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- W2981811878 abstract "Abstract Background Intracardiac thrombosis (ICT) is a complication of Acute myocardial infarction (AMI). Hypothesis Our aim was to evaluate the impact of ICT on mortality, thromboembolism, length of stay in patients with AMI. Methods Data was collected from the Nationwide Inpatient Sample (NIS) for the year 2016, where patients with a primary diagnosis of ICT as a complication of AMI (ICD10-CM code I23.6) were included. Comparisons were made between patients with ICT post-AMI (ICD10-CM code I23.6) vs those with AMI (ICD10-CM I21.0). Results Of a total of 200930 cases of AMI, 488 (0.5%) had ICT. The patients with ICT had an increased length of stay (LOS) (8.5±9.8 vs 5.7±7.4 days; p<0.001), increased ischemic stroke (10.6% vs 2.9%; p<0.001), and cardiogenic shock (15% vs 7%; p<0.001). There was no difference in mortality between the groups. Table 1. Patient characteristics AMI% (n=200,930) ICT post AMI% (n=488) p-values Demographic variables a. Males 59 73 b. Females 41 27 <0.001 Race a. Caucasian 71 68 0.10 b. African American 11 15 0.01 c. Hispanic 7.5 6.1 0.23 d. Other races 5.6 6.2 0.80 e. Race not specified 4.4 4.9 0.59 Comorbidities Drug abuse 23.9 31.1 <0.001 Atrial Arrhythmias 33.1 41.6 <0.001 Ventricular Arrhythmias 5.6 9.2 <0.001 Chronic pulmonary disease 27.7 21.1 <0.001 Diabetes Mellitus 38.9 31.1 <0.001 Hypertension 81.2 70.2 <0.001 Peripheral Vascular disease 10.5 3.52 <0.001 Current or past smoker 20.5 26.1 <0.001 Chronic kidney disease 28.1 20.4 <0.001 History of coronary artery bypass surgery 10.6 5.9 <0.001 HFrEF 23.3 50 <0.001 HFrEF = Heart failure with reduced ejection fraction; pVAD = Percutaneous ventricular assist device. Conclusion ICT as a complication of AMI is associated with increased hospital LOS and adverse events." @default.
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- W2981811878 date "2019-10-01" @default.
- W2981811878 modified "2023-09-27" @default.
- W2981811878 title "P4632Impact of intracardiac thrombosis in patients with acute myocardial infarction: insights from nationwide inpatient sample in the United States" @default.
- W2981811878 doi "https://doi.org/10.1093/eurheartj/ehz745.1014" @default.
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