Left Ventricular Thrombus With Silent Myocardial Infarction in a Patient With Factor V Leiden Mutation and High Factor VIII Levels: A Case Report
2024

Left Ventricular Thrombus and Silent Myocardial Infarction Case Report

publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Zahid Abdul Samad, Shariff Mohammed, Huggett Robert

Primary Institution: Russells Hall Hospital, Dudley, GBR

Hypothesis

What is the relationship between Factor V Leiden mutation, elevated factor VIII levels, and the risk of arterial thrombosis including stroke, silent myocardial infarction, and left ventricular thrombus?

Conclusion

The case highlights a rare instance of a young patient with silent myocardial infarction and left ventricular thrombus associated with a Factor V Leiden mutation and elevated factor VIII levels.

Supporting Evidence

  • The patient had a heterozygous Factor V Leiden mutation and elevated factor VIII levels.
  • Silent myocardial infarction is often underdiagnosed due to minimal symptoms.
  • Left ventricular thrombus is a serious complication associated with high rates of systemic embolism.

Takeaway

This study talks about a young man who had a heart problem without feeling any pain, and doctors found out he had some unusual blood conditions that might have caused it.

Methodology

Case report detailing the clinical presentation, diagnostic imaging, and treatment of a patient with silent myocardial infarction and left ventricular thrombus.

Limitations

The study is based on a single case report, limiting generalizability.

Participant Demographics

A young man in his early 40s with no significant cardiovascular risk factors.

Digital Object Identifier (DOI)

10.7759/cureus.74944

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