Cited 25 times in
Incremental Value of Left Atrial Global Longitudinal Strain for Prediction of Post Stroke Atrial Fibrillation in Patients with Acute Ischemic Stroke.
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김다래 | - |
dc.contributor.author | 정남식 | - |
dc.contributor.author | 조인정 | - |
dc.contributor.author | 하종원 | - |
dc.contributor.author | 허지회 | - |
dc.contributor.author | 홍그루 | - |
dc.contributor.author | 김영대 | - |
dc.contributor.author | 남효석 | - |
dc.contributor.author | 심지영 | - |
dc.contributor.author | 장혁재 | - |
dc.date.accessioned | 2017-02-24T11:30:56Z | - |
dc.date.available | 2017-02-24T11:30:56Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 1975-4612 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/146786 | - |
dc.description.abstract | BACKGROUND: Atrial fibrillation (AF) is a well-established risk factor for stroke. Interestingly, ischemic stroke increases risk of incident AF in patients without prior diagnosed AF. For better risk stratification for post-stroke AF, we studied left atrial (LA) size and mechanical function using two-dimensional (2D) speckle tracking imaging in patients with acute ischemic stroke. METHODS: A total of 227 patients (132 males, age 67 ± 12) with acute ischemic stroke without a history of AF underwent 2D transthoracic echocardiography and speckle tracking imaging for the assessment of LA volume index and global LA longitudinal strain (LALS). From clinical variables, the CHA2DS2-VASc score and National Institute of Health Stroke Scale (NIHSS) were calculated in each patient. Post-stroke AF was defined as newly diagnosed AF during the course after ischemic stroke. RESULTS: Post-stroke AF occurred in 25 patients (11%). Patients with post-stroke AF were older and showed a higher tendency of CHA2DS2-VASc score, significantly higher log NIHSS, larger LA volume index and lower global LALS than those without. In multivariate analysis, global LALS was an independent predictor for post-stroke AF (hazard ratio 0.90, 95% confidence interval 0.83.0.97, p < 0.01) after controlling for confounding factors. Furthermore, global LALS provided incremental predictive value for post-stroke AF over the CHA2DS2-VASc score, NIHSS, and LA volume index. The global LALS < 14.5% better distinguished post-stroke AF (area under the curve 0.837, sensitivity 60%, specificity 95%, p < 0.01) than CHA2DS2-VASc score. CONCLUSION: Global LALS as a marker of LA mechanical function has incremental predictive value for post-stroke AF in patients with acute ischemic stroke. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 20~27 | - |
dc.language | Korean, English | - |
dc.publisher | Korean Society of Echocardiography | - |
dc.relation.isPartOf | Journal of Cardiovascular Ultrasound | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Incremental Value of Left Atrial Global Longitudinal Strain for Prediction of Post Stroke Atrial Fibrillation in Patients with Acute Ischemic Stroke. | - |
dc.type | Article | - |
dc.publisher.location | Korea | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Internal Medicine | - |
dc.contributor.googleauthor | Darae Kim | - |
dc.contributor.googleauthor | Chi Young Shim | - |
dc.contributor.googleauthor | In Jeong Cho | - |
dc.contributor.googleauthor | Young Dae Kim | - |
dc.contributor.googleauthor | Hyo Suk Nam | - |
dc.contributor.googleauthor | Hyuk-Jae Chang | - |
dc.contributor.googleauthor | Geu-Ru Hong | - |
dc.contributor.googleauthor | Jong-Won | - |
dc.contributor.googleauthor | Ji Hoe Heo | - |
dc.contributor.googleauthor | Namsik Chung | - |
dc.identifier.doi | 10.4250/jcu.2016.24.1.20 | - |
dc.contributor.localId | A00361 | - |
dc.contributor.localId | A03585 | - |
dc.contributor.localId | A03892 | - |
dc.contributor.localId | A04257 | - |
dc.contributor.localId | A04369 | - |
dc.contributor.localId | A04386 | - |
dc.contributor.localId | A00702 | - |
dc.contributor.localId | A01273 | - |
dc.contributor.localId | A02213 | - |
dc.contributor.localId | A03490 | - |
dc.relation.journalcode | J01298 | - |
dc.relation.journalsince | 2006~ | - |
dc.identifier.pmid | 27081440 | - |
dc.relation.journalbefore | ~2005 Journal of the Korean Society of Echocardiography (한국심초음파학회지) | - |
dc.subject.keyword | Atrial fibrillation | - |
dc.subject.keyword | Left atrium | - |
dc.subject.keyword | Strain | - |
dc.subject.keyword | Stroke | - |
dc.contributor.alternativeName | Kim, Da Rae | - |
dc.contributor.alternativeName | Chung, Nam Sik | - |
dc.contributor.alternativeName | Cho, In Jeong | - |
dc.contributor.alternativeName | Ha, Jong Won | - |
dc.contributor.alternativeName | Heo, Ji Hoe | - |
dc.contributor.alternativeName | Hong, Geu Ru | - |
dc.contributor.alternativeName | Kim, Young Dae | - |
dc.contributor.alternativeName | Nam, Hyo Suk | - |
dc.contributor.alternativeName | Shim, Chi Young | - |
dc.contributor.alternativeName | Chang, Hyuck Jae | - |
dc.contributor.affiliatedAuthor | Kim, Da Rae | - |
dc.contributor.affiliatedAuthor | Chung, Nam Sik | - |
dc.contributor.affiliatedAuthor | Cho, In Jeong | - |
dc.contributor.affiliatedAuthor | Ha, Jong Won | - |
dc.contributor.affiliatedAuthor | Heo, Ji Hoe | - |
dc.contributor.affiliatedAuthor | Hong, Geu Ru | - |
dc.contributor.affiliatedAuthor | Kim, Young Dae | - |
dc.contributor.affiliatedAuthor | Nam, Hyo Suk | - |
dc.contributor.affiliatedAuthor | Shim, Chi Young | - |
dc.contributor.affiliatedAuthor | Chang, Hyuck Jae | - |
dc.citation.volume | 24 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 20 | - |
dc.citation.endPage | 27 | - |
dc.identifier.bibliographicCitation | Journal of Cardiovascular Ultrasound, Vol.24(1) : 20-27, 2016 | - |
dc.date.modified | 2017-02-24 | - |
dc.identifier.rimsid | 47528 | - |
dc.type.rims | ART | - |
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