Revisão de literatura: fatores de risco, fisiopatologia, diagnóstico e tratamento do trombo de ventrículo esquerdo / Literature review: risk factors, pathophysiology, diagnosis and treatment of left ventricle thrombus
DOI:
https://doi.org/10.34119/bjhrv5n2-215Keywords:
trombo, ventrículo esquerdo, tratamento, cardiologia.Abstract
Introdução: O trombo de ventrículo esquerdo (TVE) decorre de patologias como infarto agudo do miocárdio (IAM) e no tratamento são utilizados antagonistas da vitamina K (AVK) e novos anticoagulantes orais (NOACS). Objetivo: Analisar recomendações relacionadas ao tratamento do TVE, comparando fármacos e duração do tratamento. Métodos: Revisão integrativa de literatura realizada nas bases de dados LILACS e PubMED. Os descritores foram “left ventricular thrombus”, “treatment” e “anticoagulation” e os filtros “últimos 5 anos” e “texto gratuito”. Artigos não pertinentes foram excluídos, totalizando 14 analisados. Referências relevantes foram inseridas manualmente, assim como diretrizes de tratamento do TVE. Resultados: Os pilares para o tratamento do TVE são AVK e os NOACS. De acordo com a maioria das diretrizes, os AVK são as principais escolhas de tratamento, sendo os NOACS alternativas para casos especiais. Além disso, o tratamento deve ser iniciado imediatamente após o diagnóstico de TVE, com duração mínima de 3 meses.
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