Left ventricular thrombus diagnosed by point-of-care ultraso
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A 63-year-old male presented to our Emergency Department for complaints of slurred speech and weakness of left upper extremity since 1-week. He has a prior history of hypertension, chronic obstructive lung disease, hyperthyroidism, anterior myocardial infarction, ischemic cerebrovascular accident, and recurrent transient ischemic attacks. A previously obtained coronary angiography demonstrated a totally occluded left anterior descending coronary artery at its proximal portion and stent implantation in a different session. On admission, his vital signs were normal, and electrocardiography evaluation demonstrated pathologic Q waves in the V1-V4 leads. Routine laboratory testing revealed normal electrolyte levels, renal, and liver functions. His activated partial thromboplastin time and prothrombin time with international normalized ratio were elevated due to his Coumadin therapy. Cranial computed tomography without contrast agent was ordered and depicted old infarct areas in the regions of left occipital lobe with the posterior part of the left parietal lobe and also findings of acute infarction in the left parietal lobe and periventricular areas...

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