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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 252 - 257 (6page)
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Purpose: Coronary flow reserve (CFR) is recognized as an indicator of myocardial perfusion. The aim of this study was to assess the relationship between CFR in the non-infarcted myocardium and the incidence of major adverse cardiac events (MACEs). Materials and Methods: 100 consecutive patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention(PCI) were enrolled in the present study, and divided into MACE and non-MACE groups according to the incidence of 12-month MACEs. Left ventricular function and CFR were analyzed using two-dimensional echocardiography and myocardial contrast echocardiography at one week after PCI. Cardiac troponin I levels were assayed to estimate peak concentrations thereof. Results: The MACE group was associated with lower CFR, compared to the non-MACE group (2.41 vs. 2.77, p<0.001). In the multivariablemodel, CFR in the non-infarcted myocardium was an independent predictor of 12-month MACE (hazard ratio: 0.093, 95% confidence interval: 0.020–0.426, p=0.002) after adjustment for baseline demographic and clinical characteristics. Conclusion: CFR in the non-infarcted myocardium is a useful marker for predicting 12-month MACEs in patients with AMI undergoingprimary PCI.
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참고문헌 (28)
참고문헌 신청
Bowers TR / 1995 / Coronary rotablation and reserve: can they occur together? / Cathet Cardiovasc Diagn 36:277
Bierig SM / 2009 / Comparison of myocardial contrast echocardiography derived myocardial perfusion reserve with invasive determination of coronary flow reserve / Eur J Echocardiogr 10:250~255
Kisanuki A / 2004 / Reproducibility of intravenous intermittent triggered myocardial contrast echocardiography in healthy subjects / Jpn Heart J 45:461~473
Kaul S / 2001 / Myocardial contrast echocardiography: basic principles / Prog Cardiovasc Dis 44:1~11
Wita K / 2011 / Prediction of left ventricular remodeling in patients with STEMI treated with primary PCI: use of quantitative myocardial contrast echocardiography / Coron Artery Dis 22:171~178
Bierig SM / 2009 / Comparison of myocardial contrast echocardiography derived myocardial perfusion reserve with invasive determination of coronary flow reserve / Eur J Echocardiogr 10:250~255
Kisanuki A / 2004 / Reproducibility of intravenous intermittent triggered myocardial contrast echocardiography in healthy subjects / Jpn Heart J 45:461~473
Kaul S / 2001 / Myocardial contrast echocardiography: basic principles / Prog Cardiovasc Dis 44:1~11
Wita K / 2011 / Prediction of left ventricular remodeling in patients with STEMI treated with primary PCI: use of quantitative myocardial contrast echocardiography / Coron Artery Dis 22:171~178
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