ジュウジョウ ケンタロウ   JUJO Kentaro
  重城 健太郎
   所属   埼玉医科大学  医学部 総合医療センター 心臓内科
   職種   教授
論文種別 学術雑誌(原著)
言語種別 英語
査読の有無 査読あり
表題 Impact of Myocardial Reperfusion Status on QT Dispersion After Successful Recanalization of the Infarct-Related Artery in Acute Myocardial Infarction
掲載誌名 正式名:JOURNAL OF INTERVENTIONAL CARDIOLOGY
ISSNコード:08964327
出版社 WILEY-BLACKWELL
巻・号・頁 27(3),252-259頁
著者・共著者 Noritoshi Fukushima,Yukio Tsurumi,Kentaro Jujo,Keiko Fukushima,Haruki Sekiguchi,Atsushi Honda,Dai Yumino,Masatoshi Kawana,Nobuhisa Hagiwara
発行年月 2014/06
概要 Objective: To determine whether adequate myocardial perfusion status after transluminal recanalization is associated with prompt improvement of QT dispersion (QTd).Background: Transluminal recanalization of the infarct-related coronary artery in acute myocardial infarction aims to promptly restore myocardial perfusion, to maximize electrical and mechanical recovery. QTd represents the heterogeneity of ventricular repolarization, which may affect electrical stability.Methods: Forty patients who underwent primary percutaneous coronary intervention for their first anterior acute ST-elevation myocardial infarction were prospectively enrolled. Myocardial reperfusion status was assessed by myocardial blush grade (MBG) on the final angiogram after successful recanalization (Thrombolysis In Myocardial Infarction Grade 3 flow).Results: Preprocedural QTd was similar in patients with final MBG 0-1, 2, and 3 (76 +/- 24, 67 +/- 13, and 69 +/- 13 milliseconds, respectively; P = 0.661). After recanalization, QTd decreased in patients with MBG 3 (39 +/- 16 milliseconds, P< 0.001) but not in patients with MBG 0-1 (74 +/- 20 milliseconds) or MBG 2 (82 +/- 16 milliseconds). Multivariate analysi
DOI 10.1111/joic.12093