Coronary Artery Disease Clinical Trial
Official title:
A Prospective Randomized Trial Comparing Enoxaparin to Warfarin for the Prevention of LV Thrombus Formation After Anterior Wall Myocardial Infarction: A 60 Patient Pilot Study
To prospectively evaluate the utility of enoxaparin vs. oral warfarin in reduction of echocardiographic indices of LV mural thrombus. The primary outcome is the presence of LV mural thrombus at 3.5 months. The secondary outcome is cost analysis comparing the two arms.
Patients with anterior Q-wave MIs and ejection fractions<=40% will be enrolled within the
first 4 days of infarction. Patients will be randomized to receive either enoxaparin 1mg/kg
(maximum 100mg) subcutaneously every 12 hours for one month or heparin followed by oral
warfarin for 3 months.
Clinical and safety evaluations, 2-D echocardiograms at baseline and at 3.5 months and cost
analysis will be performed.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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