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Delayed enhancement magnetic resonance imaging is a significant prognostic factor in patients with non-ischemic cardiomyopathy.

DC Field Value Language
dc.contributor.author강석민-
dc.contributor.author박성하-
dc.contributor.author임세중-
dc.contributor.author정남식-
dc.contributor.author조승연-
dc.contributor.author최규옥-
dc.contributor.author최병욱-
dc.contributor.author하종원-
dc.date.accessioned2015-04-23T16:29:52Z-
dc.date.available2015-04-23T16:29:52Z-
dc.date.issued2010-
dc.identifier.issn1346-9843-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/100691-
dc.description.abstractBACKGROUND: Delayed enhancement (DE) on cardiac magnetic resonance imaging (CMR) is a marker of myocardial fibrosis. The absence of DE in CMR is a predictor of left ventricular (LV) functional improvement in patients with non-ischemic cardiomyopathy (NICM), so in the present study it was investigated whether presence of DE has prognostic significance in patients with NICM at long-term follow-up. METHODS AND RESULTS: The 79 patients (56.4+/-13.5 years, 48 males) with NICM (LV ejection fraction <35%, no significant coronary artery disease) were monitored for occurrence of cardiac events. CMR was performed to assess DE. Cardiac events were defined as rehospitalization (because of worsening of heart failure), cardiac transplantation or death. There were 37 patients without and 42 patients with DE. The mean follow-up duration was 19+/-10 months. There was 1 event (2.7%, 1 rehospitalization) in the DE (-) group, whereas 13 events (30.9%, 1 death, 1 transplantation, 11 rehospitalizations) occurred in the DE (+) group. The event-free survival was significantly longer in the DE (-) group than in the DE (+) group (38.9+/-1.0 vs 28.4+/-2.7 months, P<0.01). Multivariate regression analysis revealed that presence of DE was the most potent, independent predictor of cardiac events (hazard ratio 8.06, confidence interval 1.03+/-63.41, P<0.05). CONCLUSIONS: The presence of DE in CMR is a significant predictor of future cardiac events in patients with NICM.-
dc.description.statementOfResponsibilityopen-
dc.format.extent476~483-
dc.relation.isPartOfCIRCULATION JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHCardiomyopathies/diagnostic imaging-
dc.subject.MESHCardiomyopathies/mortality*-
dc.subject.MESHCardiomyopathies/pathology*-
dc.subject.MESHDisease-Free Survival-
dc.subject.MESHEchocardiography-
dc.subject.MESHFemale-
dc.subject.MESHFibrosis-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHHeart Failure/diagnostic imaging-
dc.subject.MESHHeart Failure/mortality-
dc.subject.MESHHeart Failure/pathology-
dc.subject.MESHHeart Transplantation/statistics & numerical data-
dc.subject.MESHHumans-
dc.subject.MESHKaplan-Meier Estimate-
dc.subject.MESHMagnetic Resonance Imaging/methods*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMultivariate Analysis-
dc.subject.MESHMyocardium/pathology*-
dc.subject.MESHPatient Readmission/statistics & numerical data-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHPrognosis-
dc.subject.MESHStroke Volume-
dc.titleDelayed enhancement magnetic resonance imaging is a significant prognostic factor in patients with non-ischemic cardiomyopathy.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorJung Rae Cho-
dc.contributor.googleauthorSungha Park-
dc.contributor.googleauthorByoung Wook Choi-
dc.contributor.googleauthorSeok-Min Kang-
dc.contributor.googleauthorJong-Won Ha-
dc.contributor.googleauthorNamsik Chung-
dc.contributor.googleauthorKyu-Ok Choe-
dc.contributor.googleauthorSeung-Yun Cho-
dc.contributor.googleauthorSe-Joong Rim-
dc.identifier.doi10.1253/circj.CJ-09-0446-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00037-
dc.contributor.localIdA01512-
dc.contributor.localIdA03372-
dc.contributor.localIdA03585-
dc.contributor.localIdA03844-
dc.contributor.localIdA04042-
dc.contributor.localIdA04059-
dc.contributor.localIdA04257-
dc.relation.journalcodeJ00534-
dc.identifier.eissn1347-4820-
dc.identifier.pmid20118568-
dc.subject.keywordDelayed enhancement-
dc.subject.keywordHeart failure-
dc.subject.keywordMagnetic resonance imaging-
dc.subject.keywordNon-ischemic cardiomyopathy-
dc.subject.keywordPrognosis-
dc.contributor.alternativeNameKang, Seok Min-
dc.contributor.alternativeNamePark, Sung Ha-
dc.contributor.alternativeNameRim, Se Joong-
dc.contributor.alternativeNameChung, Nam Sik-
dc.contributor.alternativeNameCho, Seung Yun-
dc.contributor.alternativeNameChoe, Kyu Ok-
dc.contributor.alternativeNameChoi, Byoung Wook-
dc.contributor.alternativeNameHa, Jong Won-
dc.contributor.affiliatedAuthorKang, Seok Min-
dc.contributor.affiliatedAuthorPark, Sung Ha-
dc.contributor.affiliatedAuthorRim, Se Joong-
dc.contributor.affiliatedAuthorChung, Nam Sik-
dc.contributor.affiliatedAuthorCho, Seung Yun-
dc.contributor.affiliatedAuthorChoe, Kyu Ok-
dc.contributor.affiliatedAuthorChoi, Byoung Wook-
dc.contributor.affiliatedAuthorHa, Jong Won-
dc.citation.volume74-
dc.citation.number3-
dc.citation.startPage476-
dc.citation.endPage483-
dc.identifier.bibliographicCitationCIRCULATION JOURNAL, Vol.74(3) : 476-483, 2010-
dc.identifier.rimsid37750-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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