Cited 1 times in
Predictors and Clinical Impacts of Aggravated Left Ventricular Diastolic Dysfunction After Off-Pump Coronary Artery Bypass Grafting
DC Field | Value | Language |
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dc.contributor.author | 유경종 | - |
dc.contributor.author | 윤영남 | - |
dc.contributor.author | 이승현 | - |
dc.contributor.author | 주현철 | - |
dc.date.accessioned | 2017-10-26T07:26:00Z | - |
dc.date.available | 2017-10-26T07:26:00Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 1346-9843 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/152020 | - |
dc.description.abstract | BACKGROUND: To determine the predictors of aggravated left ventricular diastolic dysfunction (LVDD) in patients undergoing off-pump coronary artery bypass grafting (OPCAB) and to compare late outcomes according to the aggravated LVDD. METHODS?AND?RESULTS: OPCAB was performed in 1,101 patients (2001-2013). LVDD was classified as normal, mild, moderate or severe. Patients were divided into 2 groups: non-aggravated LVDD (group I) and aggravated LVDD (group II). The primary endpoint was aggravation of LVDD. The secondary endpoint was late mortality and morbidity such as major adverse cardiac and cerebrovascular events (MACCE) related to LVDD aggravation postoperatively. There were 894 patients in group I and 207 in group II. Multivariate analysis revealed that preoperative peripheral artery obstructive disease (PAOD) (P=0.04), renal failure (P<0.01), and A' velocity (P<0.01) anticipated aggravated LVDD. The Cox hazards model revealed that aggravated LVDD was a poor prognostic factor for MACCE (P<0.01) and overall survival (P<0.01). The Kaplan-Meier survival curve showed that aggravated LVDD was related to poor late outcomes (freedom from MACCE, P=0.01; overall survival, P<0.01). CONCLUSIONS: Aggravated LVDD significantly affects late clinical outcomes after OPCAB and preoperative PAOD, renal failure, and A' velocity might be predictors. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English, Japanese | - |
dc.publisher | Japanese Circulation Society | - |
dc.relation.isPartOf | CIRCULATION JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Coronary Artery Bypass, Off-Pump/adverse effects* | - |
dc.subject.MESH | Disease-Free Survival | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Survival Rate | - |
dc.subject.MESH | Ventricular Dysfunction, Left*/etiology | - |
dc.subject.MESH | Ventricular Dysfunction, Left*/mortality | - |
dc.subject.MESH | Ventricular Dysfunction, Left*/physiopathology | - |
dc.title | Predictors and Clinical Impacts of Aggravated Left Ventricular Diastolic Dysfunction After Off-Pump Coronary Artery Bypass Grafting | - |
dc.type | Article | - |
dc.publisher.location | Japan | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery | - |
dc.contributor.googleauthor | Seung Hyun Lee | - |
dc.contributor.googleauthor | Kwan Wook Kim | - |
dc.contributor.googleauthor | Hyun-Chel Joo | - |
dc.contributor.googleauthor | Kyung-Jong Yoo | - |
dc.contributor.googleauthor | Young-Nam Youn | - |
dc.identifier.doi | 10.1253/circj.CJ-16-0165 | - |
dc.contributor.localId | A02576 | - |
dc.contributor.localId | A02935 | - |
dc.contributor.localId | A03960 | - |
dc.contributor.localId | A02453 | - |
dc.relation.journalcode | J00534 | - |
dc.identifier.eissn | 1347-4820 | - |
dc.identifier.pmid | 27477845 | - |
dc.subject.keyword | Diastolic heart failure | - |
dc.subject.keyword | Doppler echocardiography | - |
dc.subject.keyword | Off-pump coronary artery bypass | - |
dc.subject.keyword | Peripheral arterial disease | - |
dc.subject.keyword | Renal insufficiency | - |
dc.contributor.alternativeName | Yoo, Kyung Jong | - |
dc.contributor.alternativeName | Youn, Young Nam | - |
dc.contributor.alternativeName | Lee, Seung Hyun | - |
dc.contributor.alternativeName | Joo, Hyun Chel | - |
dc.contributor.affiliatedAuthor | Youn, Young Nam | - |
dc.contributor.affiliatedAuthor | Lee, Seung Hyun | - |
dc.contributor.affiliatedAuthor | Joo, Hyun Chel | - |
dc.contributor.affiliatedAuthor | Yoo, Kyung Jong | - |
dc.citation.volume | 80 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 1937 | - |
dc.citation.endPage | 1945 | - |
dc.identifier.bibliographicCitation | CIRCULATION JOURNAL, Vol.80(9) : 1937-1945, 2016 | - |
dc.date.modified | 2017-10-24 | - |
dc.identifier.rimsid | 46342 | - |
dc.type.rims | ART | - |
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