Clinical Validity of Longitudinal Pre-Ejectional Myocardial Velocity for Identifying the Transmural Extent of Viable Myocardium : Early After Reperfusion of an Infarct-Related Coronary Artery
スポンサーリンク
概要
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Background Positive longitudinal pre-ejectional velocity (+PEV_L) was recently reported to be a reliable index of myocardial recovery early after successful revascularization in myocardial infarction (MI) ; that is, it recognizes the transmural extent of viable myocardium. The applicability of PEV_L in the real-world clinical setting for identifying the transmural extent of viable myocardium in reperfused recent MI was assessed. Methods and Results Using tissue Doppler imaging, the resting basal and mid myocardial PEV_<LS> Were determined within 3 days after revascularization in 41 consecutive patients with recent MI. Infarct thickness was semi-quantified using delayed gadolinium-enhanced magnetic resonance imaging (MRI) at baseline and at 6-month follow up to differentiate transmural from nontransmural MI. The proportion of segments showing the presence of +PEV_L was not significantly changed as infarct thickness increased (p=0.2), with 66.2% having +PEV_L even in segments involving >75% transmural infarction. Moreover, +PEV_L was found in a large fraction of segments with akinesia (70.4%). Specificity and negative predictive value of +PEV_L for assessing infarct nontransmurality were disappointingly low (32.0% and 26.9%, respectively). All of these results were not altered when the 6-month follow-up MRI was done. Conclusions +PEV_L cannot be regarded as a reliable marker for predicting the transmural extent of viable myocardium in recent MI.
- 社団法人日本循環器学会の論文
- 2007-11-20
著者
-
Ahn Young
The Heart Center Of Chonnam National University Hospital
-
Park Kyung
Department Of Laboratory Medicine Seoul National University College Of Medicine:seoul National Unive
-
Park Kyung-woo
韓国
-
Kim Sang-hyun
Department Of Internal Medicine Cardiovascular Center Seoul National University Hospital:seoul Natio
-
Park Keun-Ho
Seoul National University Hospital
-
Oh Byung-Hee
Seoul National University Hospital
-
Oh Byung-Hee
Department of Internal Medicine, Seoul National University College of Medicine
-
Park Young-Bae
Department of Internal Medicine, Seoul National University College of Medicine
-
Choi Yun
Department Of Internal Medicine Seoul National University College Of Medicine
-
Cho Young-seok
Bundang Hospital College Of Medicine Seoul National University
-
Oh B‐h
Seoul National University Hospital
-
Oh Byung-hee
韓国
-
Park Young-bae
韓国
-
Park Y‐b
Division Of Cardiology Department Of Internal Medicine Seoul National University College Of Medicine
-
Cho Young-seok
Department Of Internal Medicine Seoul National University College Of Medicine Seoul National Univers
-
Kim Yong-jin
Division Of Cardiology Department Of Internal Medicine Seoul National University College Of Medicine
-
Park Keun-ho
Department Of Laboratory Medicine Seoul National University College Of Medicine:seoul National Unive
-
Park Keun-ho
韓国
-
Sohn Dae-won
Division Of Cardiology Department Of Internal Medicine Seoul National University College Of Medicine
-
PARK Jin-Shik
Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital
-
PARK Kyung-Woo
Jeju self-government province
-
CHO Young-Seok
Jeju self-government province
-
Sohn Dae-won
Department of Internal Medicine
-
Choi Yun-shik
Department of Internal Medicine
-
Park Kyung
韓国
-
Kim Yong-jin
Division Of Cardiology Yeungnam University Medical Center
-
Kim Yong-seok
Seoul National University Bundang Hospital Cardiovascular Center
-
Park Hyo
韓国
-
Kim Hyung-Kwan
Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital
-
Kim Yong-Jin
Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital
-
Chang Sung-A
Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital
-
Kim Song-Yi
Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital
-
Jang Ho-Joon
Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital
-
Lee Whal
Department of Diagnostic Radiology, Seoul National University Hospital
-
Park Young-bae
Division Of Cardiology Department Of Internal Medicine College Of Medicine Seoul National University
-
Park Jin-shik
Division Of Cardiology Department Of Internal Medicine Seoul National University College Of Medicine
-
Park Jin-shik
Department Of Internal Medicine And Cardiovascular Center Seoul National University Hospital
-
Oh Byung-hee
Division Of Cardiology Department Of Internal Medicine College Of Medicine Seoul National University
-
Park Young
Division Of Cardiology Department Of Internal Medicine College Of Medicine Seoul National University
-
Park Young-bae
Department Of Internal Medicine College Of Medicine Scoul National University
-
Lee Whal
Department Of Diagnostic Radiology Seoul National University Hospital:seoul National University Coll
-
Jang Ho-joon
Department Of Internal Medicine Cardiovascular Center Seoul National University Hospital:seoul Natio
-
Chang Sung-a
Department Of Internal Medicine Cardiovascular Center Seoul National University Hospital:seoul Natio
-
Kim Hyung
Division Of Cardiology Department Of Internal Medicine Seoul National University College Of Medicine
-
Oh Byung-hee
Department Of Internal Medicine Seoul National University College Of Medicine
-
Park K‐w
Jeju Self-government Province
-
Cho Young-seok
Department Of Internal Medicine Seoul National University College Of Medicine Seoul National Univers
-
Cho Young-seok
Department Of Internal Medicine Seoul National University College Of Medicine Seoul National Univers
-
Kim Yong-Jin
Department of Electronics Engineering, Chungnam National University, 220 Gung-Dong, Yuseong-gu, Daejeon 305-764, Korea
-
Oh Byung-Hee
Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital
-
Park Young-Bae
Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital
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