계명대학교 의학도서관 Repository

Clinical outcomes of acute myocardial infarction with occluded left circumflexartery

Metadata Downloads
Author(s)
Sung SooKimHong Sang ChoiMyung Ho JeongJeong Gwan ChoYoung Keun AhnJong Hyun KimShung Chull ChaeYoung Jo KimSeung Ho HurIn Whan SeongTaek Jong HongDonghoon ChoiMyeong Chan ChoChong Jin KimKi Bae SeungWook Sung ChungYang Soo JangSeung Woon RhaJang Ho BaeSeung Jung ParkotherKoreaAcuteMyocardial Infarction RegistryInvestigators
Keimyung Author(s)
Hur, Seung Ho
Department
Dept. of Internal Medicine (내과학)
Journal Title
Journal of Cardiology
Issued Date
2011
Volume
57
Issue
3
Keyword
12-Lead surface electrocardiogramAcute myocardial infarctionLeft circumflexcoronary artery
Abstract
Left circumflex artery(LCX) related acute myocardial infarction(AMI) has been known to be under diagnosed with 12-lead electrocardiogram (ECG). However, there were only a few studies that have focused on the clinical characteristics of LCX-related AMI. We studied the
clinical characteristics and hospital mortality in patients with angiographically confirmed LCX- related AMI. A total of 2281 AMI patients with single acutely occluded culprit vessel in coronary angiography (pre-Thrombolysis In Myocardial Infarction flow: 0)were enrolled in the Korea Acute Myocardial Infarction Registry(KAMIR) from November 2005 to January 2008. The sepatients were divided into three groups according to culprit vessel [left anterior descending artery (LAD), right coronary artery (RCA), and LCX]. This study showed the patients with LCX-related AMI were less likely to present with ST elevation in ECG (46.3%, 87.0%, and 82.3%; p < 0.001) and primary per-cutaneous coronary intervention (PCI) (43.4%, 78.9%, and 74.5%; p < 0.001) and door to balloon time <90 min (31.3%, 52.8%, and 51.0%; p <0.001), compared with LAD and RCA. However, no statistical difference was found in hospital mortality among the three groups. Multivariate analysis showed primary PCI decreased the hospital mortality in patients with occluded coronary artery. In conclusion, AMI patients with an occluded LCX presented with less ST elevation and primary PCI. These results suggest that clinical physicians should be careful with patients presenting with chest pain but apparently normal ECG and must rule out LCX occlusion.
Keimyung Author(s)(Kor)
허승호
Publisher
School of Medicine
Citation
Sung SooKim et al. (2011). Clinical outcomes of acute myocardial infarction with occluded left circumflexartery. Journal of Cardiology, 57(3), 290–296. doi: 10.1016/j.jjcc.2011.01.014
Type
Article
ISSN
0914-5087
Source
http://lps3.linkinghub.elsevier.com.proxy.dsmc.or.kr/retrieve/pii/S0914-5087(11)00018-9
DOI
10.1016/j.jjcc.2011.01.014
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33749
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
공개 및 라이선스
  • 공개 구분공개
  • 엠바고Forever
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.