Impact of Follow-Up Ischemia on Myocardial Perfusion Single-Photon Emission Computed Tomography in Patients with Coronary Artery Disease
DC Field | Value | Language |
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dc.contributor.author | Kang, Se Hun | - |
dc.contributor.author | Choi, Hyo In | - |
dc.contributor.author | Kim, Young-Hak | - |
dc.contributor.author | Lee, Eun Young | - |
dc.contributor.author | Ahn, Jung-Min | - |
dc.contributor.author | Han, Seungbong | - |
dc.contributor.author | Lee, Pil Hyung | - |
dc.contributor.author | Roh, Jae-Hyung | - |
dc.contributor.author | Yun, Sung-Han | - |
dc.contributor.author | Park, Duk-Woo | - |
dc.contributor.author | Kang, Soo-Jin | - |
dc.contributor.author | Lee, Seung-Whan | - |
dc.contributor.author | Lee, Cheol Whan | - |
dc.contributor.author | Moon, Dae Hyuk | - |
dc.contributor.author | Park, Seong-Wook | - |
dc.contributor.author | Park, Seung-Jung | - |
dc.date.available | 2020-02-27T17:42:57Z | - |
dc.date.created | 2020-02-06 | - |
dc.date.issued | 2017-09 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/5778 | - |
dc.description.abstract | Purpose: Few studies have reported on predicting prognosis using myocardial perfusion single-photon emission computed tomography (SPECT) during coronary artery disease (CAD) treatment. Therefore, we aimed to assess the clinical implications of myocardial perfusion SPECT during follow-up for CAD treatment. Materials and Methods: We enrolled 1153 patients who had abnormal results at index SPECT and underwent follow-up SPECT at intervals >= 6 months. Major adverse cardiac events (MACE) were compared in overall and 346 patient pairs after propensity-score (PS) matching. Results: Abnormal SPECT was associated with a significantly higher risk of MACE in comparison with normal SPECT over the median of 6.3 years (32.3% vs. 19.8%; unadjusted p<0.001). After PS matching, abnormal SPECT posed a higher risk of MACE [32.1% vs. 19.1%; adjusted hazard ratio (HR)=1.73; 95% confidence interval (CI)= 1.27-2.34; p<0.001] than normal SPECT. After PS matching, the risk of MACE was still higher in patients with abnormal follow-up SPECT in the revascularization group (30.2% vs. 17.9%; adjusted HR=1.73; 95% CI=1.15-2.59; p=0.008). Low ejection fraction [odds ratio (OR)=5.33; 95% CI= 3.39-8.37; p<0.001] and medical treatment (OR=2.68; 95% CI=1.93-3.72; p<0.001) were independent clinical predictors of having an abnormal result on follow-up SPECT. Conclusion: Abnormal follow-up SPECT appears to be associated with a high risk of MACE during CAD treatment. Follow-up SPECT may play a potential role in identifying patients at high cardiovascular risk. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | YONSEI UNIV COLL MEDICINE | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.subject | ASSOCIATION TASK-FORCE | - |
dc.subject | INCREMENTAL PROGNOSTIC VALUE | - |
dc.subject | AMERICAN-HEART-ASSOCIATION | - |
dc.subject | INTENSIVE MEDICAL THERAPY | - |
dc.subject | RISK STRATIFICATION | - |
dc.subject | PRACTICE GUIDELINES | - |
dc.subject | NUCLEAR CARDIOLOGY | - |
dc.subject | REVASCULARIZATION | - |
dc.subject | INFARCTION | - |
dc.subject | COLLEGE | - |
dc.title | Impact of Follow-Up Ischemia on Myocardial Perfusion Single-Photon Emission Computed Tomography in Patients with Coronary Artery Disease | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000410897000006 | - |
dc.identifier.doi | 10.3349/ymj.2017.58.5.934 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, v.58, no.5, pp.934 - 943 | - |
dc.identifier.kciid | ART002251834 | - |
dc.identifier.scopusid | 2-s2.0-85027253488 | - |
dc.citation.endPage | 943 | - |
dc.citation.startPage | 934 | - |
dc.citation.title | YONSEI MEDICAL JOURNAL | - |
dc.citation.volume | 58 | - |
dc.citation.number | 5 | - |
dc.contributor.affiliatedAuthor | Han, Seungbong | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Single-photon emission computerized tomography | - |
dc.subject.keywordAuthor | prognosis | - |
dc.subject.keywordAuthor | coronary artery disease | - |
dc.subject.keywordPlus | ASSOCIATION TASK-FORCE | - |
dc.subject.keywordPlus | INCREMENTAL PROGNOSTIC VALUE | - |
dc.subject.keywordPlus | AMERICAN-HEART-ASSOCIATION | - |
dc.subject.keywordPlus | INTENSIVE MEDICAL THERAPY | - |
dc.subject.keywordPlus | RISK STRATIFICATION | - |
dc.subject.keywordPlus | PRACTICE GUIDELINES | - |
dc.subject.keywordPlus | NUCLEAR CARDIOLOGY | - |
dc.subject.keywordPlus | REVASCULARIZATION | - |
dc.subject.keywordPlus | INFARCTION | - |
dc.subject.keywordPlus | COLLEGE | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
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