Inclusion Criteria:  Patients of acute coronary syndrome with LV thrombus Hemodynamically stable Willing to participate  Exclusion Criteria:  Prior history of cardiomyopathy Anticoagulant contraindications Prior history of stroke with residual neurological deficit Valvular atrial fibrilation Pregnancy Mentally retarded Deranged liver function tests (LFTS) Creatinine Clearance <50 ml