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To investigate the predictive value of inflammatory indexes and CHA2DS2-VASc score for anterior myocardial infarction (ANT-MI) with left ventricular thrombus(LVT) (LVT).
The clinical data were collected from 371consecutive patients with ANT-MI in our hospital from January 2014 to January 2021.As a result,totally 62 patients with LVT were selected as the experimental group and 186 patients with non-LVT as the control group .The observation indexes included baseline data, coronary angiography, disease course, laboratory examination and auxiliary examination.Patients with severe organic disease and having previous history of left ventricular aneurysm( LVA) and LVT were excluded.Data was analyzed by software SPSS 22.0 for statistical analysis,and the logistic regression model was established.A P<0.05 was considered statistically significant, and the risk factors of LVT formation were retrospectively analyzed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LVT group | left ventricular thrombus in acute anterior myocardial infarction patients with left ventricular dysfunction |
| |
| non-LVTgroup | acute anterior myocardial infarction patients with left ventricular dysfunction while without LVT |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| inflammatory indexes and CHA2DS2-VASc score | Other | inflammatory indexes and CHA2DS2-VASc score |
|
| Measure | Description | Time Frame |
|---|---|---|
| the predictive of the inflammatory indexes and CHA2DS2-VASc score in LVT | the logistic regression model was established between the indexes and LVT | Day 1 |
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Inclusion Criteria:
acute anterior myocardial infarction with left ventricular dysfunction
Exclusion Criteria:
end-stage organic disease, thrombotic hematological disorders, previous anticoagulant use, and poor echogenicity
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The study included a total of 371 patients with anterior myocardial infarction (ANT-MI) treated with emergency prior percutaneous coronary intervention (pPCI) in our hospital betweenfrom January 2014 andto January 2021. Patients were eligible for enrollmentenrolment if they had a reduced left ventricularLV ejection fraction (LVEF) ( ≤40%). and if detailed data on demographic and clinical characteristics were documented. Exclusion criteria were end-stage organic disease, thrombotic hematological disorders, previous anticoagulant use, and poor echogenicity (Figure 1). Based on the study criteria, 123 patients were excluded from the study; thus, 248 patients were included in the analysis.
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blood
| ID | Term |
|---|---|
| D056988 | Anterior Wall Myocardial Infarction |
| D018487 | Ventricular Dysfunction, Left |
| ID | Term |
|---|---|
| D009203 | Myocardial Infarction |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D018754 | Ventricular Dysfunction |
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