAS  Google Scholar 

  18. Tomoda H, Hoshiai M, Furuya H, Kuribayashi S, Ootaki M, Matsuyama S, Koide S, Kawada S, Shotsu A (1983) Evaluation of intracardiac thrombus with computed tomography. Am J Cardiol 51:843–852

    Article  PubMed  CAS  Google Scholar 

  19. Turpie AGG et al. (1989) Comparison of high-dose with low-dose subcutaneous heparin to prevent left ventricular mural thrombosis in patients with acute transmural anterior myocardial infarction. N Eng J Med 320:352–357

    Article  CAS  Google Scholar 

  20. Vecchio C, Chiarella F, Lupi G, Bellotti P, Domenicucci S (1991) Left ventricular thrombus in anterior acute myocardial infarction after thrombolysis. A GISSI-2 connected study. Circ 84:512–519

    CAS  Google Scholar 

  21. Visser CA, Kan G, Meitzer RS, Dunning AJ, Roelandt J (1985) Embolic potential of left ventricular thrombus after myocardial infarction: A two-dimensional echocardiographic study of 119 patients. J Am Coll Cardiol 5:1276–1280

    Article  PubMed  CAS  Google Scholar 

  22. Wilcox RG, Von der Lippe G, Olson CG, Jensen G, Skene AM, Hampton JR (1988) for the ASSET study group. Trial of tissue plasminogen activator for mortality reduction in acute myocardial infarction. Anglo-Scandinavian Study of Early Thrombolysis (ASSET). Lancet 2:525–520

    Article  PubMed  CAS  Google Scholar 

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© 1993 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG Darmstadt

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Görnandt, L. (1993). Linksventrikuläre Thromben — Morphologie, Verlauf, therapeutische Konsequenzen. In: Gehring, J., von Bibra, H. (eds) Echokardiographische Diagnostik bei koronarer Herzkrankheit. Steinkopff. https://doi.org/10.1007/978-3-642-97791-6_6

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  • DOI: https://doi.org/10.1007/978-3-642-97791-6_6

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-0948-1

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