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Left Atrial Diameter and the Risk of Thromboembolism in Patients with Left Ventricular Noncompaction
Aims: Patients with left ventricular noncompaction (LVNC) are at risk of thromboembolism. The relationship between left atrial diameter (LAD), a robust predictor for thrombosis, and LVNC is unclear. The purpose of this study was to explore the effect of LAD on the thrombotic risk in LVNC. Methods: I...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9788599/ https://www.ncbi.nlm.nih.gov/pubmed/36547423 http://dx.doi.org/10.3390/jcdd9120426 |
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author | Xu, Wei Yang, Yanmin Zhu, Jun Tan, Jiangshan Wang, Jingyang Wang, Lulu |
author_facet | Xu, Wei Yang, Yanmin Zhu, Jun Tan, Jiangshan Wang, Jingyang Wang, Lulu |
author_sort | Xu, Wei |
collection | PubMed |
description | Aims: Patients with left ventricular noncompaction (LVNC) are at risk of thromboembolism. The relationship between left atrial diameter (LAD), a robust predictor for thrombosis, and LVNC is unclear. The purpose of this study was to explore the effect of LAD on the thrombotic risk in LVNC. Methods: In this retrospective cohort study, 320 patients with imaging characteristics of LVNC were included for statistical analysis. The primary endpoint was a composite event of intracardiac thrombi and stroke or transient ischemic attack (TIA). The secondary endpoints were intracardiac thrombi and stroke/TIA. Results: The 320 included patients (211 [65.9%] men, median age: 45 years [interquartile range: 30–57]) were divided into LAD1 (<43 mm, n = 157) and LAD2 (≥43 mm, n = 163) groups based on the median LAD. Throughout the median follow-up of 34 months, the incidence of thromboembolism among them was 7.2%: 11 (3.4%) patients had stroke/TIA and 14 (4.4%) had intracardiac thrombi. The rate of thromboembolism in the LAD2 group was higher than that of patients in the LAD1 group (11.0% vs. 3.2%, p = 0.007). Kaplan–Meier survival curves suggested that a LAD ≥ 43 mm was associated with a higher risk of thromboembolism and intracardiac thrombi (log-rank test, all p < 0.05). After adjusting for potential risk factors, LAD ≥ 43 mm was found to be an independent risk factor for thromboembolism (p = 0.013) and stroke (p = 0.024). The area under the receiver operating characteristic curve of LAD for predicting thromboembolism reached 0.696 at 1 year, 0.635 at 2 years, and 0.660 at 3 years. Conclusions: A larger LAD was related to a higher risk of thromboembolism in patients with LVNC. The LAD may be a useful predictor for thrombotic risk stratification among such patients. |
format | Online Article Text |
id | pubmed-9788599 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-97885992022-12-24 Left Atrial Diameter and the Risk of Thromboembolism in Patients with Left Ventricular Noncompaction Xu, Wei Yang, Yanmin Zhu, Jun Tan, Jiangshan Wang, Jingyang Wang, Lulu J Cardiovasc Dev Dis Article Aims: Patients with left ventricular noncompaction (LVNC) are at risk of thromboembolism. The relationship between left atrial diameter (LAD), a robust predictor for thrombosis, and LVNC is unclear. The purpose of this study was to explore the effect of LAD on the thrombotic risk in LVNC. Methods: In this retrospective cohort study, 320 patients with imaging characteristics of LVNC were included for statistical analysis. The primary endpoint was a composite event of intracardiac thrombi and stroke or transient ischemic attack (TIA). The secondary endpoints were intracardiac thrombi and stroke/TIA. Results: The 320 included patients (211 [65.9%] men, median age: 45 years [interquartile range: 30–57]) were divided into LAD1 (<43 mm, n = 157) and LAD2 (≥43 mm, n = 163) groups based on the median LAD. Throughout the median follow-up of 34 months, the incidence of thromboembolism among them was 7.2%: 11 (3.4%) patients had stroke/TIA and 14 (4.4%) had intracardiac thrombi. The rate of thromboembolism in the LAD2 group was higher than that of patients in the LAD1 group (11.0% vs. 3.2%, p = 0.007). Kaplan–Meier survival curves suggested that a LAD ≥ 43 mm was associated with a higher risk of thromboembolism and intracardiac thrombi (log-rank test, all p < 0.05). After adjusting for potential risk factors, LAD ≥ 43 mm was found to be an independent risk factor for thromboembolism (p = 0.013) and stroke (p = 0.024). The area under the receiver operating characteristic curve of LAD for predicting thromboembolism reached 0.696 at 1 year, 0.635 at 2 years, and 0.660 at 3 years. Conclusions: A larger LAD was related to a higher risk of thromboembolism in patients with LVNC. The LAD may be a useful predictor for thrombotic risk stratification among such patients. MDPI 2022-11-30 /pmc/articles/PMC9788599/ /pubmed/36547423 http://dx.doi.org/10.3390/jcdd9120426 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Xu, Wei Yang, Yanmin Zhu, Jun Tan, Jiangshan Wang, Jingyang Wang, Lulu Left Atrial Diameter and the Risk of Thromboembolism in Patients with Left Ventricular Noncompaction |
title | Left Atrial Diameter and the Risk of Thromboembolism in Patients with Left Ventricular Noncompaction |
title_full | Left Atrial Diameter and the Risk of Thromboembolism in Patients with Left Ventricular Noncompaction |
title_fullStr | Left Atrial Diameter and the Risk of Thromboembolism in Patients with Left Ventricular Noncompaction |
title_full_unstemmed | Left Atrial Diameter and the Risk of Thromboembolism in Patients with Left Ventricular Noncompaction |
title_short | Left Atrial Diameter and the Risk of Thromboembolism in Patients with Left Ventricular Noncompaction |
title_sort | left atrial diameter and the risk of thromboembolism in patients with left ventricular noncompaction |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9788599/ https://www.ncbi.nlm.nih.gov/pubmed/36547423 http://dx.doi.org/10.3390/jcdd9120426 |
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