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On the basis of limited data, patients with nonischemic cardiomyopathy with LV thrombus should be treated with OAC for at least 3–6 months, with discontinuation if LV ejection fraction improves to >35% (assuming resolution of the LV thrombus) or if major bleeding occurs.Except for 1 trial that specifically studied the effect of low-dose DOAC on LV thrombus, all studies in this scientific statement address full-dose anticoagulation, and suggested management strategies given should not be extrapolated to low-dose DOAC.
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