지원사업
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
- 2013.1
- 수록면
- 100 - 109 (10page)
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초록· 키워드
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Background and Objectives: The benefit of early statin treatment following acute myocardial infarction (MI) complicated with cardio -genic shock (CS) has not been well studied. We sought to assess the effect of early statin therapy in patients with CS complicating acute MI.
Subjects and Methods: We studied 553 statin-naïve patients with acute MI and CS (Killip class IV) who underwent revascularization therapy between November 2005 and January 2008 at 51 hospitals in the Korea Acute Myocardial Infarction Registry. Patients were di-vided into 2 groups: those who received statins during hospitalization (n=280) and those who did not (n=273). The influence of statin treatment on a 12-month clinical outcome was examined using a matched-pairs analysis (n=200 in each group) based on the propensity for receiving statin therapy during hospitalization.
Results: Before adjustment, patients receiving statin, compared to those not receiving statin, had a more favorable clinical profile, were less likely to suffer procedural complications, and more likely to receive adequate medical therapy. Patients receiving statin had lower un-adjusted in-hospital mortality and composite rate of mortality, MI, and repeat revascularization at 12 months, which remained signifi-cantly lower after adjustment for patient risk, procedural characteristics, and treatment propensity.
Conclusion: In CS patients with acute MI undergoing revascularization therapy, early statin treatment initiated during hospitalization was associated with lower rates of in-hospital death and 12-month adverse cardiac events.
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등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
Krumholz HM / 2008 / ACC/AHA 2008 performancemeasures for adults with ST-elevation and non-ST-elevationmyocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures(Writing Committee to develop performance measures for ST-elevationand non-ST-elevation myocardial infarction): developed in collaborationwith the American Academy of Family Physicians and the AmericanCollege of Emergency Physicians: endorsed by the American Associationof Cardiovascular and Pulmonary Rehabilitation, Society forCardiovascular Angiography and Interventions, and Society of HospitalMedicine / Circulation 118:2596~2648
Antman EM / 2008 / Focused Update ofthe ACC/AHA 2004 Guidelines for the Management of Patients WithST-Elevation Myocardial Infarction: a report of the American College ofCardiology/American Heart Association Task Force on Practice Guidelines:developed in collaboration With the Canadian CardiovascularSociety endorsed by the American Academy of Family Physicians: 2007Writing Group to Review New Evidence and Update the ACC/AHA 2004Guidelines for the Management of Patients With ST-Elevation MyocardialInfarction, Writing on Behalf of the 2004 Writing Committee / Circulation 117:296~329
Hamm CW / 2011 / ESC Guidelines for the managementof acute coronary syndromes in patients presenting withoutpersistent ST-segment elevation: the Task Force for the managementof acute coronary syndromes (ACS) in patients presenting withoutpersistent ST-segment elevation of the European Society of Cardiology(ESC) / Eur Heart J 32:2999~3054
Wright RS / 2011 / ACCF/AHA FocusedUpdate of the Guidelines for the Management of Patients With UnstableAngina/ Non-ST-Elevation Myocardial Infarction (Updating the 2007Guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines / Circulation 123:2022~2060
Goldberg RJ / 2009 / Thirty-yeartrends (1975 to 2005) in the magnitude of, management of, and hospitaldeath rates associated with cardiogenic shock in patients withacute myocardial infarction: a population-based perspective / Circulation 119:1211~1219
Antman EM / 2008 / Focused Update ofthe ACC/AHA 2004 Guidelines for the Management of Patients WithST-Elevation Myocardial Infarction: a report of the American College ofCardiology/American Heart Association Task Force on Practice Guidelines:developed in collaboration With the Canadian CardiovascularSociety endorsed by the American Academy of Family Physicians: 2007Writing Group to Review New Evidence and Update the ACC/AHA 2004Guidelines for the Management of Patients With ST-Elevation MyocardialInfarction, Writing on Behalf of the 2004 Writing Committee / Circulation 117:296~329
Hamm CW / 2011 / ESC Guidelines for the managementof acute coronary syndromes in patients presenting withoutpersistent ST-segment elevation: the Task Force for the managementof acute coronary syndromes (ACS) in patients presenting withoutpersistent ST-segment elevation of the European Society of Cardiology(ESC) / Eur Heart J 32:2999~3054
Wright RS / 2011 / ACCF/AHA FocusedUpdate of the Guidelines for the Management of Patients With UnstableAngina/ Non-ST-Elevation Myocardial Infarction (Updating the 2007Guideline): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines / Circulation 123:2022~2060
Goldberg RJ / 2009 / Thirty-yeartrends (1975 to 2005) in the magnitude of, management of, and hospitaldeath rates associated with cardiogenic shock in patients withacute myocardial infarction: a population-based perspective / Circulation 119:1211~1219
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