Acute Lower Limb Ischemia as Presenting Symptom of Acute Myocardial Infarction Complicated With Left Ventricular Thrombus in a Young Male Patient: A Case Report
Bibliographic record
Abstract
Left ventricular (LV) thrombus is one of myocardial infarction (MI) complications and if the thrombus is mobile and protruding, there is a high risk of embolization. It is exceptionally rare that the presenting serious symptom of acute MI is severe leg pain. We report here a rare case of a 36-year-old Caucasian male patient with unrecognized MI complicated by LV thrombus. His initial visit to the physician was due to sudden onset of severe left leg pain as a consequence of thromboembolism. Medical examination revealed occluded left femoral commune artery and femoral superficial artery, subacute MI and apical LV thrombus, which were treated accordingly. On follow-up, 2 months after hospital discharge, patient affirmed that he has been walking for approximately 3 km every day, without leg cramps or angina. Early recognition of MI, even when presented with atypical symptoms in young individuals and its prompt treatment is important to improve survival, as well as to reduce thrombotic events. J Med Cases. 2016;7(5):184-186 doi: http://dx.doi.org/10.14740/jmc2480w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".