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논문 기본 정보

자료유형
학술저널
저자정보
Sung-Won Jang (The Catholic University of Korea Seoul Korea) Robert W Rho (Virginia Mason Medical Center WA USA) Tae-Seok Kim (The Catholic University of Korea Seoul Korea) sung-hwan kim (The Catholic University of Korea Seoul Korea) woo-seung shin (The Catholic University of Korea Seoul Korea) Yong-Seog Oh (The Catholic University of Korea Seoul Korea) Man Young Lee (The Catholic University of Korea Seoul Korea) Eiwa Zen (Takeda Hospital Kyoto Japan) Tai-Ho Rho (The Catholic University of Korea Seoul Korea) Ji-Hoon Kim (The Catholic University of Korea Seoul Korea)
저널정보
대한심장학회 Korean Circulation Journal Korean Circulation Journal Vol.46 No.5
발행연도
2016.1
수록면
654 - 657 (4page)

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초록· 키워드

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Background and Objectives: The number of permanent pacemakers (PPMs) implanted in patients in Japan and Korea differs significantly. We aimed to investigate the differences in decision making processes of implanting a PPM. Materials and Methods: Our survey included 15 clinical case scenarios based on the 2008 AHA/ACC/HRS guidelines for device-based therapy of cardiac rhythm abnormalities (class unspecified). Members of the Korean and Japanese Societies of Cardiology were asked to rate each scenario according to a 5-point scale and to indicate their decisions for or against implantation. Results: Eighty-nine Korean physicians and 192 Japanese physicians replied to the questionnaire. For the case scenarios in which there was a class I indication for PPM implantation, the decision to implant a PPM did not differ significantly between the two physician groups. However, the Japanese physicians were significantly more likely than the Korean physicians to choose implantation in class IIa scenarios (48% vs. 37%, p<0.001), class IIb scenarios (40% vs. 19%, p<0.001), and class III scenarios (36% vs. 18%, p<0.001). These results did not change when the cases were categorized based on disease entity, such as sinus node dysfunction and conduction abnormality. Conclusion: Korean physicians are less likely than Japanese physicians to favor a PPM implantation when considering a variety of clinical case scenarios, which probably contributes to the relatively small number of PPMs implanted in patients in Korea as compared with those in Japan.

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참고문헌 (7)

참고문헌 신청
Mond HG / 2011 / The 11th world survey of cardiac pacing and implantable cardioverter-defibrillators: calendar year 2009-A World Society of Arrhythmia’s project / Pacing Clin Electrophysiol 34:1013~1027 google schola Epstein AE / 2008 / ACC/AHA/HRS 2008Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices) developed in collaboration with the American Association for Thoracic Surgery and Society of Thoracic Surgeons / J Am Coll Cardiol 51:e1~e62 google schola JCS Joint Working Group / 2013 / Guidelines for Non-Pharmacotherapy of Cardiac Arrhythmias (JCS 2011) / Circ J 77:249~274 google schola Barnhart JM / 2003 / Differential use of coronary revascularization and hospital mortality following acute myocardial infarction / Arch Intern Med 163:461~466 google schola Groeneveld PW / 2005 / Trends in implantable cardioverter-defibrillator racial disparity: the importance of geography / J Am Coll Cardiol 45:72~78 google schola

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