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The American and European guidelines recommend oral anticoagulant therapy with warfarin with varying durations from 3-6 months. However, there are no prospective trials comparing warfarin and direct oral anticoagulants (DOACs) as anticoagulation in the treatment of LV thrombus.
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Studies suggest an increased risk of thromboembolism in patients with LV noncompaction related to LV thrombus formation in the deep intertrabecular recesses. 72 A Heart Rhythm Society expert consensus statement recommends that anticoagulation may be reasonable with LV noncompaction and LV dysfunction (Class of Recommendation .
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