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首页> 外文期刊>Journal of International Medical Research >Thrombus aspirated from patients with ST-elevation myocardial infarction: Clinical and angiographic outcomes
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Thrombus aspirated from patients with ST-elevation myocardial infarction: Clinical and angiographic outcomes

机译：ST抬高型心肌梗死患者的血栓吸入：临床和血管造影结果

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Objective To investigate differences in clinical and angiographic outcomes between patients with acute myocardial infarction with red and white thrombi. Methods A total of 137 patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary interventions were included. Thrombus material was classified as white or red based on its pathology. Information on characteristics of thrombi was available for 97 (70.8%) patients. Results The total ischaemic time was significantly longer in the red thrombus group compared with the white thrombus group. The incidence of major adverse cardiovascular events in hospital was higher in the red thrombus group than in the white thrombus group (15.6% vs 0%). Multivariable logistic analysis showed that the total ischaemic time was the only predictor of thrombus composition (odds ratio 1.353; 95% confidence interval 1.003, 1.826). Conclusion Red thrombi were present in nearly two-thirds of cases, and were associated with a longer ischaemic time and higher incidence of major adverse cardiovascular events in hospital.
机译：目的探讨急性心肌梗死伴红，白血栓的临床和血管造影结果的差异。方法纳入137例ST段抬高型心肌梗死患者，行经皮冠状动脉介入治疗。血栓物质根据其病理学分为白色或红色。 97名（70.8％）患者可获得有关血栓特征的信息。结果红色血栓组的总缺血时间明显长于白色血栓组。红色血栓组的医院主要心血管不良事件发生率高于白色血栓组（15.6％vs 0％）。多变量逻辑分析表明，总缺血时间是血栓形成的唯一预测因子​​（赔率1.353; 95％置信区间1.003、1.826）。结论红色血栓存在于近三分之二的病例中，并与更长的缺血时间和更高的主要心血管不良事件发生率相关。

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