Apixaban Prophylaxis for Prevention of Left Ventricular Thrombus Following Anterior Myocardial Infarction

Inclusion Criteria: * Patients aged 18-65 years * Presenting with acute anterior STEMI * Severe LV dysfunction (EF\<35%) with antero-apical akinesis, dyskinesis, or aneurysm * WIHTOUT evidence of LV thrombus. Exclusion Criteria: * Patients with previous anterior myocardial infarction or LAD revascularization procedures * Patients with cardiogenic shock * Patients with LV thrombus * Patients with advanced CKD (Cr \> 2 and those on hemodialysis) * Recent ICH or major bleed requiring transfusion, low platelet counts \<100,000 * History of recent CVA ( within past three months) * Patients with atrial fibrillation or other indications for chronic anticoagulation * Pregnant patients and those with hematological disorders