We appreciate the interest and feedback that our recently published article, “Effect
of Duration of Anticoagulation in the Incidence of Stroke in Patients With Left Ventricular
Thrombus,” has generated.
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In our study, we found that long-term anticoagulation (LTA, >12 months) was associated
with lower risk of stroke than was short-term anticoagulation (STA) in a cohort of
98 patients with left ventricular thrombus (LVT). In a Letter to the Editor, in a
large well-conducted study, Goh et al
- Lorente-Ros Á
- Alonso-Salinas GL
- Monteagudo Ruiz JM
- Abellás-Sequeiros M
- Vieítez-Florez JM
- Sánchez Vega D
- Álvarez-Garcia J
- Sanmartín-Fernández M
- Lorente-Ros M
- Prado Díaz S del
- Fernández Golfín C
- Zamorano Gómez JL
Effect of duration of anticoagulation in the incidence of stroke in patients with
left-ventricular Thrombus.
Am J Cardiol. 2022; 185: 115-121
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investigated the generalizability of the results in an Asian population, reporting
no differences in the incidence of stroke in patients who received STA versus those
who received LTA. We reckon that differences in the duration of follow-up and in the
patients’ thromboembolic risk may explain, at least partly, the apparently discrepant
findings reported by Goh et al.
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References
- Effect of duration of anticoagulation in the incidence of stroke in patients with left-ventricular Thrombus.Am J Cardiol. 2022; 185: 115-121
Goh FQ, Leow AST, Ho JS, Tan BYQ, Yeo LLL, Sia CH. Effect of anticoagulation duration on stroke incidence in Asian patients with left ventricular thrombus. Am J Cardiol Forthcoming.
- Antithrombotic therapy for patients with left ventricular mural Thrombus.J Am Coll Cardiol. 2020; 75: 1676-1685
- 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC).Eur Heart J. 2018; 39: 119-177
Article info
Publication history
Published online: January 21, 2023
Received:
December 18,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
