علاج تمدد البطين الأيسر الكبير مع الأعراض

References

1. In patients with large LV aneurysms with symptoms, the management is the same as asymptomatic cases, plus specific treatment for complication/symptoms treatment and perform surgical management if there is any indication.
2. The management can include optimization of coronary artery disease risk factors for ischemia prevention, afterload reduction with angiotensin-converting enzyme inhibitors or angiotensin receptor blockers, and anticoagulation to prevent thromboembolism.
3. In terms of anticoagulation, the risk of LV mural thrombus is highest within the first month after acute infarction; therefore, it is always prudent to employ anticoagulation in all patients using warfarin the first three months after LV infarction.
4. Long-term anticoagulation should be reserved for patients with large, friable thrombi protruding into the ventricular cavity, documented systemic embolization beyond the three months, or while receiving anticoagulants, and globally impaired LV function.