Massive Anterior STEMI Due to Essential Thrombocythemia Leading to Urgent Thrombocytapheresis
Bibliographic record
Abstract
BACKGROUND: Myocardial infarction in essential thrombocythemia (ET) is a rare but severe complication of this myeloproliferative disorder, occurring in approximately 2% to 3% of the population. CASE SUMMARY: /L on admission, justifying prompt thrombocytapheresis in the coronary care unit. DISCUSSION: In acute symptomatic thrombohemorrhagic complications, the American Society for Apheresis designates thrombocytapheresis as a Class II recommendation. This case describes the novel use of thrombocytapheresis in the setting of anterior STEMI with ET. TAKE-HOME MESSAGES: STEMI complicating acutely decompensated ET is life threatening, and early thrombocytapheresis should be considered in select patients. This case demonstrates the potential benefit of more aggressive cytoreductive therapy in patients with ET and underlying cardiovascular risk factors.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
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 teacher head, 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".