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アイテム
組織ドッブラー法を用いた体外循環非使用冠動脈バイパス手術の術後心房細動の発症予測
https://hiroshima.repo.nii.ac.jp/records/2005200
https://hiroshima.repo.nii.ac.jp/records/200520064ce1bdc-c1e3-4fa9-b8dd-d7e97c720bb4
名前 / ファイル | ライセンス | アクション |
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Item type | デフォルトアイテムタイプ_(フル)(1) | |||||||||
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公開日 | 2014-11-21 | |||||||||
タイトル | ||||||||||
タイトル | Prediction of Atrial Fibrillation After Off-Pump Coronary Artery Bypass Grafting Using Preoperative Total Atrial Conduction Time Determined on Tissue Doppler Imaging | |||||||||
言語 | en | |||||||||
タイトル | ||||||||||
タイトル | 組織ドッブラー法を用いた体外循環非使用冠動脈バイパス手術の術後心房細動の発症予測 | |||||||||
言語 | ja | |||||||||
作成者 |
藤原, 舞
× 藤原, 舞
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アクセス権 | ||||||||||
アクセス権 | open access | |||||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||
権利情報 | ||||||||||
権利情報 | Copyright(c) by Author | |||||||||
主題 | ||||||||||
主題Scheme | Other | |||||||||
主題 | Atrial fibrillation | |||||||||
主題 | ||||||||||
主題Scheme | Other | |||||||||
主題 | Off-pump coronary artery bypass grafting | |||||||||
主題 | ||||||||||
主題Scheme | Other | |||||||||
主題 | PA-TDI duration | |||||||||
主題 | ||||||||||
主題Scheme | NDC | |||||||||
主題 | 490 | |||||||||
内容記述 | ||||||||||
内容記述 | Background: Postoperative atrial fibrillation (POAF) is a common complication of cardiac surgery and results in increased health-care utilization. This study identified new transthoracic echocardiographic predictors of POAF using an index of the total atrial conduction time derived on tissue Doppler imaging (PA-TDI duration) in patients undergoing off-pump coronary artery bypass grafting (OPCAB). Methods and Results: A total of 88 patients undergoing isolated OPCAB were enrolled. They were examined preoperatively on transthoracic echocardiography with tissue Doppler evaluations and monitored postoperatively with continuous electrocardiographic telemetry for 7 days. POAF occurred in 35 patients (39.8%). Patients with POAF had a significantly longer duration of hospital stay than those without (44.9±6.2 vs. 37.3±3.3 days, P=0.04). Multivariate analysis showed that PA-TDI duration (odds ratio [OR], 1.11; 95% confidence interval [CI]: 1.06-1.16; P=0.0001) and left atrial volume index (LAVI; OR, 1.11; 95% CI: 1.02-1.20; P=0.01) were independent predictors of POAF. Moreover, PA-TDI duration was more reliable, given an area under the receiver operating characteristic curve of 0.85 (sensitivity, 74.3%; specificity, 86.8%). Conclusions: PA-TDI duration was an independent predictor of POAF following OPCAB. Awareness of risk of POAF may lead to the prevention of POAF, a rapid response to POAF, shortened hospital stay, and improved prognosis. | |||||||||
言語 | en | |||||||||
日付 | ||||||||||
日付 | 2014-11-21 | |||||||||
日付タイプ | Created | |||||||||
言語 | ||||||||||
言語 | eng | |||||||||
資源タイプ | ||||||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||||
資源タイプ | doctoral thesis | |||||||||
出版タイプ | ||||||||||
出版タイプ | NA | |||||||||
出版タイプResource | http://purl.org/coar/version/c_be7fb7dd8ff6fe43 | |||||||||
関連情報 | ||||||||||
関連タイプ | references | |||||||||
関連名称 | Mai Fujiwara, Yukiko Nakano, Takayuki Hidaka, Noboru Oda, Yuko Uchimura, Akinori Sairaku, Kenta Kajihara, Takehito Tokuyama, Chikaaki Motoda, Yoshikazu Watanabe, Hiroki Ikenaga, Katsuhiko Imai, Taijirou Sueda and Yasuki Kihara; Prediction of Atrial Fibrillation After Off-Pump Coronary Artery Bypass Grafting Using Preoperative Total Atrial Conduction Time Determined on Tissue Doppler Imaging; Circulation Journal Vol.78, February 2014 (doi: 10.1253/circj.CJ-13-0900) | |||||||||
関連情報 | ||||||||||
関連タイプ | references | |||||||||
識別子タイプ | DOI | |||||||||
関連識別子 | http://dx.doi.org/10.1253/circj.CJ-13-0900 | |||||||||
学位授与番号 | ||||||||||
学位授与番号 | 甲第6398号 | |||||||||
学位名 | ||||||||||
言語 | ja | |||||||||
学位名 | 博士(医学) | |||||||||
学位名 | ||||||||||
言語 | en | |||||||||
学位名 | Philosophy in Medical Science | |||||||||
学位授与年月日 | ||||||||||
学位授与年月日 | 2014-03-23 | |||||||||
学位授与機関 | ||||||||||
学位授与機関識別子Scheme | kakenhi | |||||||||
学位授与機関識別子 | 15401 | |||||||||
言語 | ja | |||||||||
学位授与機関名 | 広島大学 | |||||||||
学位授与機関 | ||||||||||
言語 | en | |||||||||
学位授与機関名 | Hiroshima University | |||||||||
旧ID | 36311 |