European journal of internal medicine
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Eur. J. Intern. Med. · Jan 2025
Prediction of left ventricular thrombus after myocardial infarction: a cardiac magnetic resonance-based prospective registry.
Left ventricular thrombus (LVTh) is a severe complication after ST-segment elevation myocardial infarction (STEMI). ⋯ LVTh within 6 months post-STEMI can be predicted using pre-discharge clinical (anterior infarction and CCS), echocardiographic (LVEF), and ECG (sum-STE and Q-STE) data. Our results can help select patients who should undergo CMR after STEMI for LVTh detection.
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Homocysteine (Hcy) levels are elevated in different conditions, including cardiovascular diseases (CVD), diabetes, and metabolic-associated steatotic liver disease (MASLD). In this observational retrospective study, we analyzed Hcy levels in a population of 901 outpatients, considering its putative etiological role in MASLD. ⋯ Our data suggest an intriguing scenario whereby HHcy is present in patients with MASLD and is associated to lower vitamin D and altered glucose and lipid profile. Thus, considering Hcy levels may help clinicians with the management of patients with increased MASLD risk.