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논문 기본 정보

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저자정보
Cho Sung Woo (Division of Cardiology Department of Internal Medicine Inje University Ilsan Paik Hospital Inje Uni) 양정훈 (삼성서울병원) Park Taek Kyu (Division of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical Cente) Lee Joo Myung (Division of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical Cente) Song Young Bin (Division of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical Cente) Hahn Joo-Yong (Division of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical Cente) Choi Jin-Ho (Division of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical Cente) Gwon Hyeon-Cheol (Division of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical Cente) Lee Sang Hoon (Division of Cardiology Department of Medicine Heart Vascular Stroke Institute Samsung Medical Cente) 최승혁 (성균관대학교)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.35 No.27
발행연도
2020.1
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1 - 11 (11page)

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Background: Limited data are available on the clinical meaning of early routine exercise treadmill testing (ETT) after percutaneous coronary intervention (PCI) in the drug-eluting stent era. We aimed to determine the clinical utility and implications of early routine ETT after PCI. Methods: This was a single-center, prospective cohort study. A total of 776 patients underwent ETT within 3 months after index PCI were analyzed. We classified patients into ETT positive (+) and negative (−) groups and compared major adverse cardiac events (MACE) including all-cause death, myocardial infarction, and coronary revascularization. Results: The median follow-up duration was 19.6 months (interquartile range, 15.4 to 33.5 months). ETT was positive for 63 patients (17.1%) with single-vessel disease (VD) and 150 patients (36.9%) with multi-VD. Previous PCI, absence of thrombotic lesion, multi-VD, and residual Synergy Between PCI With Taxus and Cardiac Surgery (SYNTAX) score > 8 were independent predictors of ETT (+). Compared with the ETT (−) group, the ETT (+) group was associated with increased risk of MACE for patients with single-VD (18.1% vs. 52.3%; adjusted hazard ratio [HR], 2.67; 95% confidence interval [CI], 1.10–6.49; P = 0.03) and residual SYNTAX score ≤ 8 (26.5% vs. 42.1%; adjusted HR, 1.90; 95% CI, 1.09–3.30; P = 0.02), but not for patients with multi-VD and residual SYNTAX score > 8. Conclusion: Early routine ETT after PCI might be helpful for predicting clinical outcomes in patients with single-VD and residual SYNTAX score ≤ 8 but not multi-VD and residual SYNTAX score > 8.
#Exercise Treadmill Testing #Percutaneous Coronary Intervention

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참고문헌 (16)

참고문헌 신청
Gibbons RJ / 2002 / ACC/AHA 2002guideline update for exercise testing: summary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines) / J Am Coll Cardiol 40(8):1531~1540 google schola Levine GN / 2011 / 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention : a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines and the Society for Cardiovascular Angiography and Interventions / Circulation 124(23):e574~e651 google schola Wolk MJ / 2014 / ACCF/AHA/ASE/ASNC/HFSA/HRS/SCAI/SCCT/SCMR/STS 2013 multimodality appropriate use criteria for the detection and risk assessment of stable ischemic heart disease : a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons / J Am Coll Cardiol 63(4):380~406 google schola Eisenberg MJ / 2004 / Utility of routine functional testing after percutaneous transluminal coronary angioplasty : results from the ROSETTA registry / J Invasive Cardiol 16(6):318~322 google schola Babapulle MN / 2007 / Utility of routine exercise treadmill testing early after percutaneous coronary intervention / BMC Cardiovasc Disord 7(1):12 google schola

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