STEMI part 3 +Approach to all MIs and troponin grades + subtle STEMI cases (OMI) + LV thrombus 

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Thank you Dr Phan. Great question. There are no specific data or guidelines for LV thrombus, as I highlighted, but in regards to OAC/antiplatelet combination I extrapolate the data and guidelines for AF in PCI patients. Basically, I use triple therapy (aspirin-clopidogrel-NOAC) for 3days to 1 month, depending on the perceived coronary ischemic risk and bleeding risk (most often I use the triple combo for 2 weeks). Then, I drop aspirin and keep the double combo (OAC+ clpidogrel). This is safe from a coronary standpoint, based on AF-PCI trials. If a decision is made to stop OAC at 3 months, according to the LV thrombus features I explained, then I reintroduce aspirin (aspirin + clopidogrel).

@@eliashanna8248 Great answer and thank you for your reply! Such an honor to get a direct reply from the author himself. Your book is very well-known and highly recommended in my department (Interventional Cardiology at University Medical Center Ho Chi Minh City). We always encourage our fellows to look up your lectures and read your books!

@@namphan6911 Thank you Dr Phan for your kind words. That is great to hear. I try to post regular updates of my book on: sites.google.com/view/elias-hanna-book-updates/home Greetings to you and to all your colleagues and fellows in Ho Chi Minh City!