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Once left ventricular hypertrophy is established, the patient commonly manifests an S4 gallop, which reflects diastolic dysfunction or diminished left ventricular compliance, which can lead to initially diastolic heart failure and, .
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However, there are no prospective trials comparing warfarin and direct oral anticoagulants(DOACs) as anticoagulation in the treatment of LV thrombus. Current research includes one meta-analysis of only 8 retrospective studies demonstrating non-inferiority of DOACs compared to warfarin.
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