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Record W2470153445 · doi:10.14740/jmc.v7i7.2553

A Rare Case of a Large Intracavitary Cardiac Thrombus

2016· article· en· W2470153445 on OpenAlexvenueno aff
Jeffrey Ziffra, Gholam Zadeii

Bibliographic record

VenueJournal of Medical Cases · 2016
Typearticle
Languageen
FieldMedicine
TopicCardiac tumors and thrombi
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineThrombusCardiologyTransesophageal echocardiogramInternal medicineCardiac magnetic resonance imagingCardiac imagingMyocardial infarctionRadiologyDilated cardiomyopathyTransthoracic echocardiogramMagnetic resonance imagingAnginaPresentation (obstetrics)CardiomyopathyHeart failure

Abstract

fetched live from OpenAlex

Cardiac thrombi often present as a homogenous echodensity on cardiac imaging that may be incidentally discovered. A thrombus must be differentiated from vegetations, tumors and normal variant anatomy as their treatments are different. Cardiac thrombi are often located in cardiac chambers, most commonly the left atrium and left atrial appendage, where there is more stagnant blood flow. Thrombi may also form in structurally altered cardiac chambers as well as seen in dilated cardiomyopathy and in ventricular aneurysms. Symptoms, if present, may vary from dyspnea, angina and compressive symptoms. Currently, transthoracic echocardiography, transesophageal echocardiography and magnetic resonance imaging (MRI) are the accepted modalities to evaluate cardiac masses. MRI has been used with more frequency due to its ability to delineate mass borders, determine endocardial involvement and in its ability to detect blood flow. Few cases have been described of a large cardiac thrombus extending through the valves to include multiple chambers. In our case presentation, we describe a 91-year-old female with no significant cardiac history who presented with a non-ST elevation myocardial infarction where a transthoracic echocardiogram revealed a large intracavitary thrombus. J Med Cases. 2016;7(7):303-306 doi: http://dx.doi.org/10.14740/jmc2553w

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.004
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.004
Threshold uncertainty score0.012

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.004
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0030.002
Science and technology studies0.0020.001
Scholarly communication0.0020.002
Open science0.0010.002
Research integrity0.0040.002
Insufficient payload (model declined to judge)0.0040.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.017
GPT teacher head0.319
Teacher spread0.303 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2016
Admission routes1
Has abstractyes

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