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Left atrial volume index as a predictor for persistent left ventricular dysfunction after aortic valve surgery in patients with chronic aortic regurgitation: the role of early postoperative echocardiography

DC Field Value Language
dc.contributor.author성지민-
dc.contributor.author심지영-
dc.contributor.author이상은-
dc.contributor.author장병철-
dc.contributor.author장혁재-
dc.contributor.author정남식-
dc.contributor.author조인정-
dc.contributor.author하종원-
dc.contributor.author허란-
dc.contributor.author홍그루-
dc.date.accessioned2016-02-04T11:34:01Z-
dc.date.available2016-02-04T11:34:01Z-
dc.date.issued2015-
dc.identifier.issn0742-2822-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140711-
dc.description.abstractBACKGROUND: This study aimed to explore whether echocardiographic measurements during the early postoperative period can predict persistent left ventricular systolic dysfunction (LVSD) after aortic valve surgery in patients with chronic aortic regurgitation (AR). METHODS: We prospectively recruited 54 patients (59 ± 12 years) with isolated chronic severe AR who subsequently underwent aortic valve surgery. Standard transthoracic echocardiography was performed before the operation, during the early postoperative period (≤2 weeks), and then 1 year after the surgery. RESULTS: Twelve patients with preoperative LVSD demonstrated LVSD at early after the surgery. Of the 42 patients without LVSD at preoperative echocardiography, 15 patients (36%) developed early postoperative LVSD after surgical correction. All 27 patients without LVSD at early postoperative echocardiography maintained LV function at 1 year after surgery. In the other 27 patients with postoperative LVSD, 17 patients recovered from LVSD and 10 patients did not at 1 year after surgery. Multiple logistic analysis demonstrated that postoperative left atrial volume index (LAVI) was the only independent predictor for persistent LVSD at 1 year after surgery in patients with postoperative LVSD (OR 1.180, 95% CI, 1.003-1.390, P = 0.046). The optimal LAVI cutoff value (>34.9 mL/m(2) ) had a sensitivity of 80% and a specificity of 88% for the prediction of persistent LVSD. CONCLUSION: Prevalence of early postoperative LVSD was relatively high, even in the patients without LVSD at preoperative echocardiography. Postoperative LAVI could be useful to predict persistent LVSD after aortic valve surgery in patients with early postoperative LVSD.-
dc.description.statementOfResponsibilityopen-
dc.format.extent896~903-
dc.relation.isPartOfECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAortic Valve/diagnostic imaging-
dc.subject.MESHAortic Valve/surgery-
dc.subject.MESHAortic Valve Insufficiency/complications*-
dc.subject.MESHAortic Valve Insufficiency/diagnostic imaging-
dc.subject.MESHAortic Valve Insufficiency/surgery*-
dc.subject.MESHCardiac Valve Annuloplasty/adverse effects*-
dc.subject.MESHChronic Disease-
dc.subject.MESHEchocardiography-
dc.subject.MESHFemale-
dc.subject.MESHHeart Atria/diagnostic imaging*-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOrgan Size-
dc.subject.MESHPostoperative Period-
dc.subject.MESHPrognosis-
dc.subject.MESHReproducibility of Results-
dc.subject.MESHRisk Factors-
dc.subject.MESHSensitivity and Specificity-
dc.subject.MESHSeverity of Illness Index-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVentricular Dysfunction, Left/diagnostic imaging*-
dc.subject.MESHVentricular Dysfunction, Left/etiology*-
dc.titleLeft atrial volume index as a predictor for persistent left ventricular dysfunction after aortic valve surgery in patients with chronic aortic regurgitation: the role of early postoperative echocardiography-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic & Cardiovascular Surgery (흉부외과학)-
dc.contributor.googleauthorIn-Jeong Cho-
dc.contributor.googleauthorHyuk-Jae Chang-
dc.contributor.googleauthorGeu-Ru Hong-
dc.contributor.googleauthorRan Heo-
dc.contributor.googleauthorJi Min Sung-
dc.contributor.googleauthorSang-Eun Lee-
dc.contributor.googleauthorByung-Chul Chang-
dc.contributor.googleauthorChi Young Shim-
dc.contributor.googleauthorJong-Won Ha-
dc.contributor.googleauthorNamsik Chung-
dc.identifier.doi10.1111/echo.12756-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02213-
dc.contributor.localIdA03430-
dc.contributor.localIdA03490-
dc.contributor.localIdA03585-
dc.contributor.localIdA03892-
dc.contributor.localIdA04257-
dc.contributor.localIdA04348-
dc.contributor.localIdA04386-
dc.contributor.localIdA01955-
dc.contributor.localIdA02827-
dc.relation.journalcodeJ00756-
dc.identifier.eissn1540-8175-
dc.identifier.pmid25252020-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/echo.12756/abstract-
dc.subject.keywordaortic regurgitation-
dc.contributor.alternativeNameSung, Ji Min-
dc.contributor.alternativeNameShim, Chi Young-
dc.contributor.alternativeNameLee, Sang Eun-
dc.contributor.alternativeNameChang, Byung Chul-
dc.contributor.alternativeNameChang, Hyuck Jae-
dc.contributor.alternativeNameChung, Nam Sik-
dc.contributor.alternativeNameCho, In Jeong-
dc.contributor.alternativeNameHa, Jong Won-
dc.contributor.alternativeNameHeo, Ran-
dc.contributor.alternativeNameHong, Geu Ru-
dc.contributor.affiliatedAuthorShim, Chi Young-
dc.contributor.affiliatedAuthorChang, Byung Chul-
dc.contributor.affiliatedAuthorChang, Hyuck Jae-
dc.contributor.affiliatedAuthorChung, Nam Sik-
dc.contributor.affiliatedAuthorCho, In Jeong-
dc.contributor.affiliatedAuthorHa, Jong Won-
dc.contributor.affiliatedAuthorHeo, Ran-
dc.contributor.affiliatedAuthorHong, Geu Ru-
dc.contributor.affiliatedAuthorSung, Ji Min-
dc.contributor.affiliatedAuthorLee, Sang Eun-
dc.rights.accessRightsnot free-
dc.citation.volume32-
dc.citation.number6-
dc.citation.startPage896-
dc.citation.endPage903-
dc.identifier.bibliographicCitationECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, Vol.32(6) : 896-903, 2015-
dc.identifier.rimsid30259-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Research Institute (부설연구소) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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