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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 1 - 12 (12page)
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Background: Characteristics of coronary vasospasm-related sudden cardiac death are not well understood. We aimed to compare the characteristics and clinical outcomes between coronary vasospasm and stenosis, in out-of-hospital cardiac arrest (OHCA) survivors, who underwent coronary angiogram (CAG). Methods: We conducted a multicenter retrospective observational registry-based study at 8 Korean tertiary care centers. Data of OHCA survivors undergoing CAG between 2010 and 2015 were extracted. Patients were divided into vasospasm and stenosis (stenosis > 50%) groups based on CAG findings. The primary and the secondary outcomes were survival and a good neurologic outcome at 30 days after OHCA. Patients in the vasospasm and stenosis groups were propensity score matched. Results: Of the 413 included patients, vasospasm and stenosis groups comprised 87 and 326 patients, respectively. There were 279 (66.7%) survivors and 206 (49.3%) patients with good neurologic outcomes. The vasospasm group had better clinical characteristics for outcome (younger age, less diabetes and hypertension, more prehospital restoration of spontaneous circulation, higher Glasgow Coma Scale, less ST segment elevation, and less requirement of circulatory support). The vasospasm group had better survival (75/87 vs. 204/326, P < 0.001) and good neurologic outcomes (62/87 vs. 144/326, P < 0.001). However, vasospasm was not independently associated with survival (odds ratio [OR], 0.980; 95% confidence interval [CI], 0.400–2.406) or neurologic outcomes (OR, 0.870; 95% CI, 0.359–2.108) after adjustment and vasospasm was not associated with survival and neurologic outcome in propensity score-matched cohorts. Conclusion: Our analysis of propensity score-matched cohorts finds that vasospasm OHCA survivors have survival and neurologic outcomes comparable with those of stenotic OHCA survivors.
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등록된 정보가 없습니다.
참고문헌 (34)
참고문헌 신청
Myerberg RJ / 2012 / Braunwald's Heart Disease / Elsevier Saunders :845~884
Waldmann V / 2018 / Characteristics and clinical assessment of unexplained sudden cardiac arrest in the real-world setting : focus on idiopathic ventricular fibrillation / Eur Heart J 39(21):1981~1987
Tateishi K / 2018 / Clinical value of ST-segment change after return of spontaneous cardiac arrest and emergent coronary angiography in patients with out-of-hospital cardiac arrest : Diagnostic and therapeutic importance of vasospastic angina / Eur Heart J Acute Cardiovasc Care 7(5):405~413
Beltrame JF / 2016 / The who, what, why, when, how and where of vasospastic angina / Circ J 80(2):289~298
Waldmann V / 2018 / Coronary vasospasm-related sudden cardiac arrest in the community / J Am Coll Cardiol 72(7):814~815
Waldmann V / 2018 / Characteristics and clinical assessment of unexplained sudden cardiac arrest in the real-world setting : focus on idiopathic ventricular fibrillation / Eur Heart J 39(21):1981~1987
Tateishi K / 2018 / Clinical value of ST-segment change after return of spontaneous cardiac arrest and emergent coronary angiography in patients with out-of-hospital cardiac arrest : Diagnostic and therapeutic importance of vasospastic angina / Eur Heart J Acute Cardiovasc Care 7(5):405~413
Beltrame JF / 2016 / The who, what, why, when, how and where of vasospastic angina / Circ J 80(2):289~298
Waldmann V / 2018 / Coronary vasospasm-related sudden cardiac arrest in the community / J Am Coll Cardiol 72(7):814~815
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