{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T12:16:59Z","timestamp":1780575419259,"version":"3.54.1"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"24","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2022,12,20]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Acute myocardial infarction (AMI) with essential thrombocythemia (ET) or polycythemia vera is rare, and there are scarce real\u2010world data on its management and impact on in\u2010hospital outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">Dates of current retrospective cohort study were obtained from the US National Inpatient Sample from October 2015 to 2019 for hospitalizations with AMI. The primary outcome was in\u2010hospital mortality, and the secondary outcome was major adverse cardiac or cerebrovascular events, stroke, and bleeding; major adverse cardiac or cerebrovascular event was defined by a composite of all\u2010cause mortality, stroke, and cardiac complications. Of the 2\u2009871\u2009934 weighted AMI hospitalizations, 0.27% were with ET and 0.1% were with polycythemia vera. Before propensity matching, AMI hospitalization with ET was associated with increased risk of in\u2010hospital mortality (7.1% versus 5.7%; odds ratio [OR], 1.14 [95% CI, 1.04\u20131.24]), major adverse cardiac or cerebrovascular events (12.6% versus 9%; OR, 1.36 [95% CI, 1.26\u20131.45]), bleeding (12.7% versus 5.8%; OR, 2.28 [95% CI, 2.13\u20132.44]), and stroke (3.1% versus 1.8%; OR, 1.66 [95% CI, 1.46\u20131.89]). Polycythemia vera was associated with an increased risk of in\u2010hospital mortality (7.8% versus 5.7%; OR, 1.21 [95% CI, 1.04\u20131.39]) and major adverse cardiac or cerebrovascular events (12.0% versus 9%; OR, 1.18 [95% CI, 1.05\u20131.33]). After propensity matching, ET was associated with increased risk of bleeding (12.6% versus 6.1%; OR, 2.22 [95% CI, 1.70\u20132.90]), and AMI with polycythemia vera was not associated with worse in\u2010hospital outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">AMI hospitalization with ET is associated with high bleeding risk before and after propensity score matching, particularly for hospitalizations treated with percutaneous coronary intervention. The management of AMI requires a multidisciplinary and patient\u2010centered approach to ensure safety and improve outcomes.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.122.027352","type":"journal-article","created":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T11:38:46Z","timestamp":1671017926000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["In\u2010Hospital Outcomes of Acute Myocardial Infarction With Essential Thrombocythemia and Polycythemia Vera: Insights From the National Inpatient Sample"],"prefix":"10.1161","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9017-8405","authenticated-orcid":false,"given":"Jing","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Translational Medicine The First Hospital of Jilin University Changchun China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6777-8787","authenticated-orcid":false,"given":"YongZhen","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Cardiology Zhongnan Hospital Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5595-6163","authenticated-orcid":false,"given":"Wei","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases The First Hospital of Jilin University Changchun China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases The First Hospital of Jilin University Changchun China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7360-6052","authenticated-orcid":false,"given":"Naifan","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology The First Hospital of Jilin University Changchun China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiyang","family":"Lou","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases The First Hospital of Jilin University Changchun China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3287-5525","authenticated-orcid":false,"given":"Mingyou","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Diseases The First Hospital of Jilin University Changchun China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.26008"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/2634853520978210"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/ejh.12256"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.25303"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2011-02-339002"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11033-020-05536-x"},{"key":"e_1_3_1_8_2","first-page":"110","article-title":"Altered plasma fibrin clot properties in essential thrombocythemia","volume":"27","author":"Ma\u0142ecki R","year":"2016","unstructured":"Ma\u0142ecki R, Gacka M, Kuliszkiewicz\u2010Janus M, Jakobsche\u2010Policht U, Kwiatkowski J, Adamiec R, Undas A. Altered plasma fibrin clot properties in essential thrombocythemia. Platelets. 2016;27:110\u2013116. doi: 10.3109\/09537104.2015.1042967","journal-title":"Platelets"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1816082"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2010.31.8436"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2141.2011.08858.x"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers12071746"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.3324\/haematol.2013.101949"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.121.021614"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000000528"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2021.03.081"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2021.740084"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.thromres.2020.06.017"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.2.180"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.11.2008.1240"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/000331970405500312"},{"key":"e_1_3_1_22_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.0358"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.928409"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.2083-18"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2019.04.039"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.122.027352","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T12:38:23Z","timestamp":1715603903000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.122.027352"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,20]]},"references-count":24,"journal-issue":{"issue":"24","published-print":{"date-parts":[[2022,12,20]]}},"alternative-id":["10.1161\/JAHA.122.027352"],"URL":"https:\/\/doi.org\/10.1161\/jaha.122.027352","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,20]]},"assertion":[{"value":"2022-06-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-11-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-14","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e027352"}}