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February 1, 2004Acta Cardiologica

Coexistence of prothrombic risk factors and its relation to left ventricular thrombus in acute myocardial infarction

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Key result

Prothrombic mutations (FV Leiden, prothrombin G20210A, MTHFR C677T) were not associated with left ventricular thrombus, showing similar allele frequencies in patients with vs without thrombus (p≥0.74).

Why the study?

Does the presence of thrombophilic mutations (FV Leiden, prothrombin G20210A, MTHFR C677T) increase the risk of left ventricular thrombus in patients with acute myocardial infarction?

Population

183 consecutive patients with a first anterior acute myocardial infarction, mean age 58 +/- 12 years, 34…

Comparison

Presence of thrombophilic mutations vs Absence of these thrombophilic mutations

Design

Cohort

Follow-up

30 days

Authors

FUFahri UçarAkdeniz UniversityŞÇŞükrü ÇELIKInonu UniversityEOErcüment OvalıAcıbadem University

Discussion

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Implication

Does not support thrombophilia screening to predict LV thrombus after anterior MI; leaves open contributions of other factors.

Study Design

Type

Observational (n=183)

Structured PICO

Does the presence of thrombophilic mutations (FV Leiden, prothrombin G20210A, MTHFR C677T) increase the risk of left ventricular thrombus in patients with acute myocardial infarction?

P
Population
183 consecutive patients (mean age 58, 18.6% female) with a first anterior acute myocardial infarction, evaluated for left ventricular thrombus over 30 days.
E
Exposure
Presence of thrombophilic mutations (prothrombin G20210A allele, factor V Leiden G1691A, and MTHFR C677T allele)
C
Comparator
Absence of these thrombophilic mutations
O
Outcome
Left ventricular thrombus detected by two-dimensional echocardiography on days 1, 3, 7, 15, or 30surrogate

Common thrombophilic mutations (FV Leiden, prothrombin G20210A, MTHFR C677T) are not associated with an increased risk of developing a left ventricular thrombus following an anterior acute myocardial infarction.

Cite This Study

Uçar et al. (2004) conducted an observational in First anterior acute myocardial infarction (n=183). Prothrombic mutations (FV Leiden G1691A, prothrombin G20210A, MTHFR C677T) vs. Absence of mutations was evaluated on Left ventricular thrombus. Prothrombic mutations (FV Leiden, prothrombin G20210A, MTHFR C677T) were not associated with left ventricular thrombus, showing similar allele frequencies in patients with vs without thrombus (p≥0.74).

synapsesocial.com/papers/6a35358db4dd3b69249ec34ahttps://doi.org/10.2143/ac.59.1.2005156
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Factor V Leiden and its relation to left ventricular thrombus in acute myocardial infarction2001 · 16 citations
  2. 2Prothrombin 20210GA and Factor V Leiden Mutations in Patients Less Than 55 Years Old With Myocardial Infarction2004 · 32 citations
  3. 3Thrombophilia in young patients with acute myocardial infarction2008 · 27 citations
  4. 4Prevalence of thrombophilic gene polymorphisms (FVL G1691A and MTHFR C677T) in patients with myocardial infarction2014 · 18 citations
  5. 5Thrombophilia1999 · 19 citations