Table 1 Baseline characteristics of patients without and with LAA thrombi. Data are displayed as n (%) or mean ± SD. Actual numbers of patients differing from total number of study group are indicated separately for each parameter.
Without LAA thrombus | With LAA thrombus | p value | |
|---|---|---|---|
total n = 481 | total n = 450 | ||
Age (years) | 67.8 ± 10.2 | 72.5 ± 8.8 | < 0.001 |
Male | 293 (60.9%) | 292 (64.9%) | 0.21 |
Body mass index (BMI) (kg/m2) | 30.9 ± 6.0 | 30.2 ± 5.9 | 0.07 |
Cerebral thrombotic events | |||
Transient ischemic attack (TIA) | 14 (2.9%) | 20 (4.5%) | 0.21 |
Stroke | 54 (11.2%) | 87 (19.3%) | < 0.001 |
n = 432 | 0.005 | ||
Hypertension | 442 (91.9%) | 416 (96.3%) | |
Diabetes mellitus Type II | 110 (22.9%) | 159 (35.3%) | < 0.001 |
Atherosclerotic vessel disease | |||
n = 394 | n = 374 | < 0.001 | |
Peripheral artery disease (PAD) | 46 (11.7%) | 90 (24.1%) | |
n = 459 | n = 442 | < 0.001 | |
Coronary artery disease (CAD) | 166 (36.2%) | 237 (53.6%) | |
One vessel | − 70 (42.4%) | − 93 (38.8%) | |
Two vessels | − 42 (25.5%) | − 57 (23.8%) | |
Three vessels | − 53 (32.1%) | − 84 (35.0%) | |
n = 387 | n = 353 | < 0.001 | |
CAD + PAD | 37 (9.6%) | 74 (21.0%) | |
Structural heart disease | |||
Dilated cardiomyopathy (DCM) | 40 (8.3%) | 85 (18.9%) | < 0.001 |
Hypertrophic (obstructive) cardiomyopathy H(O)CM | 7 (1.4%) | 10 (2.2%) | 0.055 |
Valvular heart disease (moderate and severe) | |||
Mitral valve stenosis | n = 473 | ||
9 (1.9%) | 30 (6.7%) | < 0.001 | |
Mitral valve regurgitation | n = 467 | n = 441 | |
72 (15.4%) | 89 (20.2%) | 0.06 | |
Prior mitral valve surgery and interventional procedures | n = 438 | ||
33 (6.8%) | 47 (10.7) | 0.17 | |
Aortic valve stenosis | 19 (4.0%) | 55 (12.2%) | < 0.001 |
Prior aortic valve surgery/ interventional procedures | 23 (4.7%) | 32 (7.7%) | < 0.001 |
Aortic valve regurgitation | n = 428 | ||
17 (3.5%) | 27 (6.3%) | 0.052 | |
Tricuspid valve regurgitation | n = 467 | ||
47 (10.1%) | 121 (26.9%) | < 0.001 | |
Prior reconstruction | n = 467 | ||
2 (0.4%) | 12 (2.7%) | < 0.001 | |
Echocardiographic characteristics | |||
Ejection fraction % | 54.7 ± 12.9 | 42.6 ± 16.4 | < 0.001 |
Septum diameter (mm) | |||
n = 447 | n = 431 | < 0.001 | |
≤ 13 mm | 374 (83.6%) | 320 (74.2%) | |
≥ 14 mm | 73 (16.3%) | 111 (25.7%) | |
Left atrium (LA) diameter parasternal long axis (mm) | n = 143 | n = 138 | 0.003 |
47.7 ± 7.2 | 50.2 ± 6.6 | ||
LA area 4 chamber view (cm2) | n = 388 | n = 394 | |
27.4 ± 6.2 | 31.4 ± 7.1 | < 0.001 | |
Right atrium (RA) area 4 chamber view (cm2) | n = 293 | n = 367 | |
24.09 ± 5.1 | 27.12 ± 6.7 | < 0.001 | |
LAA flow velocity first TEE (cm/s) | n = 437 | n = 421 | |
44.0 ± 16.2 | 19.6 ± 5.6 | < 0.001 | |
E/e´ | n = 215 | n = 213 | |
14.1 ± 4.5 | 19.1 ± 6.9 | < 0.001 | |
LVEDP (mmHg) | n = 191 | n = 214 | |
16.2 ± 5.3 | 17.9 ± 5.3 | 0.002 | |
CHA2DS2- VASc score | n = 477 | n = 448 | < 0.001 |
≤ 4 | 380 (79.6%) | 244 (54.5%) | |
≥ 5 | 97 (20.3%) | 204 (45.5%) | |
Blood chemistry characteristics | |||
INR first admission | n = 236 | n = 250 | |
2.6 ± 0.76 | 2.38 ± 0.87 | < 0.001 | |
high-sensitivity (hs) Troponin T ng/ml (< 0.014 ng/ml) | n = 204 | n = 225 | |
0.023 ± 0.035 | 0.042 ± 0.049 | < 0.001 | |
NT-proBNP pg/ml (< 300 pg/ml) | n = 261 | n = 325 | |
2433.0 ± 2864.9 | 5687.9 ± 8596.9 | < 0.001 | |
D-Dimer mg/l (< 0.23 mg/l) | n = 129 | n = 132 | |
0.19 ± 0.2 | 0.31 ± 0.3 | 0.002 | |
C-reactive protein (CRP) mg/dl (< 0.5 mg/dl) | n = 471 | n = 444 | |
0.37 ± 0.48 | 0.98 ± 2.01 | < 0.001 | |
Fibrinogen mg/dl (184–480 mg/dl) | n = 427 | n = 381 | |
378.1 ± 67.5 | 425.6 ± 76.3 | < 0.001 | |
HbA1c mmol/mol (< 42 mmol/mol) | n = 211 | n = 209 | |
43.1 ± 10.5 | 47.2 ± 11.3 | < 0.001 | |
Glomerular filtration rate (GFR) ml/min/1.73m2 | n = 448 | ||
73.8 ± 22.9 | 59.4 ± 22.5 | < 0.001 | |
Oral anticoagulation on admission | |||
None | 72 (15.0%) | 120 (26.7%) | |
Vitamin K antagonist | 253 (52.6%) | 266 (59.1%) | |
Factor Xa inhibitor | 97 (20.2%) | 38 (8.4%) | |
Thrombin inhibitor | 13 (2.7%) | 10 (2.2%) | |
Heparin low molecular weight | 42 (8.7%) | 12 (2.7%) | |
LAA morphology (CT) | n = 251 | n = 163 | 0.107 |
Cactus | 71 (28.3%) | 64 (39.3%) | |
Chicken wing | 114 (45.4%) | 61 (37.4%) | |
Windsock | 50 (19.9%) | 26 (16.0%) | |
Califlower | 16 (6.4%) | 12 (7.4%) | |