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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
- 2018.1
- 수록면
- 906 - 916 (11page)
이용수
초록· 키워드
오류제보하기
Background and Objectives Ergonovine stress echocardiography (ErgECHO) has been proposed as a noninvasive tool for the diagnosis of coronary vasospasm. However, concern over the safety of ErgECHO remains. This study was undertaken to investigate the safety and prognostic value of ErgECHO in a large population. Methods We studied 3,094 consecutive patients from a single-center registry who underwent ErgECHO from November 2002 to June 2009. Medical records, echocardiographic data, and laboratory findings obtained from follow-up periods were analyzed. Results The overall positive rate of ErgECHO was 8.6%. No procedure-related mortality or myocardial infarction (MI) occurred. Nineteen patients (0.6%) had transient symptomatic complications during ErgECHO including one who was successfully resuscitated. Cumulative major adverse cardiac events (MACEs) occurred in 14.0% and 5.1% of the patients with positive and negative ErgECHO results, respectively (p<0.001) at a median follow-up of 10.5 years. Cox regression survival analyses revealed that male sex, age, presence of diabetes, total cholesterol level of >220 mg/dL, and positive ErgECHO result itself were independent factors associated with MACEs. Conclusions ErgECHO can be performed safely by experienced physicians and its positive result may be an independent risk factor for long-term adverse outcomes. It may also be an alternative tool to invasive ergonovine-provoked coronary angiography for the diagnosis of vasospastic angina.
목차
등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Yasue H / 2008 / Coronary artery spasm--clinical features, diagnosis, pathogenesis, and treatment / J Cardiol 51:2~17
JCS Joint Working Group / 2014 / Guidelines for diagnosis and treatment of patients with vasospastic angina (Coronary Spastic Angina) (JCS 2013) / Circ J 78:2779~2801
Cortell A / 2010 / Ergonovine stress echocardiography: recent experience and safety in our centre / World J Cardiol 2:437~442
Morales MA / 1995 / Ergonovine-echo test to assess the significance of chest pain at rest without ECG changes / Eur Heart J 16:1361~1366
Song JK / 1996 / Ergonovine echocardiography as a screening test for diagnosis of vasospastic angina before coronary angiography / J Am Coll Cardiol 27:1156~1161
JCS Joint Working Group / 2014 / Guidelines for diagnosis and treatment of patients with vasospastic angina (Coronary Spastic Angina) (JCS 2013) / Circ J 78:2779~2801
Cortell A / 2010 / Ergonovine stress echocardiography: recent experience and safety in our centre / World J Cardiol 2:437~442
Morales MA / 1995 / Ergonovine-echo test to assess the significance of chest pain at rest without ECG changes / Eur Heart J 16:1361~1366
Song JK / 1996 / Ergonovine echocardiography as a screening test for diagnosis of vasospastic angina before coronary angiography / J Am Coll Cardiol 27:1156~1161
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