Incidence and clinical predictors of left ventricular thrombus after ST elevation myocardial infarction as detected by magnetic resonance imaging

Autor: A Fardman, E Massalha, S S Natanzon, Y Brodov, O Goitein, F Chernomordik, R Hershkovici, A Grupper, R Kuperstein, I Mazin, S Matetzky, R Beigel
Rok vydání: 2023
Předmět:
Zdroj: European Heart Journal: Acute Cardiovascular Care. 12
ISSN: 2048-8734
2048-8726
DOI: 10.1093/ehjacc/zuad036.099
Popis: Funding Acknowledgements Type of funding sources: None. Background The aim of the current study was to characterize clinical predictors and to develop clinical risk score for left ventricular (LV) thrombus as detected by cardiac magnetic resonance imaging (CMR). Methods We evaluated 337 patients without known prior coronary disease, who underwent primary percutaneous coronary intervention for STEMI. All patients underwent transthoracic echocardiography (TTE) and CMR during their index hospitalization. We developed a novel prognostic risk model (ThrombScore) to identify patients at risk for LV thrombus development. Results Upon CMR, LV thrombus was present in 34 patients (10%), of whom 33 (97%) had an anterior wall MI and most (77%) had at least mildly reduced left ventricular ejection fraction (LVEF Conclusions ThrombScore is a simple, practical, clinical risk model for risk stratification of thrombus formation in patients with STEMI.
Databáze: OpenAIRE