지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 150 - 157 (8page)
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초록· 키워드
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Background: To investigate the impact of left ventricular (LV) diastolic functional recovery on major adverse cardiac events(MACE) 6 months after acute myocardial infarction (AMI) in patients with preserved LV systolic function.
Methods: A total 463 patients with preserved LV systolic function at 6 months after an AMI were divided into two groups basedon the extent of diastolic recovery assessed by echocardiography: group I (n = 241) showed improving diastolic function andgroup II (n = 222) did not. MACE included death, recurrent myocardial infarction, and rehospitalization due to heart failure, andthese events were compared with the patients’ characteristics at baseline.
Results: Compared with group I, the patients in group II were older and had a higher prevalence of hypertension and diabetes.
Blood levels of hemoglobin and triglyceride were lower in group II, whereas the levels of N-terminal pro-B-type natriuretic peptide(NT-proBNP) and of high-sensitivity C-reactive protein were higher in this group than in group I. MACE were significantly morefrequent in group II than in group I. Age, elevated NT-proBNP, and impaired diastolic recovery were significant independent predictorsof MACE.
Conclusion: Despite improvement in LV systolic function, LV diastolic function had not improved in 222 patients (47.9%)by the 6-month follow-up after the index AMI, and impaired diastolic functional recovery was found to be an independent predictorof MACE. Evaluation of diastolic function would be a useful way to stratify risk in patients discharged after an index AMI.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
/ 1997 / Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus / Diabetes Care 20 : 1183 ~ 1197
Cavalcante JL / 2014 / Is there a role for diastolic function assessment in era of delayed enhancement cardiac magnetic resonance imaging? : a multimodality imaging study in
Chobanian AV / 2003 / Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure ; National High Blo
Grigioni F / 2001 / Ischemic mitral regurgitation : long-term outcome and prognostic implications with quantitative Doppler assessment / Circulation 103 : 1759 ~ 1764
Grundy SM / 2004 / National Heart, Lung, and Blood Institute ; American College of Cardiology Foundation ; American Heart Association. Implications of recent clinical trials
Cavalcante JL / 2014 / Is there a role for diastolic function assessment in era of delayed enhancement cardiac magnetic resonance imaging? : a multimodality imaging study in
Chobanian AV / 2003 / Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure ; National High Blo
Grigioni F / 2001 / Ischemic mitral regurgitation : long-term outcome and prognostic implications with quantitative Doppler assessment / Circulation 103 : 1759 ~ 1764
Grundy SM / 2004 / National Heart, Lung, and Blood Institute ; American College of Cardiology Foundation ; American Heart Association. Implications of recent clinical trials
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