Cardiac resynchronization therapy and QRS duration: systematic review, meta-analysis, and meta-regression.

Abstract:

:Cardiac resynchronization therapy (CRT) has been shown to reduce the risk of death and hospitalization in patients with advanced heart failure with left ventricular dysfunction. However, controversy remains regarding who would most benefit from CRT. We performed a meta-analysis, and meta-regression in an attempt to identify factors that determine the outcome after CRT. A total of 23 trials comprising 10,103 patients were selected for this meta-analysis. Our analysis revealed that CRT significantly reduced the risk of all-cause mortality and hospitalization for heart failure compared to control treatment. The odds ratio (OR) of all-cause death had a linear relationship with mean QRS duration (P=0.009). The benefit in survival was confined to patients with a QRS duration ≥145 ms (OR, 0.86; 95% CI, 0.74-0.99), while no benefit was shown among patients with a QRS duration of 130 ms (OR, 1.00; 95% CI, 0.80-1.25) or less. Hospitalization for heart failure was shown to be significantly reduced in patients with a QRS duration ≥127 ms (OR, 0.77; 95% CI, 0.60-0.98). This meta-regression analysis implies that patients with a QRS duration ≥150 ms would most benefit from CRT, and in those with a QRS duration <130 ms CRT implantation may be potentially harmful.

journal_name

J Korean Med Sci

authors

Kang SH,Oh IY,Kang DY,Cha MJ,Cho Y,Choi EK,Hahn S,Oh S

doi

10.3346/jkms.2015.30.1.24

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

24-33

issue

1

eissn

1011-8934

issn

1598-6357

journal_volume

30

pub_type

杂志文章,meta分析,评审
  • Trends in deceased organ donation and utilization in Korea: 2000-2009.

    abstract::Continuous efforts have been made by the organ donation and transplantation community in Korea to increase organ donation by the deceased. The authors detailed trends of organ donation and utilization over the past 10 yr using data provided by the KONOS. The yearly number of deceased donors has grown gradually since 2...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2010.25.8.1122

    authors: Min SI,Kim SY,Park YJ,Min SK,Kim YS,Ahn C,Kim SJ,Ha J

    更新日期:2010-08-01 00:00:00

  • p21 expression and mutation in gastric carcinoma: analysis by immunohistochemistry and PCR-SSCP.

    abstract::p21 protein has been reported to be a critical downstream effector of p53 and a potent inhibitor of cyclin-dependent kinases. Thus, the p21 gene is thought to play a central role in tumor suppression. In this study we investigated p21 protein expression and mutation in gastric adenocarcinoma. A total of 76 primary gas...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1998.13.5.507

    authors: Park YE,Choi KC,Choi YH

    更新日期:1998-10-01 00:00:00

  • Analysis of Pregnancy Outcomes among Interracial Couples in Korea.

    abstract::Although the prevalence of interracial marriages in Korea is increasing, little is known regarding the pregnancy outcomes of interracial couples. The aim of this study was to investigate the differences in pregnancy outcomes between Korean and interracial Korean-foreign couples. Data for infants born in 2011 and 2012 ...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2017.32.10.1657

    authors: Yang SY,Jung US,Hong HR,Hwang SY,Oh MJ,Kim HJ,Cho GJ

    更新日期:2017-10-01 00:00:00

  • The clinical measures associated with C-peptide decline in patients with type 1 diabetes over 15 years.

    abstract::This study was done to characterize the natural course of C-peptide levels in patients with type 1 diabetes and identify distinguishing characters among patients with lower rates of C-peptide decline. A sample of 95 children with type 1 diabetes was analyzed to retrospectively track serum levels of C-peptide, HbA1c, w...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2013.28.9.1340

    authors: Lee TH,Kwon AR,Kim YJ,Chae HW,Kim HS,Kim DH

    更新日期:2013-09-01 00:00:00

  • Usefulness of non-invasive markers for predicting significant fibrosis in patients with chronic liver disease.

    abstract::The purpose of this prospective study was to verify and compare the strengths of various blood markers and fibrosis models in predicting significant liver fibrosis. One hundred fifty-eight patients with chronic liver disease who underwent liver biopsy were enrolled. The mean age was 41 yr and male patients accounted f...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2010.25.1.67

    authors: Lee HH,Seo YS,Um SH,Won NH,Yoo H,Jung ES,Kwon YD,Park S,Keum B,Kim YS,Yim HJ,Jeen YT,Chun HJ,Kim CD,Ryu HS

    更新日期:2010-01-01 00:00:00

  • Two cases of atrial flutter with fetal hydrops: successful fetal drug therapy.

    abstract::We describe two cases of fetal atrial flutter associated with severe fetal hydrops which were unresponsive to digoxin but were successfully treated with flecainide acetate. Two cases of fetal atrial flutter were identified in fetuses with severe fetal hydrops on 3rd trimester ultrasonogram(28 weeks' gestation and 30 w...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1998.13.6.676

    authors: Won HS,Lee IS,Yoo HK,Yoo SJ,Ko JK,Lee PR,Kim A,Mok JE

    更新日期:1998-12-01 00:00:00

  • Experimentally induced Chiari-like malformation with myeloschisis in chick embryos.

    abstract::Though several pathogenetic theories concerning the frequent association of Chiari malformation and hydrocephalus with myeloschisis have been suggested, none of them explains all the aspects of the disorder. To investigate whether myeloschisis is the direct cause of Chiari malformation and hydrocephalus or these condi...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1996.11.6.509

    authors: Sim KB,Hong SK,Cho BK,Choi DY,Wang KC

    更新日期:1996-12-01 00:00:00

  • Prevalence and Risk Factors of Gastric and Colorectal Cancer after Cholecystectomy.

    abstract:BACKGROUND:Previous studies on the relationship between gastrointestinal (GI) cancer and cholecystectomy remain inconclusive. We aimed to evaluate this relationship, albeit particularly between cholecystectomy and gastric cancer or colorectal cancer (CRC), and the risk factors of cancer among individuals who have under...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2020.35.e354

    authors: Kim SB,Kim KO,Kim TN

    更新日期:2020-11-02 00:00:00

  • Clinicopathological significance of maspin expression in breast cancer.

    abstract::Maspin is a unique serine proteinase inhibitor that has tumor suppressor activity. It has been reported that maspin is expressed in normal human mammary epithelial cells and it is down-regulated during the progression of cancer. However, to date, there is very limited data on the clinical significance of maspin expres...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2006.21.2.309

    authors: Lee MJ,Suh CH,Li ZH

    更新日期:2006-04-01 00:00:00

  • The prognosis of liver cirrhosis in recent years in Korea.

    abstract::The survival of a recent series of 823 cirrhosis patients who were followed up for a mean of 48 months was analyzed. Cirrhosis was ascribed to alcohol (26%), hepatitis virus B (58%), hepatitis virus C (11%) or both (2%), or was cryptogenic (3%). Features of decompensation were observed in 51% of the patients at entry,...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2003.18.6.833

    authors: Kim YS,Um SH,Ryu HS,Lee JB,Lee JW,Park DK,Kim YS,Jin YT,Chun HJ,Lee HS,Lee SW,Choi JH,Kim CD,Hyun JH

    更新日期:2003-12-01 00:00:00

  • Immunohistochemical Analysis of ATRX, IDH1 and p53 in Glioblastoma and Their Correlations with Patient Survival.

    abstract::Glioblastoma (GBM) can be classified into molecular subgroups, on the basis of biomarker expression. Here, we classified our cohort of 163 adult GBMs into molecular subgroups according to the expression of proteins encoded by genes of alpha thalassemia/mental retardation syndrome X-linked (ATRX), isocitrate dehydrogen...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2016.31.8.1208

    authors: Chaurasia A,Park SH,Seo JW,Park CK

    更新日期:2016-08-01 00:00:00

  • Analysis of methicillin resistance among Staphylococcus aureus blood isolates in an emergency department.

    abstract::The increasing prevalence of methicillin-resistant Staphylococcus aureus (MRSA) has become of great concern in both hospital and community settings. To evaluate the prevalence and risk factors for methicillin resistance among Staphylococcus aureus, blood isolates in our Emergency Department (ED) were collected. All pa...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2007.22.4.682

    authors: Heo ST,Peck KR,Ryu SY,Kwon KT,Ko KS,Oh WS,Lee NY,Song JH

    更新日期:2007-08-01 00:00:00

  • Cross-sectional illustration on major types of conjoined twins.

    abstract::Conjoined twins show varying degree of conjoining in either facing or side-by-side fashion. Cephalothoracopagus janiceps is a prototype of facing anomaly in which the two bodies demonstrated a cross symmetry to the midline, that is axial symmetry. Interfacial and intersternal lines crossed at a right angle and no abno...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1988.3.1.19

    authors: Seo JW,Lee YS,Chi JG

    更新日期:1988-03-01 00:00:00

  • Expression of TGFbeta family in the developing internal ear of rat embryos.

    abstract::In order to investigate the expression patterns of the transforming growth factor (TGF)beta isoforms in the internal ear, an immunohistochemical study of rat embryos was performed. Rat embryos were taken on the 13th, 15th, 17th, and 19th day after conception and their internal ears were immunohistochemically stained a...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2006.21.1.136

    authors: Kim HJ,Kang KY,Baek JG,Jo HC,Kim H

    更新日期:2006-02-01 00:00:00

  • A case of mass-forming splenic tuberculosis: MRI findings with emphasis of diffusion-weighted imaging characteristics.

    abstract::Tuberculosis remains one of the most prevalent and fatal infectious diseases in spite of considerable improvements in medical science. The diagnosis and treatment of extrapulmonary tuberculosis involving the abdomen is still complicated owing to vague or non-specific clinical features. Although rare, isolated splenic ...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2011.26.3.457

    authors: Lim J,Yu JS,Hong SW,Chung JJ,Kim JH,Kim KW

    更新日期:2011-03-01 00:00:00

  • The mechanism of c-erbB-2 gene product increase in stomach cancer cell lines.

    abstract::c-erbB-2 oncogene encodes a growth factor receptor whose amino acid sequence has extensive homology with human epidermal growth factor receptor. It is frequently overexpressed in human breast, ovary, lung, and stomach cancers, where its overexpression is related significantly to the prognosis. Tl investigate the possi...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1993.8.2.153

    authors: Bae CD,Park SE,Seong YS,Kimm SW,Park JB,Park JB

    更新日期:1993-04-01 00:00:00

  • Anti-heparin-platelet factor 4 antibody is a risk factor for vascular access obstruction in patients undergoing hemodialysis.

    abstract::Since heparin is an anticoagulant commonly used in hemodialysis and the patients on hemodialysis are repeatedly exposed to heparin, heparin may be the cause of the development of heparin-dependent antibodies and thrombotic complications in patients on hemodialysis. The purpose of this study was to determine the preval...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2003.18.1.69

    authors: Lee EY,Hwang KY,Yang JO,Hong SY

    更新日期:2003-02-01 00:00:00

  • Application of a Novel Diagnostic Rule in the Differential Diagnosis between Acute Gouty Arthritis and Septic Arthritis.

    abstract::Septic arthritis and gout are major diseases that should be suspected in patients with acute monoarthritis. These two diseases are clinically similar and often indistinguishable without the help of synovial fluid analysis. Recently, a novel diagnostic rule for gout without synovial fluid analysis was developed and sho...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2015.30.6.700

    authors: Lee KH,Choi ST,Lee SK,Lee JH,Yoon BY

    更新日期:2015-06-01 00:00:00

  • Prognosis of non-small cell lung cancer with synchronous brain metastases treated with gamma knife radiosurgery.

    abstract::The clinical outcome and prognostic factors of patients with synchronous brain metastases from non-small cell lung cancer (NSCLC) who were treated with gamma knife radiosurgery (GKS) were analyzed. A total of 35 patients with NSCLC underwent GKS as an initial treatment for metastatic brain lesions of synchronous onset...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2006.21.3.527

    authors: Kong DS,Lee JI,Nam DH,Park K,Kim JH,Kim JG,Park JO,Park K

    更新日期:2006-06-01 00:00:00

  • Clinical Perspectives of Parkinson's Disease for Ophthalmologists, Otorhinolaryngologists, Cardiologists, Dentists, Gastroenterologists, Urologists, Physiatrists, and Psychiatrists.

    abstract::Parkinson's disease (PD) is a multisystemic disorder characterized by various non-motor symptoms (NMS) in addition to motor dysfunction. NMS include sleep, ocular, olfactory, throat, cardiovascular, gastrointestinal, genitourinary, or musculoskeletal disorders. A range of NMS, particularly hyposmia, sleep disturbances...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章,评审

    doi:10.3346/jkms.2020.35.e230

    authors: Choi JH,Kim JM,Yang HK,Lee HJ,Shin CM,Jeong SJ,Kim WS,Han JW,Yoon IY,Song YS,Bae YJ

    更新日期:2020-07-20 00:00:00

  • A case of fetal congenital mesoblastic nephroma with oligohydramnios.

    abstract::Although congenital renal tumors are rare, congenital mesoblastic nephroma (CMN) is the most common renal tumor in early infancy. It is non-metastatic, well differentiated, amenable to surgical removal, and carries a good prognosis. Polyhydramnios has been detected in most of the published cases of CMN. However, we ex...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2007.22.2.357

    authors: Kim CH,Kim YH,Cho MK,Kim KM,Ha JA,Joo EH,Kim SM,Song TB

    更新日期:2007-04-01 00:00:00

  • A case of human cyclosporiasis causing traveler's diarrhea after visiting Indonesia.

    abstract::This is the first case of human cyclosporiasis reported in Korea. We detected the oocyst of Cyclospora cayetanensis from a 14-yr old girl who complained of persistent diarrhea after traveling to Indonesia. Round oocysts sized about 8 to 9 m with wrinkle on the wall were found in modified acid fast stained stool specim...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2003.18.5.738

    authors: Yu JR,Sohn WM

    更新日期:2003-10-01 00:00:00

  • X-linked hyper-IgM syndrome associated with Cryptosporidium parvum and Cryptococcus neoformans infections: the first case with molecular diagnosis in Korea.

    abstract::X-linked hyper-IgM syndrome (XHIM) is a rare primary immunodeficiency disorder, caused by mutations of the gene encoding CD40 ligand (CD40L; CD154). We report the clinical manifestations and mutational analysis of the CD40L gene observed in a male patient from a XHIM family. Having hypogammaglobulinemia and elevated I...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2002.17.1.116

    authors: Jo EK,Kim HS,Lee MY,Iseki M,Lee JH,Song CH,Park JK,Hwang TJ,Kook H

    更新日期:2002-02-01 00:00:00

  • Chronic Intussusception Caused by Diffuse Large B-Cell Lymphoma in a 6-Year-Old Girl Presenting with Abdominal Pain and Constipation for 2 Months.

    abstract::The classical triad of abdominal pain, vomiting, and bloody stool is absent in chronic intussusception for more than 2 weeks. Here, we report a 6-year-old female with recurrent abdominal pain for 2 months. Ultrasonography of the abdomen revealed an ileocolic-type intussusception. The lesion accompanying the tight fibr...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2016.31.2.321

    authors: Choi SH,Han SA,Won KY

    更新日期:2016-02-01 00:00:00

  • Differential pattern of perivascular type IV collagen deposits in phyllodes tumors of the breast.

    abstract::Deposition of basement membrane extracellular matrix is influenced by adjacent tumor cells, and in some cases, the pattern of type IV collagen deposit is characteristic in malignant tumors. In this report, we analyzed the difference in type IV collagen deposition patterns between benign and malignant phyllodes tumors ...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.1992.7.4.360

    authors: Kim WH,Kim CW,Noh DY,Kim YI

    更新日期:1992-12-01 00:00:00

  • Localized thymic amyloidosis presenting with myasthenia gravis: case report.

    abstract::A mediastinal mass was incidentally found on chest radiography in a 46-yr-old woman who had had myasthenia gravis (MG) for 2 months. Computed tomography revealed a 4-cm in size, well-defined, and lobulating mass with nodular calcification that was located in the thymus. Microscopically, the mass consisted of diffuse a...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2014.29.1.145

    authors: Son SM,Lee YM,Kim SW,Lee OJ

    更新日期:2014-01-01 00:00:00

  • Compensation for occupational injuries and diseases in special populations: farmers and soldiers.

    abstract::Some types of workers such as farmers and soldiers are at a higher risk of work-related injury and illness than workers from other occupations. Despite this fact, they are not covered under the Industrial Safety Health (ISH) Act or the Industrial Accident Compensation Insurance (IACI) Act. The Safety Aid System for Fa...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2014.29.S.S24

    authors: Kwon YJ,Lee SJ

    更新日期:2014-06-01 00:00:00

  • Association between genetic polymorphisms of CYP2D6 and outcomes in breast cancer patients with tamoxifen treatment.

    abstract::The aim of the study was to evaluate the association between genetic polymorphisms of CYP2D6 and outcomes in breast cancer patients with tamoxifen treatment. We evaluated the CYP2D6 genetic polymorphisms in 766 breast cancer patients. Among them, 110 patients whose samples were prospectively collected before surgery a...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2011.26.8.1007

    authors: Park HS,Choi JY,Lee MJ,Park S,Yeo CW,Lee SS,Shin JG,Park BW

    更新日期:2011-08-01 00:00:00

  • Erratum: Correction of Classification: Rise of the Visible Monkey: Sectioned Images of Rhesus Monkey.

    abstract::[This corrects the article e66 in vol. 34, PMID: 30833883.]. ...

    journal_title:Journal of Korean medical science

    pub_type: 已发布勘误

    doi:10.3346/jkms.2019.34.e79

    authors:

    更新日期:2019-03-06 00:00:00

  • Bronchiolitis obliterans organizing pneumonia: clinicopathologic review of a series of 45 Korean patients including rapidly progressive form.

    abstract::Bronchiolitis obliterans organizing pneumonia (BOOP) is a clinicopathological syndrome associated with a variety of disease entities. The aim of this study was to review cases with initial diagnosis of BOOP applying uniform histopathologic criteria, and analyze the clinical characteristics of proven cases of BOOP incl...

    journal_title:Journal of Korean medical science

    pub_type: 杂志文章

    doi:10.3346/jkms.2002.17.2.179

    authors: Chang J,Han J,Kim DW,Lee I,Lee KY,Jung S,Han HS,Chun BK,Cho SJ,Lee K,Lim BJ,Shin DH

    更新日期:2002-04-01 00:00:00