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여성 급성 심근경색증 환자의 연령에 따른 임상 양상 및 장기 추적 경과 관찰.

DC Field Value Language
dc.contributor.author임세중-
dc.contributor.author장양수-
dc.contributor.author정남식-
dc.contributor.author정보영-
dc.contributor.author최동훈-
dc.contributor.author하종원-
dc.contributor.author안신기-
dc.date.accessioned2019-11-11T05:18:06Z-
dc.date.available2019-11-11T05:18:06Z-
dc.date.issued2000-
dc.identifier.issn1738-5520-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/171767-
dc.description.abstractBackground and Objectives:The purpose of this study was to evaluate the age-related differences in clinical features, coronary anatomy, risk factors, hospital courses, and long-term prognosis of acute myocardial infarction (AMI) in women. Materials and Methods:Total 513 female patients with AMI were divided into 3 groups; group 1 (n=43, 50 years old or less), group 2 (n=302, between 51 years and 70 years old), and group 3 (n= 168, older than 70 years). Clinical follow-up including cardiac events was performed for mean duration of 26 months (1-155 months). Cardiac events include cardiac death, reinfarction, CABG, PTCA, CHF, stroke, and recurrent angina. Results:Minimal lesion (<50% stenosis) in infarct-related artery was more prevalent in group 1 than in group 3 (p<0.05). In group 2, the number of low high density lipoprotein (HDL) was significantly more than in group 3 (p<0.01). During hospitalization, death and shock were more prevalently observed in group 3 than group 1 (p<0.005) and group 2 (p<0.001). Group 3 had more heart failures than group 1 (p<0. 001) and group 2 (p<0.001) and group 2 had more heart failures than group 1 (p<0.05). The younger age group showed a significantly higher survial rate (7 years:group 1;76.1%, group 2;60.6%, group 3;34.2%, p<0. 0001, Log Rank Stat=49.4) and cardiac event-free survival rate (7 years:group 1; 48.4%, group 2; 32. 3%, group 3;16.0%, p<0.0001, Log Rank Stat=37.5) for each 3 comparisons. In Cox proportional harzard analysis, LV systolic function influenced the group 2 survival (odds ratio 3.8, 95% CI 1.7 to 8.3, p<0.005) and the group 3 survival (odds ratio 2.2, 95% CI 1.1 to 4.5, p<0.05). The cardiac event free survival was influenced by age (odds ratio 1.6, 95% CI 1.2 to 2.1, p<0.005) and LV systolic function (odds ratio 1.8, 95% CI 1.3 to 2.5, p<0.001). Conclusion:Younger female patients with AMI had a more favorable prognosis compared with older female patients. LV systolic fuction was important as a prognostic factor for long-term survival except younger female AMI patients.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish, Korean-
dc.publisherKorean Society of Circulation-
dc.relation.isPartOfKorean Circulation Journal-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.title여성 급성 심근경색증 환자의 연령에 따른 임상 양상 및 장기 추적 경과 관찰.-
dc.title.alternativeAge-Related Difference in Long-Term Prognosis of Acute Myocardial Infarction in Women-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthor정보영-
dc.contributor.googleauthor하종원-
dc.contributor.googleauthor최동훈-
dc.contributor.googleauthor장양수-
dc.contributor.googleauthor안신기-
dc.contributor.googleauthor임세중-
dc.contributor.googleauthor정남식-
dc.contributor.googleauthor심원흠-
dc.contributor.googleauthor조승연-
dc.contributor.googleauthor김성순-
dc.contributor.localIdA03372-
dc.contributor.localIdA03448-
dc.contributor.localIdA03585-
dc.contributor.localIdA03609-
dc.contributor.localIdA04053-
dc.contributor.localIdA04257-
dc.relation.journalcodeJ01952-
dc.identifier.eissn1738-5555-
dc.subject.keywordAcute myocardialinfarction-
dc.subject.keywordWoman-
dc.subject.keywordPrognosis-
dc.subject.keywordAge-
dc.contributor.alternativeNameRim, Se Joong-
dc.contributor.affiliatedAuthor임세중-
dc.contributor.affiliatedAuthor장양수-
dc.contributor.affiliatedAuthor정남식-
dc.contributor.affiliatedAuthor정보영-
dc.contributor.affiliatedAuthor최동훈-
dc.contributor.affiliatedAuthor하종원-
dc.citation.volume30-
dc.citation.number10-
dc.citation.startPage1245-
dc.citation.endPage1256-
dc.identifier.bibliographicCitationKorean Circulation Journal, Vol.30(10) : 1245-1256, 2000-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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