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

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dc.contributor.author강석민-
dc.contributor.author김태훈-
dc.contributor.author박제욱-
dc.contributor.author박희남-
dc.contributor.author엄재선-
dc.contributor.author이문형-
dc.contributor.author정보영-
dc.date.accessioned2017-02-27T07:40:32Z-
dc.date.available2017-02-27T07:40:32Z-
dc.date.issued2016-
dc.identifier.issn0147-8389-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/146956-
dc.description.abstractBACKGROUND: 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.-
dc.description.statementOfResponsibilityrestriction-
dc.format.extent513~521-
dc.languageEnglish-
dc.publisherFutura Pub. Co.-
dc.relation.isPartOfPACE-PACING AND CLINICAL ELECTROPHYSIOLOGY-
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.MESHArrhythmias, Cardiac/therapy*-
dc.subject.MESHCardiac Resynchronization Therapy/methods*-
dc.subject.MESHCoronary Vessels*-
dc.subject.MESHFemale-
dc.subject.MESHHeart Failure/therapy*-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHSex Factors-
dc.titleCardiac Vein Accessibility According to Heart Diseases and Sex: Implications for Cardiac Resynchronization Therapy.-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorJAE-SUN UHM-
dc.contributor.googleauthorJE WOOK PARK-
dc.contributor.googleauthorHANCHEOL LEE-
dc.contributor.googleauthorTAE-HOON KIM-
dc.contributor.googleauthorJONG-CHAN YOUN-
dc.contributor.googleauthorBOYOUNG JOUNG-
dc.contributor.googleauthorHUI-NAM PAK-
dc.contributor.googleauthorSEOK-MIN KANG-
dc.contributor.googleauthorMOON-HYOUNG LEE-
dc.identifier.doi10.1111/pace.12843-
dc.contributor.localIdA00037-
dc.contributor.localIdA01085-
dc.contributor.localIdA04574-
dc.contributor.localIdA01776-
dc.contributor.localIdA02337-
dc.contributor.localIdA02766-
dc.contributor.localIdA03609-
dc.relation.journalcodeJ02457-
dc.identifier.eissn1540-8159-
dc.identifier.pmid26969827-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/pace.12843/abstract-
dc.subject.keywordaccessibility-
dc.subject.keywordcardiac resynchronization therapy-
dc.subject.keywordcardiac vein-
dc.subject.keywordheart failure-
dc.contributor.alternativeNameKang, Seok Min-
dc.contributor.alternativeNameKim, Tae Hoon-
dc.contributor.alternativeNamePark, Je Wook-
dc.contributor.alternativeNamePak, Hui Nam-
dc.contributor.alternativeNameUhm, Jae Sun-
dc.contributor.alternativeNameLee, Moon Hyoung-
dc.contributor.alternativeNameJoung, Bo Young-
dc.contributor.affiliatedAuthorKang, Seok Min-
dc.contributor.affiliatedAuthorKim, Tae-Hoon-
dc.contributor.affiliatedAuthorPark, Je Wook-
dc.contributor.affiliatedAuthorPak, Hui Nam-
dc.contributor.affiliatedAuthorUhm, Jae Sun-
dc.contributor.affiliatedAuthorLee, Moon Hyoung-
dc.contributor.affiliatedAuthorJoung, Bo Young-
dc.citation.volume39-
dc.citation.number6-
dc.citation.startPage513-
dc.citation.endPage521-
dc.identifier.bibliographicCitationPACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, Vol.39(6) : 513-521, 2016-
dc.date.modified2017-02-24-
dc.identifier.rimsid46520-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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