The Relationship between H2FPEF Score and Thrombus Burden in Patients with ST Elevation Myocardial Infarction

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dc.contributor.authorKüçük, Ugur
dc.contributor.authorVolina, Emir
dc.date.accessioned2025-01-27T19:00:36Z
dc.date.available2025-01-27T19:00:36Z
dc.date.issued2022
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractBackground and Aim: The presence of intracoronary thrombus (ICT) is known to be associated with poor clinical outcomes, including death, in patients diagnosed with ST-segment elevated myocardial infarction (STEMI). Despite this, the predictors of ICT are still uncertain. The aim of our study was to investigate the relationship between thrombus burden (TB) and obesity (H), hypertension (H), atrial fibrillation (F), pulmonary hypertension (P), an age >60 years (E), and E/e’ > 9 (F) (H2FPEF) score in STEMI patients. Methods: One hundred consecutive STEMI patients were included in the study. Patients were divided into two groups according to the low TB (grades 0–3) and high TB (HTB) (grades 4 and 5) in comparison with the TB grade before percutaneous coronary intervention in coronary angiographic imaging. H2FPEF score was calculated for all patients. Results: The H2FPEF score was higher in the HTB group (2.94 ± 1.68 vs. 1.62 ± 1.15, P < 0.001). In STEMI patients, the red cell distribution width (odds ratio [OR]: 2.443, 95% confidence interval [CI]: 1.382–4.316; P = 0.002) and H2FPEF score (OR: 2.360, 95% CI: 1.447–3.847; P = 0.001) were independent predictors of HTB. H2FPEF score above a cutoff level of two predicted HTB with a sensitivity of 78% and a specificity of 50%. Conclusion: H2FPEF score may be used as a useful score in predicting HTB in STEMI patients. © 2022 International Journal of the Cardiovascular Academy.
dc.identifier.doi10.4103/ijca.ijca_15_22
dc.identifier.endpage72
dc.identifier.issn2405-819X
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85187161820
dc.identifier.scopusqualityQ4
dc.identifier.startpage67
dc.identifier.urihttps://doi.org/10.4103/ijca.ijca_15_22
dc.identifier.urihttps://hdl.handle.net/20.500.12428/13400
dc.identifier.volume8
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofInternational Journal of the Cardiovascular Academy
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_Scopus_20250125
dc.subjectH2FPEF score; ST-segment elevated myocardial infarction; thrombus burden
dc.titleThe Relationship between H2FPEF Score and Thrombus Burden in Patients with ST Elevation Myocardial Infarction
dc.typeArticle

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