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여성 급성 심근경색증 환자의 연령에 따른 임상 양상 및 장기 추적 경과 관찰.
DC Field | Value | Language |
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dc.contributor.author | 임세중 | - |
dc.contributor.author | 장양수 | - |
dc.contributor.author | 정남식 | - |
dc.contributor.author | 정보영 | - |
dc.contributor.author | 최동훈 | - |
dc.contributor.author | 하종원 | - |
dc.contributor.author | 안신기 | - |
dc.date.accessioned | 2019-11-11T05:18:06Z | - |
dc.date.available | 2019-11-11T05:18:06Z | - |
dc.date.issued | 2000 | - |
dc.identifier.issn | 1738-5520 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/171767 | - |
dc.description.abstract | Background 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.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English, Korean | - |
dc.publisher | Korean Society of Circulation | - |
dc.relation.isPartOf | Korean Circulation Journal | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | 여성 급성 심근경색증 환자의 연령에 따른 임상 양상 및 장기 추적 경과 관찰. | - |
dc.title.alternative | Age-Related Difference in Long-Term Prognosis of Acute Myocardial Infarction in Women | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | 정보영 | - |
dc.contributor.googleauthor | 하종원 | - |
dc.contributor.googleauthor | 최동훈 | - |
dc.contributor.googleauthor | 장양수 | - |
dc.contributor.googleauthor | 안신기 | - |
dc.contributor.googleauthor | 임세중 | - |
dc.contributor.googleauthor | 정남식 | - |
dc.contributor.googleauthor | 심원흠 | - |
dc.contributor.googleauthor | 조승연 | - |
dc.contributor.googleauthor | 김성순 | - |
dc.contributor.localId | A03372 | - |
dc.contributor.localId | A03448 | - |
dc.contributor.localId | A03585 | - |
dc.contributor.localId | A03609 | - |
dc.contributor.localId | A04053 | - |
dc.contributor.localId | A04257 | - |
dc.relation.journalcode | J01952 | - |
dc.identifier.eissn | 1738-5555 | - |
dc.subject.keyword | Acute myocardialinfarction | - |
dc.subject.keyword | Woman | - |
dc.subject.keyword | Prognosis | - |
dc.subject.keyword | Age | - |
dc.contributor.alternativeName | Rim, Se Joong | - |
dc.contributor.affiliatedAuthor | 임세중 | - |
dc.contributor.affiliatedAuthor | 장양수 | - |
dc.contributor.affiliatedAuthor | 정남식 | - |
dc.contributor.affiliatedAuthor | 정보영 | - |
dc.contributor.affiliatedAuthor | 최동훈 | - |
dc.contributor.affiliatedAuthor | 하종원 | - |
dc.citation.volume | 30 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 1245 | - |
dc.citation.endPage | 1256 | - |
dc.identifier.bibliographicCitation | Korean Circulation Journal, Vol.30(10) : 1245-1256, 2000 | - |
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