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Review
. 2025 May 25;6(4):100186.
doi: 10.1016/j.acepjo.2025.100186. eCollection 2025 Aug.

Man With Chest Pain and Unilateral Weakness

Holly Ryan  1 , Molly Hartrich  1 , Wesley Eilbert  1
Affiliations
Review

Man With Chest Pain and Unilateral Weakness

Holly Ryan et al. J Am Coll Emerg Physicians Open. .
No abstract available

Keywords: left ventricular thrombus; myocardial infarction stroke; myocardial infarction ventricular thrombus; ultrasound ventricular thrombus; ventricular thrombus; ventricular thrombus embolic stroke.

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Figures

Figure 1
Figure 1
Sonographic apical cardiac view demonstrating a hyperechoic thrombus (arrow) in the apex of the left ventricle.
Video
Video
Left ventricular thrombus.
Figure 2
Figure 2
Magnetic resonance imaging revealing high signal intensity in the right frontal lobe (arrow), consistent with acute ischemia.
See this image and copyright information in PMC

References

    1. Camaj A., Fuster V., Gustino G., et al. Left ventricular thrombus following acute myocardial infarction: JACC state-of-the-art review. J Am Coll Cardiol. 2022;79(10):1010–1022. - PubMed
    1. Bulluck H., Chan M.H.H., Paradies V., et al. Incidence and predictors of left ventricular thrombus by cardiovascular magnetic resonance in acute ST-segment elevation myocardial infarction treated by primary percutaneous coronary intervention: a meta-analysis. J Cardiovasc Magn Reson. 2018;20(1):72. - PMC - PubMed
    1. Cruz Rodriguez J.B., Okajima K., Greenberg B.H. Management of left ventricular thrombus: a narrative review. Ann Transl Med. 2021;9(6):520. - PMC - PubMed
    1. Patel M., Wei X., Weigel K., et al. Diagnosis and treatment of intracardiac thrombus. J Cardiovasc Pharmacol. 2021;78(3):361–371. - PubMed
    1. Levine G.N., McEvoy J.W., Fang J.C., et al. Management of patients at risk for and with ventricular thrombosis: a scientific statement from the American Heart Association. Circulation. 2022;146(15):e205–e223. - PubMed

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