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Cardiac Vein Accessibility According to Heart Diseases and Sex: Implications for Cardiac Resynchronization Therapy.

Authors
 JAE-SUN UHM  ;  JE WOOK PARK  ;  HANCHEOL LEE  ;  TAE-HOON KIM  ;  JONG-CHAN YOUN  ;  BOYOUNG JOUNG  ;  HUI-NAM PAK  ;  SEOK-MIN KANG  ;  MOON-HYOUNG LEE 
Citation
 PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, Vol.39(6) : 513-521, 2016 
Journal Title
 PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY 
ISSN
 0147-8389 
Issue Date
2016
MeSH
Adult ; Aged ; Arrhythmias, Cardiac/therapy* ; Cardiac Resynchronization Therapy/methods* ; Coronary Vessels* ; Female ; Heart Failure/therapy* ; Humans ; Male ; Middle Aged ; Sex Factors
Keywords
accessibility ; cardiac resynchronization therapy ; cardiac vein ; heart failure
Abstract
BACKGROUND: Cardiac resynchronization therapy (CRT) is an important therapy in patients with heart failure (HF) and dyssynchrony. We performed the present study to elucidate clinical factors associated with cardiac vein accessibility. METHODS: In 255 consecutive patients (age, 48.7 ± 19.4 years; male, 126), cardiac venography was performed during CRT implantation or an electrophysiological study. We measured the diameters and the proximal branching angles of the lateral cardiac and posterior ventricular veins. Easy accessibility of the cardiac vein was defined as a lumen diameter ≥1.6 mm with an angle of ≥90°. We compared baseline characteristics between patients with and without easily accessible cardiac veins. We compared cardiac vein accessibility between patients with and without HF, including ischemic and nonischemic HF, and between males and females. RESULTS: In 189 (74.1%) patients, the cardiac veins were easily accessible. The cardiac veins were more easily accessible in patients with HF (n = 75) compared with patients without HF (n = 180; 89.3% and 67.8%, respectively; P < 0.001). The cardiac veins were more easily accessible in patients with nonischemic HF (n = 56) compared with patients with ischemic HF (n = 19; 96.4% and 68.4%, respectively; P = 0.003). The cardiac veins were more easily accessible in females compared with males (79.8% and 68.3%, respectively; P = 0.035). CONCLUSIONS: Accessing the cardiac veins for CRT implantation was difficult in ∼10% of patients with HF. Cardiac vein accessibility was high in patients with nonischemic HF and in females.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/pace.12843/abstract
DOI
10.1111/pace.12843
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Seok Min(강석민) ORCID logo https://orcid.org/0000-0001-9856-9227
Kim, Tae-Hoon(김태훈) ORCID logo https://orcid.org/0000-0003-4200-3456
Park, Je Wook(박제욱)
Pak, Hui Nam(박희남) ORCID logo https://orcid.org/0000-0002-3256-3620
Uhm, Jae Sun(엄재선) ORCID logo https://orcid.org/0000-0002-1611-8172
Lee, Moon Hyoung(이문형) ORCID logo https://orcid.org/0000-0002-7268-0741
Joung, Bo Young(정보영) ORCID logo https://orcid.org/0000-0001-9036-7225
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146956
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