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젊은 연령에서 발생한 급성 심근경색증의 장기 추적 경과 관찰

Other Titles
 More favorable long-term outcome after discharge in young adults with myocardial infarction 
Authors
 정보영  ;  하종원  ;  장양수  ;  최동훈  ;  안신기  ;  임세중  ;  정남식  ;  심원흠  ;  조승연  ;  김성순 
Citation
 Korean Journal of Medicine (대한내과학회지), Vol.59(1) : 30-39, 2000 
Journal Title
 Korean Journal of Medicine (대한내과학회지) 
ISSN
 1226-329X 
Issue Date
2000
Keywords
Myocardial infarction ; Adolescence ; Outcome assessment
Abstract
Background : The purpose of this study was to evaluate risk factors, angiographic characteris tics and long- term prognosis of young adults with myocardial infarction(MI). Methods : Of the 2,680 patients with a history of MI, there were 148 patients 40 years old(Group 1). Risk factors, angiographic characteristics, cardiac events and long- term prognosis of group 1 were compared with those of randomly selected 149 patients between 41 years to 70 years old(Group 2) for a mean follow- up duration of 38 months (1∼147 months). Cardiac events include death, reinfarction, coronary artery bypass grafting, percutaneous transluminal coronary angioplasty, congestive heart failure, stroke, and angina. Results : Smoker and male gender were more frequent in group 1(p< 0.001). In group 2, hypertension and diabetes were more frequently observed(p<0.001). Angiographically normal coronary arteries, nonobstructive disease(<70% stenosis) and single- vessel disease were more frequent in group 1 than those in group 2 (p< 0.001). There was no significant difference of overall survival at 7 years between the two groups(group 1; 95%, group 2; 89%, p> 0.05). If hospital deaths were excluded, the 7- year survival was better in group 1(group 1; 99%, group 2; 92%, p< 0.01). The cardiac event free survial at 7 years was not different between two groups(p>0.05). Although a better left ventricular(LV) systolic function (ejection fraction(EF) 40%) showed more favorable survival in group 2(EF40%: 94%, EF<40%: 80%, p<0.05), survival was not influenced by LV systolic function in group 1. Conclus ion : Young patients with MI have a more favorable long- term survival after discharge compared with that of the older patients regardless of LV sys tolic function. Cardiac event free survival was, however, not different between two groups.(Korean J Med 59:30- 39, 2000)
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Rim, Se Joong(임세중) ORCID logo https://orcid.org/0000-0002-7631-5581
Jang, Yang Soo(장양수) ORCID logo https://orcid.org/0000-0002-2169-3112
Chung, Nam Sik(정남식)
Joung, Bo Young(정보영) ORCID logo https://orcid.org/0000-0001-9036-7225
Choi, Dong Hoon(최동훈) ORCID logo https://orcid.org/0000-0002-2009-9760
Ha, Jong Won(하종원) ORCID logo https://orcid.org/0000-0002-8260-2958
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172038
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