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can doacs be used for LV thrombus

Answer

Direct oral anticoagulants (DOACs) are not currently recommended for the treatment of left ventricular thrombus (LVT) due to limited evidence and a potential increased risk of stroke or systemic embolism (SSE) compared to warfarin.

Current guidelines and evidence

DOACs in other conditions

In conclusion, while DOACs are recommended for certain conditions such as NVAF and VTE, their use for left ventricular thrombus is not currently supported by high-quality evidence and may be associated with an increased risk of SSE compared to warfarin. Therefore, warfarin remains the recommended anticoagulant for this condition according to current guidelines

References

1

Atrial fibrillation

Medical management

Guidelines

Anticoagulant therapy, DOACs

Pathway
CSANZ/.../NHFA 2018