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작성일 : 16-03-14 02:39
논문번호 167
논문제목(영문) Influence of second- and third-degree heart block on 30-day outcome following acute myocardial infarction in the drug-eluting stent era.
국내외구분 국외 SCI여부 SCI(E)
연구책임자역할 공저자
주저자명 Kim HL
교신저자명 Kim SH
공동저자명 Kim HL, Kim SH, Seo JB, Chung WY, Zo JH, Kim MA, Park KW, Koo BK, Kim HS, Chae IH, Choi DJ, Cho MC, Kim YJ, Kim JH, Ahn Y, Jeong MH;
게제년월일 2014-08-28
ISSN 0002-9149
Impact Factor 3.276
학술지명 The American journal of cardiology
서지사항 0집 / 114권 / 11호,   페이지(1658 - 1662)
요약초록문
(Abstract) 입력		 This study was conducted to investigate the prognostic value of heart block among patients with acute myocardial infarction (AMI) treated with drug-eluting stents. A total of 13,862 patients with AMI, registered in the nation-wide AMI database from January 2005 to June 2013, were analyzed. Second- (Mobitz type I or II) and third-degree atrioventricular block were considered as heart block in this study. Thirty-day major adverse cardiac events (MACE) including all causes of death, recurrent myocardial infarction, and revascularization were evaluated. Percutaneous coronary intervention with implantation of drug-eluting stent was performed in 89.8% of the patients. Heart block occurred in 378 patients (2.7%). Thirty-day MACE occurred in 1,144 patients (8.2%). Patients with heart block showed worse clinical parameters at initial admission, and the presence of heart block was associated with 30-day MACE in univariate analyses. However, the prognostic impact of heart block was not significant after adjustment of potential confounders (p = 0.489). Among patients with heart block, patients with a culprit in the left anterior descending (LAD) coronary artery had worse clinical outcomes than those of patients with a culprit in the left circumflex or right coronary artery. LAD culprit was a significant risk factor for 30-day MACE even after controlling for confounders (odds ratio 5.28, 95% confidence interval 1.22 to 22.81, p = 0.026). In conclusion, despite differences in clinical parameters at the initial admission, heart block was not an independent risk factor for 30-day MACE in adjusted analyses. However, a LAD culprit was an independent risk factor for 30-day MACE among patients with heart block.
파일  C167.+Am+J+Cardiol.+2014;114(11)1658-1662..pdf (249.5K) DATE : 2021-05-26 11:44:04