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Evaluation with Cardiac Catheterization and Echocardiography in Patients Undergoing Implantable Cardioverter-defibrillator Implantation
http://hdl.handle.net/10191/19595
http://hdl.handle.net/10191/195953d04bae8-ed38-4fae-9c67-19e517f0b3a5
名前 / ファイル | ライセンス | アクション |
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110006483826.pdf (612.9 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2012-09-28 | |||||
タイトル | ||||||
タイトル | Evaluation with Cardiac Catheterization and Echocardiography in Patients Undergoing Implantable Cardioverter-defibrillator Implantation | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Evaluation with Cardiac Catheterization and Echocardiography in Patients Undergoing Implantable Cardioverter-defibrillator Implantation | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | ICD | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | catheterization | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | angiography | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | echocardiography | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | arrhythmia | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
著者 |
Filippone, John D.
× Filippone, John D.× Bhati, Ravindra× Akiyama, Toshio |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | As coronary artery disease (CAD) is common in adult patients with lethal ventricular arrhythmias, it has become accepted practice to perform coronary angiography prior to implantable cardioverter-defibrillator (ICD) implantation. Echocardiography is also commonly performed in this setting. However, we are unaware of any study that has evaluated the role of routine coronary angiography and echocardiography prior to ICD placement. We theorize that CAD and valvular heart disease are common in patients undergoing ICD Implantation and that angiography and echocardiography in this population frequently result in invasive therapy. We reviewed all cases of ICD implantation at Strong Memorial Hospital over a 14-month period and determined whether coronary angiography and echocardiography performed prior to ICD placement resulted in revasculalization and valve surgery, respectively. Of 120 patients who received an ICD, 64 (53%) had undergone coronary angiography within the prior year. Of those, 53 (83%) had CAD and 25 (39%) subsequently underwent percutaneous transluminal coronary angioplasty (PTCA) (20) or coronary artery bypass grafting (CABG) (5). Sixty two (52%) of the patients studied had had valvular heart disease diagnosed by left heart catheterization or echocardiography within the prior year. Four (6%) pateints had resultant valve surgery. We conclude that coronary angiography performed prior to ICD implantation results in the diagnosis of CAD and the subsequent revascularization in a large number of patients. Those receiving and ICD also have a high incidence of valvular heart disease, the diagnosis of which leads to valve replacement surgery in a small number of patients. There may be a role for routine coronary angiography and echocardiogram prior to ICD placement. | |||||
書誌情報 |
Acta medica et biologica en : Acta medica et biologica 巻 54, 号 3, p. 85-91, 発行日 2006-09 |
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出版者 | ||||||
出版者 | Niigata University School of Medicine | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 05677734 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508361 | |||||
権利 | ||||||
権利情報 | 本文データは学協会の許諾に基づきCiNiiから複製したものである | |||||
著者版フラグ | ||||||
値 | publisher |