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Left ventricular hypertrophy. Left ventricular hypertrophy is a thickening of the wall of the heart's main pumping chamber. This thickening may result in elevation of pressure within the heart and sometimes poor pumping action. The most common cause is high blood pressure.
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In a retrospective analysis of 159 patients with LV thrombus, only 21.5% had a nonischemic cause.17 Mean LVEF was 32%, and the vast majority of LV thrombi occurred in the LV apex. Most patients were treated with OAC, with either a VKA or a DOAC, and 67% were also treated with an antiplatelet agent.
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