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Combined ECG, Echocardiographic, and Biomarker Criteria for Diagnosing Acute Myocardial Infarction in Out-of-Hospital Cardiac Arrest Patients.

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dc.contributor.author정보영-
dc.contributor.author김종윤-
dc.contributor.author박희남-
dc.contributor.author엄재선-
dc.contributor.author이문형-
dc.contributor.author이상은-
dc.date.accessioned2016-02-04T11:25:10Z-
dc.date.available2016-02-04T11:25:10Z-
dc.date.issued2015-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140382-
dc.description.abstractPURPOSE: Acute coronary lesions commonly trigger out-of-hospital cardiac arrest (OHCA). However, the prevalence of coronary artery disease (CAD) in Asian patients with OHCA and whether electrocardiogram (ECG) and other findings might predict acute myocardial infarction (AMI) have not been fully elucidated. MATERIALS AND METHODS: Of 284 consecutive resuscitated OHCA patients seen between January 2006 and July 2013, we enrolled 135 patients who had undergone coronary evaluation. ECGs, echocardiography, and biomarkers were compared between patients with or without CAD. RESULTS: We included 135 consecutive patients aged 54 years (interquartile range 45-65) with sustained return of spontaneous circulation after OHCA between 2006 and 2012. Sixty six (45%) patients had CAD. The initial rhythm was shockable and non-shockable in 110 (81%) and 25 (19%) patients, respectively. ST-segment elevation predicted CAD with 42% sensitivity, 87% specificity, and 65% accuracy. ST elevation and/or regional wall motion abnormality (RWMA) showed 68% sensitivity, 52% specificity, and 70% accuracy in the prediction of CAD. Finally, a combination of ST elevation and/or RWMA and/or troponin T elevation predicted CAD with 94% sensitivity, 17% specificity, and 55% accuracy. CONCLUSION: In patients with OHCA without obvious non-cardiac causes, selection for coronary angiogram based on the combined criterion could detect 94% of CADs. However, compared with ECG only criteria, the combined criterion failed to improve diagnostic accuracy with a lower specificity.-
dc.description.statementOfResponsibilityopen-
dc.format.extent887~894-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHBiomarkers/blood*-
dc.subject.MESHCase-Control Studies-
dc.subject.MESHCoronary Angiography-
dc.subject.MESHCoronary Artery Disease/blood-
dc.subject.MESHCoronary Artery Disease/diagnosis*-
dc.subject.MESHCoronary Artery Disease/epidemiology-
dc.subject.MESHEchocardiography/methods*-
dc.subject.MESHElectrocardiography/methods*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMyocardial Infarction/blood-
dc.subject.MESHMyocardial Infarction/diagnosis*-
dc.subject.MESHMyocardial Infarction/epidemiology-
dc.subject.MESHOut-of-Hospital Cardiac Arrest/diagnosis*-
dc.subject.MESHSensitivity and Specificity-
dc.subject.MESHTroponin T-
dc.titleCombined ECG, Echocardiographic, and Biomarker Criteria for Diagnosing Acute Myocardial Infarction in Out-of-Hospital Cardiac Arrest Patients.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorSang-Eun Lee-
dc.contributor.googleauthorJae-Sun Uhm-
dc.contributor.googleauthorJong-Youn Kim-
dc.contributor.googleauthorHui-Nam Pak-
dc.contributor.googleauthorMoon-Hyoung Lee-
dc.contributor.googleauthorBoyoung Joung-
dc.identifier.doi10.3349/ymj.2015.56.4.887-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA03609-
dc.contributor.localIdA00926-
dc.contributor.localIdA01776-
dc.contributor.localIdA02337-
dc.contributor.localIdA02766-
dc.contributor.localIdA02827-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid26069108-
dc.subject.keywordCardiac arrest-
dc.subject.keyworddiagnosis-
dc.subject.keywordelectrocardiography-
dc.subject.keywordmyocardial infarction-
dc.contributor.alternativeNameJoung, Bo Young-
dc.contributor.alternativeNameKim, Jong Youn-
dc.contributor.alternativeNamePak, Hui Nam-
dc.contributor.alternativeNameUhm, Jae Sun-
dc.contributor.alternativeNameLee, Moon Hyoung-
dc.contributor.alternativeNameLee, Sang Eun-
dc.contributor.affiliatedAuthorJoung, Bo Young-
dc.contributor.affiliatedAuthorKim, Jong Youn-
dc.contributor.affiliatedAuthorPak, Hui Nam-
dc.contributor.affiliatedAuthorUhm, Jae Sun-
dc.contributor.affiliatedAuthorLee, Moon Hyoung-
dc.contributor.affiliatedAuthorLee, Sang Eun-
dc.rights.accessRightsfree-
dc.citation.volume56-
dc.citation.number4-
dc.citation.startPage887-
dc.citation.endPage894-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.56(4) : 887-894, 2015-
dc.identifier.rimsid51973-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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