Sequential imaging and anticoagulant recommendations following acute anterior STEMI
Sequential imaging and anticoagulant recommendations following acute anterior STEMI - Flowchart Long-Term Anticoagulation for Cardiac Conditions Long-Term Anticoagulation for Cardiac Conditions
«Flowchart»

Acute anterior STEMI

Acute anterior STEMI

Acute anterior STEMI

TTE with UEA 24 hours after presentation

TTE with UEA 24 hours after presentation

TTE with UEA 24 hours after presentation

LVT identified

LVT identified

LVT identified

Increased risk for LVT (anterior/apical akinesis or dyskinesis)

Increased risk for LVT (anterior/apical akinesis or dyskinesis)

Increased risk for LVT (anterior/apical akinesis or dyskinesis)

No LVT and not at increased risk

No LVT and not at increased risk

No LVT and not at increased risk

Repeat TTE with UEA or CMR:

time interval 4-14 days after index event

Repeat TTE with UEA or CMR:

time interval 4-14 days after index event

Repeat TTE with UEA or CMR:

time interval 4-14 days after index event

LVT

LVT

LVT

No LVT

No LVT

No LVT

No further imaging

No further imaging

No further imaging

Anticoagulation for at least 3 months

Anticoagulation for at least 3 months

Anticoagulation for at least 3 months

LVT

LVT

LVT

Increased risk for LVT (anterior/apical akinesis or dyskinesis)

Increased risk for LVT (anterior/apical akinesis or dyskinesis)

Increased risk for LVT

No LVT and not at increased risk

No LVT and not at increased risk

No LVT and not at increased risk