My husband had an echo done prior to his 6th month checkup with his cardiologist. It showed a “significant” left ventricle apical thrombus(blood clot). Due to a massive left ventricle heart attack in 2020 his systolic function is severely decreased and his EF=25 +- 5%. He was on 5mg Eliquis for almost 2 years due to Afib but came off 1 1/2 years ago following Watchman placement(right ventricle). He is now on 5mg/2x/day and his Metoprolol has been increased from 50 mg/1x/day to 62.5mg. We have complete trust in his Cleveland Clinic cardiologist and because we left soon after the appointment for the next few months in Florida an appointment was set up with a Weston Cleveland Clinic cardiologist who we saw last week. He explained further what the concerns were, the risks of a heart attack or stroke and answered all questions that we had. He’ll fly back to Cleveland in January for another echo and appointment with his main cardiologist. So far, he’s having no side effects from the Eliquis or Metoprolol increase but will now watch for this side effect from Eliquis too. We haven’t been told yet how long he’ll be on them but suspect that even if the echo shows the thrombus has dissolved he’ll be kept on at least 5mg for life. I’m so sorry that you’ve not only had to deal with the terror of having a blood clot in your lung but now the damage from a rare side effect of the blood thinner.