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The risk of LV thrombus formation after MI may be greatest in the first 2 weeks, and several studies have found increased incidence of LV thrombus detection by transthoracic echocardiography (or CMR) when performed 1 to 2 weeks after MI (compared with when performed in the first several days after MI). 16,53–58 Therefore, .
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Echocardiography is readily available, safe and relatively cheap, but is operator-dependent. Improved ultrasound technology and use of harmonic imaging have improved detection of apical LVT. The sensitivity of echocardiography can be further improved by the use of ultrasound contrast agents. 27
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