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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
- 2014.1
- 수록면
- 1,516 - 1,525 (10page)
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Purpose: The association between pulmonary vein (PV) dilatation and stroke in non-valvular atrial fibrillation (AF) patients remains unknown. Materials and Methods: We examined the left atrium (LA) and PV in control (n=138) and non-valvular AF patients without (AF group, n=138) and with non-hemorrhagic stroke (AF with stroke group, n=138) using computed tomography. Results: The LA, LA appendage (LAA), and all PVs were larger in the AF than control patients. The orificeareas of the LAA (5.6±2.2 cm2 vs. 4.7±1.7 cm2, p<0.001), left superior PV (3.8±1.5 cm2 vs. 3.4±1.2 cm2, p=0.019), and inferior PV (2.3±1.0 cm2 vs. 1.8±0.7 cm2, p<0.001) were larger in the AF with stroke than in the AF only group. However,right PVs were not different between the two groups. In a multivariate analysis,the orifice areas of the left superior PV [odds ratio (OR) 1.25, 95% confidence interval (CI) 1.03‒1.51, p=0.02], left inferior PV (OR 1.97, 95% CI 1.41‒2.75, p<0.001), and LAA (OR 1.30, 95% CI 1.13‒1.50, p<0.001) were independent predictorsof stroke. Conclusion: Compared to the right PVs, the left PVs and LAA exhibited more significant enlargement in patients with AF and stroke than in patientswith AF only. This finding suggests that the remodeling of left-sided LA structures might be related to stroke.
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참고문헌 (34)
참고문헌 신청
Black IW / 1993 / Evaluation of transesophageal echocardiography before cardioversion of atrial fibrillation and flutter in nonanticoagulated patients / Am Heart J 126:375~381
Fuster V / 2011 / 2011 ACCF/AHA/HRS focused updates incorporated into the ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines / Circulation 123:e269~e367
Goldstein LB / 2006 / Primary prevention of ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council: cosponsored by the Atherosclerotic Peripheral Vascular Disease Interdisciplinary Working Group; Cardiovascular Nursing Council; Clinical Cardiology Council; Nutrition, Physical Activity, and Metabolism Council; and the Quality of Care and Outcomes Research Interdisciplinary Working Group / Circulation 113:e873~e923
김영리 / 2012 / Early Experience Using a Left Atrial Appendage Occlusion Device in Patients with Atrial Fibrillation / Yonsei Medical Journal 53(1):83~90
Wang Y / 2010 / Left atrial appendage studied by computed tomography to help planning for appendage closure device placement / J Cardiovasc Electrophysiol 21:973~982
Fuster V / 2011 / 2011 ACCF/AHA/HRS focused updates incorporated into the ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines / Circulation 123:e269~e367
Goldstein LB / 2006 / Primary prevention of ischemic stroke: a guideline from the American Heart Association/American Stroke Association Stroke Council: cosponsored by the Atherosclerotic Peripheral Vascular Disease Interdisciplinary Working Group; Cardiovascular Nursing Council; Clinical Cardiology Council; Nutrition, Physical Activity, and Metabolism Council; and the Quality of Care and Outcomes Research Interdisciplinary Working Group / Circulation 113:e873~e923
김영리 / 2012 / Early Experience Using a Left Atrial Appendage Occlusion Device in Patients with Atrial Fibrillation / Yonsei Medical Journal 53(1):83~90
Wang Y / 2010 / Left atrial appendage studied by computed tomography to help planning for appendage closure device placement / J Cardiovasc Electrophysiol 21:973~982
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