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 |
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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 |