Traditionally, warfarin is recommended. However, there has been recent evidence to suggest that DOACS are effective as well. In my practice, I have migrated to DOACS for ease of use. Many elderly patients are overwhelmed when they are discharged with 6 or 7 medications and add to that the complexity...

In such patients, I would opt for a VKA as we have more experience with these agents than a DOAC in this setting. I would not extend the anticoagulation time if the thrombus resolved over time as shown by CMR, since it is not apical akinesis alone that is typically associated with a thrombus it is a...