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ST 분절 상승 심근경색증 환자에서 좌심실 질량 변화의 임상적 의의
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.advisor | 탁승제 | - |
| dc.contributor.author | 박진선 | - |
| dc.date.accessioned | 2019-10-21T07:32:08Z | - |
| dc.date.available | 2019-10-21T07:32:08Z | - |
| dc.date.issued | 2018-02 | - |
| dc.identifier.other | 26769 | - |
| dc.identifier.uri | https://dspace.ajou.ac.kr/handle/2018.oak/19260 | - |
| dc.description | 학위논문(박사)--아주대학교 일반대학원 :의학과,2018. 2 | - |
| dc.description.tableofcontents | Ⅰ. Introduction 1 Ⅱ. Material and Method 2 A. Subject Population 2 B. Definition of Left Ventricular Mass and its Progression 2 C. Study End-points 3 D. Statistical analysis 3 Ⅲ. Results 4 Ⅳ. Discussion 17 Ⅴ. Conclusion 20 References 21 국문요약 24 | - |
| dc.language.iso | eng | - |
| dc.publisher | The Graduate School, Ajou University | - |
| dc.rights | 아주대학교 논문은 저작권에 의해 보호받습니다. | - |
| dc.title | ST 분절 상승 심근경색증 환자에서 좌심실 질량 변화의 임상적 의의 | - |
| dc.title.alternative | Prognostic Impact of Left Ventricular Mass Change in Patients with ST-elevation Myocardial Infarction | - |
| dc.type | Thesis | - |
| dc.contributor.affiliation | 아주대학교 일반대학원 | - |
| dc.contributor.alternativeName | Jin-Sun Park | - |
| dc.contributor.department | 일반대학원 의학과 | - |
| dc.date.awarded | 2018. 2 | - |
| dc.description.degree | Doctoral | - |
| dc.identifier.localId | 800841 | - |
| dc.identifier.url | http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000026769 | - |
| dc.subject.keyword | Left Ventricular Hypertrophy | - |
| dc.subject.keyword | Myocardial Infarction | - |
| dc.subject.keyword | Prognosis | - |
| dc.description.alternativeAbstract | Background: Prognostic significance between progression of left ventricular hypertrophy (LVH) and clinical outcomes in patients with ST-elevation myocardial infarction (STEMI) is uncertain. The objective of this study was to investigate prognostic impact of progression of LV mass index (LVMI) in patients with STEMI. Methods: We analyzed the data and clinical outcomes of patients with STEMI who received successful coronary intervention. A total of 200 patients who had echocardiographic follow-up between 12 and 36 months were finally enrolled. According to change in LVMI compared to baseline LVMI, patients were classified into progression group and non-progression group. Progression of LVMI was defined when increment of LMVI was greater than 10% compared to baseline LVMI. End points were major adverse cardiac events within 5 years, including death, recurrent MI, target vessel revascularization, and hospitalization due to heart failure. Results: Progression of LVMI occurred in 55 patients. In the progression group, rate of recurrent MI was higher (13 vs. 2 %, P = 0.026) and the event-free survival of recurrent MI was significantly worse (log-rank P < 0.001) than that in the non-progression group. Adjusted hazard ratio of progression of LVMI for recurrent MI was 10.253 (95% confidence intervals 2.019-52.061, P = 0.005). Conclusion: Increased LVMI was an independent predictor for adverse events, especially for recurrent MI, in patients with STEMI. | - |
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- Graduate School of Ajou University > Department of Medicine > 4. Theses(Ph.D)
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