Echocardiography
- A slight improvement of EF, still ICD indication BUT…
- A strange thickening of the apical myocardium
- SonoVue bolus was given for clarity…
- Apical layer of mural thrombus which is not perfused in contrast to the clear myocardial perfusion seen using low MI imaging (MI 0.1)
- 991 post MI pts
- 156 LV contrast due to suspected LV thrombust
Note: Apical thrombus cannot be reliably diagnosed without contrast in many cases