Carotid intima-media thickness and plaque as a predictor for ischemic etiology in patients with severe left ventricular systolic dysfunction.

Abstract:

BACKGROUND AND OBJECTIVES:Coronary artery disease (CAD) is a major cause of heart failure associated with left ventricular systolic dysfunction (LVSD). The prognosis of LVSD is significantly influenced by the etiology of heart failure and therefore, differentiation of significant CAD from other etiologies is important. Carotid intima-media thickness (IMT) and plaque are useful predictors for cardiovascular events, including stroke and CAD. The purpose of this study was to evaluate the predictive value of carotid IMT and plaque for the diagnosis of CAD in LVSD patients. SUBJECTS AND METHODS:Seventy-three (n= 73, 47 male, 67.6±12.4 years) patients hospitalized for heart failure with severe LVSD were retrospectively enrolled. The severity of CAD was analyzed by the Duke Jeopardy Score system, and carotid IMT and plaque were measured according to the Mannheim Carotid IMT Consensus. RESULTS:Significant CAD was found in 41 patients (56.1%, CAD group) on coronary angiography. Mean common carotid artery (CCA) IMT (0.74±0.05 mm vs. 1.04±0.04 mm, p<0.01) was significantly higher in the CAD group. Plaque in CCA (6.25% vs. 19.5%, p<0.01) and plaque in bulb (25.0% vs. 60.9%, p<0.001) were significantly higher in the CAD group. Mean CCA IMT {odds ratio (OR) 2.61, 95% confidence interval (CI) 1.134-4.469, p<0.01} and plaque in bulb (OR 4.69, 95% CI 1.702-12.965, p<0.01) were significant predictors for the diagnosis of CAD according to multivariate logistic regression analysis. CONCLUSION:In patients with severe LVSD, mean CCA IMT and bulb plaque can be useful additional predictors for the diagnosis of CAD.

journal_name

Korean Circ J

authors

Suh SY,Han SW,Kim SH,Kim HJ,Chung SM,Ryu KH

doi

10.4070/kcj.2010.40.12.665

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

665-70

issue

12

eissn

1738-5520

issn

1738-5555

journal_volume

40

pub_type

杂志文章
  • Prevalence of Masked Hypertension: a Population-Based Survey in a Large City by Using 24-Hour Ambulatory Blood Pressure Monitoring.

    abstract:BACKGROUND AND OBJECTIVES:We estimated the prevalence of hypertension and hypertension subtypes in a large semi-urban city in Korea, using 24-hour ambulatory blood pressure monitoring (ABPM) in a randomly selected sample population. SUBJECTS AND METHODS:A random sample (aged 20-65 years) from a city with an adult popu...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2016.46.5.681

    authors: Rhee MY,Kim SW,Choi EH,Kim JH,Nah DY,Shin SJ,Gu N

    更新日期:2016-09-01 00:00:00

  • QT Prolongation and Life Threatening Ventricular Tachycardia in a Patient Injected With Intravenous Meperidine (Demerol®).

    abstract::QT prolongation is a serious adverse drug effect, which is associated with an increased risk of Torsade de pointes and sudden death. Many drugs, including both cardiac and non-cardiac drugs, have been reported to cause prolongation of QT interval. Although meperidine has not been considered proarrhythmic, we present a...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2011.41.6.342

    authors: Song MK,Bae EJ,Baek JS,Kwon BS,Kim GB,Noh CI,Choi JY,Park SS

    更新日期:2011-06-01 00:00:00

  • Catheter Ablation of Ventricular Arrhythmias via the Radial Artery in a Patient With Prior Myocardial Infarction and Peripheral Vascular Disease.

    abstract::Herein, we present a case of a successful catheter ablation of ventricular tachycardia (VT) using a radial artery approach in a post-myocardial infarction patient, who had an implantable cardioverter-defibrillator and peripheral artery disease. Although the patient did not use antiarrhythmic drugs, the patient experie...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2012.42.9.632

    authors: Kim J,Han D,Sohn C,Kim JS,Park YH

    更新日期:2012-09-01 00:00:00

  • Hypercholesterolemia and in-vivo coronary plaque composition in patients with coronary artery disease: a virtual histology - intravascular ultrasound study.

    abstract:BACKGROUND AND OBJECTIVES:Hypercholesterolemia is a key factor in the development of atherosclerosis. We sought to evaluate the relation between hypercholesterolemia and plaque composition in patients with coronary artery disease. SUBJECTS AND METHODS:Study subjects consisted of 323 patients (mean 61.5 years, 226 male...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2013.43.1.23

    authors: Seo YH,Lee CS,Yuk HB,Yang DJ,Park HW,Kim KH,Kim WH,Kwon TG,Bae JH

    更新日期:2013-01-01 00:00:00

  • The Role of Transthoracic Echocardiography in Patients with Acute Ischemic Stroke: We Should Pay More Attention to Left Ventricular Ejection Fraction.

    abstract:: ...

    journal_title:Korean circulation journal

    pub_type: 社论

    doi:10.4070/kcj.2018.0269

    authors: Kim HL

    更新日期:2018-12-01 00:00:00

  • The Classification and Management Strategy of Spontaneous Isolated Superior Mesenteric Artery Dissection.

    abstract::Spontaneous isolated superior mesenteric artery dissection (SISMAD) is an uncommon but potentially catastrophic pathology. Multiple classification schemes have been proposed for this occurrence. Although no consensus has emerged regarding which classification should be used, Li's classification scheme is more precise ...

    journal_title:Korean circulation journal

    pub_type: 杂志文章,评审

    doi:10.4070/kcj.2016.0237

    authors: Jia Z,Tu J,Jiang G

    更新日期:2017-07-01 00:00:00

  • A case of riata® dual coil defibrillator lead failure in a patient with ventricular fibrillation.

    abstract::A 50-year-old man, who underwent a procedure for an implantable cardioverter defibrillator (ICD), visited the outpatient department of our clinic after suffering multiple ICD shocks. The ICD interrogation revealed recurrent shock due to a high frequency of noise that is sensed by the device as ventricular fibrillation...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2013.43.5.336

    authors: Choi K,Kim JH,Kim HJ,Lee SO,Jang EY,Kim JS

    更新日期:2013-05-01 00:00:00

  • Transcatheter closure of a residual patent ductus arteriosus after surgical ligation in children.

    abstract:BACKGROUND AND OBJECTIVES:To assess the safety and efficacy of transcatheter closure of residual ductal flow after initial surgical ligation of the arterial duct. SUBJECTS AND METHODS:Between June 2005 and December 2009, transcatheter occlusion of residual postsurgical ductus arteriosus was performed in six children. ...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2011.41.11.654

    authors: Baspinar O,Kilinc M,Kervancioglu M,Irdem A

    更新日期:2011-11-01 00:00:00

  • Conservative Management of Left Atrial Intramural Hematoma after Catheter Ablation.

    abstract::Left atrial intramural hematoma is a very rare complication of radiofrequency ablation procedures. A patient with tachyarrhythmia underwent radiofrequency catheter ablation. Echocardiography performed the following morning showed a large mass in the left atrium, suggestive of intramural hematoma formation. The patient...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2016.46.4.580

    authors: Moradi B,Oraii S,Roshanali F,Ghorbanisharif A,Mikaeili J,Tahraei M

    更新日期:2016-07-01 00:00:00

  • Assessment of Myocardial Collateral Blood Flow with Contrast Echocardiography.

    abstract::Humans have pre-formed collateral vessels that enlarge with ischemia. In addition, new vessels can be formed within ischemic zones from pre-formed endocardial arcades of vessels providing rich collateral flow. Collateral flow under resting conditions (if >25% of normal) is enough to maintain myocardial viability, but ...

    journal_title:Korean circulation journal

    pub_type: 杂志文章,评审

    doi:10.4070/kcj.2015.45.5.351

    authors: Kaul S

    更新日期:2015-09-01 00:00:00

  • Coronary artery thrombosis associated with Paclitaxel in advanced ovarian cancer.

    abstract::A 63-year-old woman was diagnosed with ovarian cancer and peritoneal carcinomatosis. The day after paclitaxel was administered, an acute myocardial infarction occurred. Emergency coronary angiography revealed a filling defect in the left main coronary artery and total occlusion in the distal left anterior descending c...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2009.39.3.124

    authors: Park SH,Byon JS,Lee SW,Lee SJ,Jin DK,Shin WY

    更新日期:2009-03-01 00:00:00

  • Interventional Management of "Balloon-Uncrossable" Coronary Chronic Total Occlusion: Is There Any Way Out?

    abstract::It has been estimated that coronary chronic total occlusion (CTO) is encountered in 15 to 20% patients referred for coronary angiography (CAG). The success of percutaneous coronary intervention (PCI) of CTO can be attributed to the vast array of hardware that has now become available and also to the vastly enhanced op...

    journal_title:Korean circulation journal

    pub_type: 杂志文章,评审

    doi:10.4070/kcj.2017.0345

    authors: Dash D

    更新日期:2018-04-01 00:00:00

  • Differential Diagnosis of a Left Atrial Mass after Surgical Excision of Myxoma: a Remnant or a Thrombus?

    abstract::Echocardiographic diagnosis of atrial myxoma may not always be straightforward, and the distinction between myxoma and thrombi is not easy, especially when we observe a mass after successful surgery. Our report describes a 72-year-old woman who presented with right upper limb hemiparesis and was subsequently diagnosed...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2016.46.6.875

    authors: Park H,Jo S,Cho YK,Kim J,Cho S,Kim JH,Jeong YJ,Song JK

    更新日期:2016-11-01 00:00:00

  • Stroke and bleeding risk in atrial fibrillation.

    abstract::Non-valvular atrial fibrillation (AF) is the most common cardiac arrhythmia in the clinical setting. AF increases both the risk and severity of strokes, and is associated with substantial morbidity and mortality. Despite the clear net clinical benefit of oral anticoagulants (OACs) in patients with AF at risk for strok...

    journal_title:Korean circulation journal

    pub_type: 杂志文章,评审

    doi:10.4070/kcj.2014.44.5.281

    authors: Senoo K,Lane D,Lip GY

    更新日期:2014-09-01 00:00:00

  • A case of left atrial metastasis from hepatocellular carcinoma: life-saving palliative resection using cardiopulmonary bypass.

    abstract::Hepatocellular carcinoma (HCC) with metastasis to the heart is uncommon. We report a rare case of left atrial metastasis of HCC which was resected palliatively as a live-saving procedure with the use of cardiopulmonary bypass. Despite chemoembolization, which was undertaken 11 times, cardiac metastasis occurred. Moreo...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2011.41.9.542

    authors: Seo JB,Kim JS,Jeong DS,Chung WY,Kim SH,Kim MA,Zo JH

    更新日期:2011-09-01 00:00:00

  • Impact of heterogeneous overlapping drug-eluting stents on the arterial responses of rabbit iliac arteries: a comparison with overlapping bare metal stents.

    abstract:BACKGROUND AND OBJECTIVES:Although the use of heterogeneous overlapping drug-eluting stents (DES) is not uncommon in clinical practice, whether the implantation sequences of heterogeneous DES will influence the endothelialization or arterial responses differently remains unclear. MATERIALS AND METHODS:Twenty-one rabbi...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2012.42.6.397

    authors: Rha SW,Chen KY,Oh DJ,Li YJ,Jin Z,Poddar KL,Ramasamy S,Minami Y,Elnagar A,Choi BG,Hong SP,Cheon BW,Moon SK,Im SI,Kim SW,Na JO,Choi CU,Lim HE,Kim JW,Kim EJ,Han SW,Park CG,Seo HS,Kim JH,Hong YJ,Jeong MH

    更新日期:2012-06-01 00:00:00

  • Long-term Survival in Korean Elderly Patients with Symptomatic Severe Aortic Stenosis Who Refused Aortic Valve Replacement.

    abstract:BACKGROUND AND OBJECTIVES:Aortic valve replacement (AVR) is the treatment of choice in severe symptomatic aortic stenosis (AS) patients. However, a substantial number of elderly patients refuse AVR and treated medically. We investigated their long-term prognosis. METHODS:From January 2005 to December 2016, we analyzed...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2018.0208

    authors: Oh JK,Park JH,Hwang JK,Lee CH,Park JS,Park JI,Park HK,Cho JS,Seo BS,Seong SW,Sun BJ,Lee JH,Seong IW

    更新日期:2019-02-01 00:00:00

  • A case of stent graft infection coupled with aorto-esophageal fistula following thoracic endovascular aortic repair in a complex patient.

    abstract::The incidence of peri-stent graft infection (PGI) following thoracic endovascular aortic repair (TEVAR) is low, but the associated mortality rates are extremely high. The diagnosis of this complication can be difficult due to nonspecific symptoms. Here, we report a case of PGI combined with an aorto-esophageal fistula...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2012.42.5.366

    authors: Lee SH,Song PS,Kim WS,Park KB,Choi SH

    更新日期:2012-05-01 00:00:00

  • The Current Status of Intervention for Intermediate Coronary Stenosis in the Korean Percutaneous Coronary Intervention (K-PCI) Registry.

    abstract:BACKGROUND AND OBJECTIVES:Intermediate coronary lesion that can be under- or over-estimated by visual estimation frequently results in stenting of functionally nonsignificant lesions or deferral of percutaneous coronary intervention (PCI) of significant lesions inappropriately. We evaluated current status of PCI for in...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2019.0074

    authors: Kim JH,Choi W,Kim KC,Nam CW,Hong BK,Kim JH,Jeon DS,Bae JW,Kim SH,Moon KW,Cho BR,Kim DI,Jang JS

    更新日期:2019-11-01 00:00:00

  • A case of left ventricular noncompaction accompanying fasciculo-ventricular accessory pathway and atrial flutter.

    abstract::Left ventricular hypertrabeculation/noncompaction (LVHT) is an uncommon type of genetic cardiomyopathy characterized by trabeculations and recesses within the ventricular myocardium. LVHT is associated with diastolic or systolic dysfunction, thromboembolic complications, and arrhythmias, including atrial fibrillation,...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2012.42.10.705

    authors: Yim SM,Jang SW,Chun HJ,Kim SJ,Choi KY,Kwon BJ,Kim DB,Cho EJ,Lee MY,Rho TH,Kim JH

    更新日期:2012-10-01 00:00:00

  • Statin Therapy for Primary Prevention of Atrial Fibrillation: Guided by CHADS2/CHA2DS2VASc Score.

    abstract::Atrial fibrillation (AF) is the most common arrhythmia and is associated with increased cardiovascular morbidity and mortality. The anti-arrhythmic effect of statins on AF prevention appears to be highly significant in most clinical studies. However, some discrepancies do exist among different clinical studies. Differ...

    journal_title:Korean circulation journal

    pub_type: 杂志文章,评审

    doi:10.4070/kcj.2014.44.4.205

    authors: Hung CY,Hsieh YC,Huang JL,Lin CH,Wu TJ

    更新日期:2014-07-01 00:00:00

  • Utility of optical coherence tomography to assess a hazy intracoronary image after percutaneous coronary intervention.

    abstract::Although its use in daily practice is not common, optical coherence tomography (OCT) is a powerful research tool in invasive cardiology. This report describes a hazy angiography image after percutaneous coronary intervention that has been assessed using OCT. Based on the results of the OCT, the patient underwent an el...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2013.43.1.44

    authors: Carrizo S,Salinas P,Jimenez-Valero S,Moreno R

    更新日期:2013-01-01 00:00:00

  • Recent Advances in Cardiac Magnetic Resonance Imaging.

    abstract::Cardiac magnetic resonance (CMR) imaging provides accurate anatomic information and advanced soft contrast, making it the reference standard for assessing cardiac volumes and systolic function. In this review, we summarize the recent advances in CMR sequences. New technical development has widened the use of CMR imagi...

    journal_title:Korean circulation journal

    pub_type: 杂志文章,评审

    doi:10.4070/kcj.2018.0246

    authors: Lee SE,Nguyen C,Xie Y,Deng Z,Zhou Z,Li D,Chang HJ

    更新日期:2019-02-01 00:00:00

  • Long journey of sclerosant from the esophagus to the right atrium.

    abstract::A 34-year-old man, who had been treated with an endoscopic injection of a mixture of n-butyl-2-cyanoacrylate (Histoacryl) and Lipiodol for control of variceal bleeding 6 months previously, presented with an intracardiac mass in the right atrium (RA). Two-dimensional echocardiography revealed an intracardiac mass in th...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2010.40.9.468

    authors: Park JS,Park JJ,Lim SK,Choi BJ,Choi SY,Yoon MH,Hwang GS,Tahk SJ,Shin JH

    更新日期:2010-09-01 00:00:00

  • Early Parasympathetic Reinnervation Is Not Related to Reconnection of Major Branches of the Vagus Nerve after Heart Transplantation.

    abstract:BACKGROUND AND OBJECTIVES:Bicaval heart transplantation (HTx) may promote parasympathetic reinnervation. However, the prevalence and timing of reinnervation have not been fully investigated. Heart rate variability (HRV) and direct vagal stimulation were used to evaluate the presence of parasympathetic reinnervation aft...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2016.46.2.197

    authors: Lee SR,Kang DY,Cho Y,Cho HJ,Lee HY,Choi EK,Oh S

    更新日期:2016-03-01 00:00:00

  • The Use Pattern and Clinical Impact of New Antiplatelet Agents Including Prasugrel and Ticagrelor on 30-day Outcomes after Acute Myocardial Infarction in Korea: Korean Health Insurance Review and Assessment Data.

    abstract:BACKGROUND AND OBJECTIVES:Despite the favorable efficacy of new antiplatelet agents demonstrated in randomized controlled trials, their clinical implications in Korea are unclear. The purpose of this study was to investigate trends in antiplatelet agent use for acute myocardial infarction (AMI) and their impact on 30-d...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2017.0072

    authors: Kim C,Shin DH,Ahn CM,Kim JS,Kim BK,Ko YG,Choi D,Hong MK,Park J,Lee H,Choi YJ,Choi YS,Oh SK,Jang Y

    更新日期:2017-11-01 00:00:00

  • Serial plasma levels of angiogenic factors in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention.

    abstract:BACKGROUND AND OBJECTIVES:Patients with acute myocardial infarction show varying degrees of collateral development. However, the relationships between angiogenic factors and degree of collaterals are not well known. SUBJECTS AND METHODS:Fifty-nine patients (mean age, 59±10 years) with ST-segment elevation myocardial i...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2012.42.7.464

    authors: Kim BH,Ko YG,Her AY,Kim JS,Hwang KC,Shin DH,Kim BK,Choi D,Ha JW,Hong MK,Jang Y

    更新日期:2012-07-01 00:00:00

  • Comparison of clinical outcomes following acute myocardial infarctions in hypertensive patients with or without diabetes.

    abstract:BACKGROUND AND OBJECTIVES:It is thought that patients with diabetes mellitus (DM) have a poor prognosis after an acute myocardial infarction (AMI), but the effect of diabetes on the outcomes of hypertensive patients with AMIs has not been elucidated in the Korean population. The aim of this study was to investigate the...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2009.39.6.243

    authors: Lee MG,Jeong MH,Ahn Y,Chae SC,Hur SH,Hong TJ,Kim YJ,Seong IW,Chae JK,Rhew JY,Chae IH,Cho MC,Bae JH,Rha SW,Kim CJ,Choi D,Jang YS,Yoon J,Chung WS,Cho JG,Seung KB,Park SJ,Other Korea Acute Myocardial Infarction R

    更新日期:2009-06-01 00:00:00

  • Percutaneous closure of an iatrogenic ventricular septal defect following concomitant septal myectomy at the time of aortic valve replacement.

    abstract::A 77-year-old female patient underwent aortic valve replacement (AVR) with concomitant septal myectomy and tricuspid annuloplasty. Her symptoms did not improve after a successful operation. Echocardiogram demonstrated the presence of an iatrogenic ventricular septal defect (VSD). It was muscular in location and not th...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2014.44.1.45

    authors: Ryu IH,Kim WH,Ryu AJ,Kim MG,Jeon JW,Kim JS,Lee JJ,Choi JH

    更新日期:2014-01-01 00:00:00

  • Rationale and Design of the High Platelet Inhibition with Ticagrelor to Improve Left Ventricular Remodeling in Patients with ST-Segment Elevation Myocardial Infarction (HEALING-AMI) Trial.

    abstract:BACKGROUND AND OBJECTIVES:Impaired recovery from left ventricular (LV) dysfunction is a major prognostic factor after myocardial infarction (MI). Because P2Y₁₂ receptor blockade inhibits myocardial injury, ticagrelor with off-target properties may have myocardial protection over clopidogrel. In animal models, ticagrelo...

    journal_title:Korean circulation journal

    pub_type: 杂志文章

    doi:10.4070/kcj.2018.0415

    authors: Park Y,Choi SW,Oh JH,Shin ES,Lee SY,Kim J,Kim W,Suh JW,Yang DH,Hong YJ,Chan MY,Koh JS,Hwang JY,Park JH,Jeong YH,HEALING-AMI Trial Investigators.

    更新日期:2019-07-01 00:00:00