Wilensky R L, Jung S C
Krannert Institute of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, 46202, USA.
J Cardiovasc Risk. 1995 Apr;2(2):91-6.
Intracavitary thrombus is noted in 11-44% of patients with idiopathic delayed cardiomyopathy, and the incidence of embolism is 11-20%. The incidence of intracavitary thrombus formation after acute anterior myocardial infarction is 21-41%. The risk of embolism in all patient with acute anterior myocardial infarction is 2-6%; protruding or mobile thrombi carry a risk of embolization. Systemic anticoagulation is justified in patients with dilated cardiomyopathy (international normalized ratio 2.0-3.0).
特发性迟发性心肌病患者中11%-44%存在心腔内血栓，栓塞发生率为11%-20%。急性前壁心肌梗死后心腔内血栓形成的发生率为21%-41%。所有急性前壁心肌梗死患者的栓塞风险为2%-6%；突出或活动的血栓有栓塞风险。对于扩张型心肌病患者，进行全身抗凝治疗是合理的（国际标准化比值为2.0-3.0）。
