지원사업
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.
초록· 키워드
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Purpose: The aim of the study is to evaluate the clinical usefulness of a TWI in the lead aVL of 12-lead ECG for predicting the left ascending artery (LAD) lesion, high risk, and 30-days mortality in patients with acute coronary syndrome (ACS). Methods: A total of 275 patients who underwent coronary angiography under the diagnosis of ACS were analyzed retrospectively from Jan 2012 to December 2013. Results: A total of 355 patients underwent coronary angiography. Of these, 275 patients (77.5%) were diagnosed with ACS. Of these, 187 patients (68.0%) had a left LAD lesion. Of these, 111 patients (59.3%) had a mid-LAD lesion. Of these, only 23 patients (22.5%) showed a TWI in the aVL lead. However, regarding the prediction of the high risk group, if there is a TWI in the aVL, when compared with patients without a TWI in the aVL, the high risk rate is four times higher in the univariable logistic regression analysis and 2.687 times higher in the multivariable logistic regression analysis. Conclusion: A TWI in the lead aVL of ECG of patients with chest pain in the ER was closely associated with high risk of ACS patients.
목차
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참고문헌 (17)
참고문헌 신청
Thygesen K / 2012 / Third universal definition of myocardial infarction / Circulation 126:2020~2035
Santos-Gallego CG1 / 2014 / Pathophysiology of acute coronary syndrome / Curr Atheroscler Rep 16:401
O’Gara PT / 2013 / 2013 ACCF/AHA guideline for the management of ST-Elevation myocardial infarction: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines / J AM Coll Cardiol 61:e78~140
Cheng JW / 2013 / Updates in antiplatelet agents used in cardiovascular diseases / J Cardiovasc Pharmacol Ther 18:514~524
Brady WJ / 2001 / Electrocardiographic ST-segment elevation : the diagnosis of acute myocardial infarction by morphologic analysis of the ST segment / Acad Emerg Med 8:961~967
Santos-Gallego CG1 / 2014 / Pathophysiology of acute coronary syndrome / Curr Atheroscler Rep 16:401
O’Gara PT / 2013 / 2013 ACCF/AHA guideline for the management of ST-Elevation myocardial infarction: A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines / J AM Coll Cardiol 61:e78~140
Cheng JW / 2013 / Updates in antiplatelet agents used in cardiovascular diseases / J Cardiovasc Pharmacol Ther 18:514~524
Brady WJ / 2001 / Electrocardiographic ST-segment elevation : the diagnosis of acute myocardial infarction by morphologic analysis of the ST segment / Acad Emerg Med 8:961~967
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