Spontaneous echo-contrast in LV non-ischemic dilated cardiomyopathy in sinus rhythm. What therapy to prevent cardio-embolic events?
Journal: Journal of Clinical Cardiology and Cardiovascular Therapy
Year: 2019

Dilatative Cardiomyopathy (DC) with low Ejection Fraction % (EF %> 35%), Spontaneous Echo-Contrast (DEC) in the Left Ventricle (LV) seen at echocardiography and in sinus rhythm predisposes to the intraventricular thrombus formation and subsequently embolization, resulting in stroke. Current guidelines recommend oral vitamin K antagonists (VKAs) to prevent brain's cardio-embolic events deriving from SEC present in LV, as previously evidenced in several trials (HELAS, WASH, WACH, WARCEF). This tre