ArticleReviews in cardiovascular medicine2026
Association Between Gensini Score and Left Ventricular Thrombus in Patients With Acute ST-Segment Elevation Myocardial Infarction.
Article in Reviews in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Left ventricular thrombus (LVT) is a serious complication of acute ST-segment elevation myocardial infarction (STEMI). Early risk stratification remains challenging. The Gensini score, quantifying coronary artery disease burden from angiography, may offer early prognostic value. Methods: This retrospective cohort study included 144 patients with a first STEMI treated by primary percutaneous coronary intervention. Patients were stratified into LVT (n = 36) and non-LVT (n = 108) groups based on transthoracic echocardiography. Clinical, laboratory, echocardiographic, and angiographic data were analyzed. The Gensini score was calculated, and multivariable logistic regression and receiver operating characteristic (ROC) curve analyses were performed. Results: Patients with LVT had a significantly higher median Gensini score (101.0 vs. 46.0, Conclusion: The angiographic Gensini score is independently associated with LVT formation post-STEMI. Readily available after primary PCI, it enhances early risk stratification, potentially guiding intensified surveillance and preventive strategies for high-risk patients.
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