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Table 1.

Study phenotype criteria.

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Fig 1.

Analytical process.

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Table 2.

Medication use at the acute state (T0, enrollment) versus the quiescent state (follow-up) within and between groups.

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Table 3.

Baseline subject characteristics.

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Fig 2.

Radar plot of all identified metabolites that demonstrated a significant mean intra-subject temporal change between acute (T0, enrollment prior to cardiac catheterization) and quiescent state in thrombotic MI that is distinct from the pattern of change observed in non-thrombotic MI or stable CAD.

The black solid line represents change in stable CAD subjects, red illustrates change in thrombotic MI, and blue illustrates change in non-thrombotic MI. Values above indicate positive change and values below indicate negative change relative to change observed in stable CAD. The radar plot shows 65 metabolites.

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Fig 3.

Radar plot of all identified metabolites that demonstrated a significant mean intra-subject temporal change between acute (T6, after cardiac catheterization) and quiescent state in thrombotic MI that is distinct from the pattern of change observed in non-thrombotic MI or stable CAD.

The black solid line represents change in stable CAD subjects, red illustrates change in thrombotic MI, and blue illustrates change in non-thrombotic MI. Values above indicate positive change and values below indicate negative change relative to change observed in stable CAD. The radar plot shows 79 metabolites.

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Fig 3 Expand

Fig 4.

Partial Least Squares-Discriminant Analyses (PLS-DA) of acute over quiescent intra-subject fold changes.

Analyses were restricted to metabolites with significant mean intra-subject fold change in acute thrombotic MI that differed between groups at q<0.10. Loadings plots suggest the contributions of biochemical families of related metabolites to discriminating the study groups based on intra-subject fold change from quiescent to acute phase. (A) PLS-DA of enrollment (T0) over quiescent intra-subject fold changes. (B) PLS-DA of T6 (6 hours post enrollment) over quiescent intra-subject fold changes.

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Fig 4 Expand

Table 4.

Seventeen metabolites included in the final Random Forest classifier.

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Table 4 Expand

Fig 5.

Dot plots illustrating subject level acute (enrollment, T0) over quiescent state fold change for metabolites that demonstrated intra-subject change in thrombotic MI that differed from non-thrombotic MI and sCAD controls at q<0.05.

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Fig 6.

Dot plots illustrating subject level acute (post cardiac catheterization, T6) over quiescent state fold change for metabolites that demonstrated intra-subject change in thrombotic MI that differed from non-thrombotic MI and sCAD controls at q<0.05.

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Table 5.

Metabolites specific to thrombotic MI evidenced by T0/Q intra subject fold change.

Metabolites with an ANOVA q < 0.05 (preserving the false discovery rate at < 5%), significant post-hoc comparisons between thrombotic MI and both control groups, and demonstrating significant change from quiescent to acute (q < 0.05) are deemed to be specific to thrombotic MI.

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Table 6.

Metabolites specific to thrombotic MI evidenced by T6/Q intra-subject fold change.

Metabolites with an ANOVA q < 0.05 (preserving the false discovery rate at < 5%), significant post-hoc comparisons between thrombotic MI and both control groups, and demonstrating significant change from quiescent to acute (q < 0.05) are deemed to be specific to thrombotic MI.

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Table 6 Expand