CAD is the leading cause of death throughout the world. Regarding the complication of myocardial infarction, the left ventricular thrombus (LVT) formation is of greater concern. Once the LVT is formed, it possesses increase potential to embolise systemically and may complicate a serious life- threatening condition i.e. stroke. Objective:To find out the frequency of LV clots in patients presenting with myocardial infarction. Method: Diagnosed MI patients were included in this study based on a convenient sampling technique. The data was collected through a standard pro forma and was analyzed through SPSS . The P-value was calculated to determine the significance of the result. Results: Out of 168 patients with MI, 118 (70.2%) were males and 50 (29.8%) were females. The mean age was 55.46���� 9.54 years. On Echo, 17 (10%) patients had LVT, of which 10 cases were from male gender and seven from females. The frequency of LVT was higher in anterior MI in 16 out of 17 LVT cases (94.1%), and in other types of MI, the frequency was lower, 1 case out of 17 cases (5.9%). The frequency of LVT was also higher in the age group >50 years (70%) and was lower in the age group <50 years (30%). Conclusion: LV clot is a common complication after MI, and the frequency of LVT is more common in the age group greater than fifty and associated more with anterior MI.