The C-reactive Protein-Albumin Ratio (CAR) was the only independent predictor of left atrial thrombosis, which was detected in 34 (11.2%) of 303 patients with ischemic stroke without AF.
Observational (n=303)
No
Do inflammatory scores predict left atrial thrombosis in patients with ischemic stroke without atrial fibrillation?
The C-reactive Protein-Albumin Ratio (CAR) may serve as a useful independent predictor of left atrial thrombosis in patients with ischemic stroke who do not have atrial fibrillation.
Background and Objectives: Studies have shown that inflammation markers can be used as prognostic tools in predicting acute ischemic stroke. In this study, we conducted a comparison of several inflammation scores in predicting left atrial thrombosis (LAT) in patients with ischemic stroke without AF. Materials and Methods: In this single-center, retrospective study, we included 303 consecutive patients with ischemic stroke. Each patient underwent a transesophageal echocardiography (TEE) examination within 10 days of admission to detect the presence of LAT. To identify independent predictors of LAT, we conducted a multivariate logistic regression analysis. Results: In total, 303 patients who had ischemic stroke were included in the analysis. LAT was detached in 34 patients at the time of the TEE examination. The patients were categorized into two groups based on their LAT status. The Prognostic Nutritional Index (PNI), HALP score, and C-reactive Protein–Albumin Ratio (CAR) were identified as statistically significant predictors of LAT. Based on the results of the multivariate regression analysis, the CAR emerged as the only independent predictor of LAT. Conclusions: Among several inflammation scores, the PNI, HALP, and CAR were statistically significant predictors of LAT in ischemic stroke patients without AF. CAR was identified as the optimal score for the prediction of LAT in patients with stroke and without AF.
Çiçek et al. (Thu,) conducted a observational in Ischemic stroke without atrial fibrillation (n=303). Inflammation scores (PNI, HALP, CAR) was evaluated on Presence of left atrial thrombosis (LAT). The C-reactive Protein-Albumin Ratio (CAR) was the only independent predictor of left atrial thrombosis, which was detected in 34 (11.2%) of 303 patients with ischemic stroke without AF.