Left Ventricular Thrombus Registry

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorQueen Mary University of London

About this trial

Left Ventricular Thrombus (LVT) is a blood clot that can develop in a poorly functioning heart. In around 1 in 6 patients who have had a heart attack or diagnosed with heart failure tend to develop blood clots in their main heart chamber.

Having a blot clot in the main heart chamber can lead to serious complications such as stroke. Treatment for blood clots is blood thinning medications, which if taken for a prolonged period of time can result in bleeding which further complicates treatment. We hope to gather information to better understand the factors associated with blood clot formation and management in the lower left chamber of the heart. This understanding will hopefully enable us and others to improve management of this condition in the future and therefore help the wider population. As part of this study, bloods and scan results will be recorded and we will complete a short quality of life questionnaire. When participants come in for routine MRI scan, we may capture additional images for further research analysis.

A sample of blood no more than one tablespoon will be collected for research analysis at the same time as routine blood test. This will occur at baseline and at around 6 months. At 12 months we will repeat the quality of life questionnaire and collect final data.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Patients with LV thrombus or;

Patients at risk for developing LV thrombus (e.g severe LV dysfunction, LV aneurysm, MI.

Disqualifiers

Age < 18 years

Unable to consent

Trial population

Patients with a diagnosis of LV thrombus in the setting of LV dysfunction (acute myocardial infarction, Ischaemic Cardiomyopathy (ICM), dilated cardiomyopathy (DCM)) will be screened. Patients that do not have LV thrombus but are at risk for developing thrombus such as those with severe LV dysfunction, LV aneurysms, large territory infarcts will also be included.

Trial design

Design model

Cohort

Time perspective

Other

Treatments tested in this trial

Not listed

Trial groups

1,500 Participants
are grouped into 2 trial groups
Group A: LV Thrombus (present)
Group B: LV Thrombus (at risk)

Trial outcomes

Primary outcomes

1

Composite Result

To measure the composite result of major bleeding (BARC \>3), stroke and systemic embolisation, and all-cause mortality

Time frame
From baseline to final 12 month follow up (+/- 2 months)

Secondary outcomes

1

CMR prediction of thrombus

To assess CMR based risk prediction model of recurrence of LV thrombus

Time frame
From baseline to 6 month follow up (+/- 3 months)
2

Blood Test

To assess blood test variables in the persistence or recurrence of LV thrombus

Time frame
From baseline to 6 month follow up (+/- 3 months)
3

Quality of Life Questionnaire

Participants quality of life (QoL) will be measured using European Quality of Life-5 Dimensions - 5 levels (EQ-5D-5L) questionnaire at baseline and 12 months

Time frame
From baseline to final 12 month follow up (+/- 2 months)

Other outcomes

Sponsors and contacts

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