Visser C A, Kan G, Lie K I, Durrer D
Eur Heart J. 1983 May;4(5):333-7. doi: 10.1093/oxfordjournals.eurheartj.a061470.
In a prospective serial study of 96 patients with acute myocardial infarction, two dimensional echocardiography identified left ventricular thrombus in 18 patients. The majority of thrombi (15) developed within the first 4 days after admission. In three patients thrombi were identified for the first time 4 months after the acute episode. All 18 patients had received therapeutic anticoagulants on admission and had large anterior wall infarctions complicated by severe pump failure and motion abnormalities echocardiographically. None of the patients had systemic embolisation during the study period. Thus, left ventricular thrombus is a not uncommon though silent complication of acute anterior wall infarction even when patients receive therapeutic anticoagulants.
在一项对96例急性心肌梗死患者的前瞻性系列研究中，二维超声心动图在18例患者中发现了左心室血栓。大多数血栓（15例）在入院后的头4天内形成。3例患者在急性发作4个月后首次发现血栓。所有18例患者入院时均接受了治疗性抗凝治疗，均有大面积前壁梗死，伴有严重泵衰竭和超声心动图显示的运动异常。在研究期间，所有患者均未发生系统性栓塞。因此，即使患者接受治疗性抗凝治疗，左心室血栓仍是急性前壁梗死一种虽不常见但无症状的并发症。
