허혈성심장질환 진단에서 심장초음파의 국소벽운동이상과 심장효소의 정확성 평가
Accuracy Evaluation of Regional Wall Motion Abnormality in Echocardiography and Cardiac Enzymes in the Diagnosis of Ischemic Heart Disease
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초록
Echocardiography and cardiac enzymes test are the tests to assess ischemic heart disease. The purpose of this study was to verify the accuracy by comparing and analyzing two tests for the diagnosis of ischemic heart disease. A retrospective study was conducted on 393 study subjects who underwent echocardiography and cardiac enzymes test. As a result of the study, regional wall motion abnormality (RWMA) increased as the age of the study subjects increased. As a result of ROC analysis, RWMA showed a larger area under the curve (AUC) than cardiac enzymes. RWMA showed the highest accuracy with 81.1% of all cardiac enzymes. Among cardiac enzymes, cTnI showed the highest accuracy. Thus, It was confirmed that RWMA of echocardiography is more accurate than cardiac enzyme is in diagnosing ischemic heart disease.
Abstract
Echocardiography and cardiac enzymes test are the tests to assess ischemic heart disease. The purpose of this study was to verify the accuracy by comparing and analyzing two tests for the diagnosis of ischemic heart disease. A retrospective study was conducted on 393 study subjects who underwent echocardiography and cardiac enzymes test. As a result of the study, regional wall motion abnormality (RWMA) increased as the age of the study subjects increased. As a result of ROC analysis, RWMA showed a larger area under the curve (AUC) than cardiac enzymes. RWMA showed the highest accuracy with 81.1% of all cardiac enzymes. Among cardiac enzymes, cTnI showed the highest accuracy. Thus, It was confirmed that RWMA of echocardiography is more accurate than cardiac enzyme is in diagnosing ischemic heart disease.
참고문헌 (29)
- "Ischemic heart disease"[URL]
- Lee GY, "Human Physiology", pp.176~ (2009), Hyunmoonsa
- Choe JH, "Coronary artery disease (angina pectoris and myocardial infarction)", Bulletin of Korea Environmental Preservation Association, 29(369), pp.36~37 (2007)
- Statistical Office, "Statistical Yearbook of Causes of Death in 2020", ~
- Korean Society of Echo Cardiography, "KSE Textbook of Echocardiography", pp.265~ (2021), Daehan Medical
- Oh JK, "The ECHO Manual", pp.431~ (2021), Daehan Medical
- 김아진, "급성 심근 경색증 환자에 응급 심초음파 검사의 유용성", 석사, 내과학, pp.2002
- Adams JE, "Diagnosis of perioperative myocardial infarction with measurement of cardiac troponin I", New England Journal of Medicine, 330(10), pp.670~674 (1994)
- Adams JE, "Cardiac troponin I. A marker with high specificity for cardiac injury", Circulation, 88(1), pp.101~106 (1993)
- Hong TJ, "Diagnosis of coronary artery disease", Journal of the Korean Medical Association, 47(8), pp.714~725 (2004)
- "Common disease-specific testing guide"[URL]
- Peela J, "Cardiac biomarkers : The troponins and CK-MB", Ibnosina Journal of Medicine and Biomedical Sciences, 2(5), pp.190~197 (2010)
- "Lab Testing Online"[URL]
- "Lab Testing Online"[URL]
- Babuin L, "Troponin : The biomarker of choice for the detection of cardiac injury", CMAJ, 173(10), pp.1191~1202 (2005)
- Fan J, "Clinical value of combined detection of CK-MB, MYO, cTnI and plasma NT-proBNP in diagnosis of acute myocardial infarction", Clinical Laboratory, 63(3), pp.427~433 (2017)
- Kusunose K, "A deep learning approach for assessment of regional wall motion abnormality from echocardiographic images", Cardiovascular Imaging, 13(2), pp.374~381 (2020)
- Romano S, "Echocardiography in the coronary care unit : Diagnostic and prognostic impact in comparison with clinical and other indicators", The American Journal of Cardiology, 81(12), pp.13G~16G (1998)
- Manuel DC, "Standardized myocardial segmentation and nomenclature for tomographic imaging of the heart: A statement for healthcare professionals from the Cardiac Imaging Committee of the Council on Clinical Cardiology of the American Heart Association", Circulation, 105(4), pp.539~542 (2002)
- Oh JK, "The ECHO Manual", pp.156~ (2021), Daehan Medical
- Korean Society of Interventional Cardiology, "Guideline for PCI or coronary revascularization", ~ (2014)
- Seung KB, "Diagnosis of Coronary Artery Disease", Medical Postgraduates, 31(4), pp.201~206 (2003)
- Mollema SA, "Prognostic value of echocardiography after acute myocardial infarction", Heart, 95(21), pp.1732~1745 (2009)
- Otterstad JE, "Prognostic value of two-dimensional echocardiography and N-terminal proatrial natriuretic peptide following an acute myocardial infarction. Assessment of baseline values (2–7 days) and changes at 3 months in patients with a preserved systolic function", European Heart Journal, 23(13), pp.1011~1020 (2002)
- "Atherosclerosis"[URL]
- 김경진, "신기능이 저하된 환자들의 급성 심근경색 진단에 있어서 Troponin I, T 및 CK-MB의 유용성 - 응급의료센터 내원환자를 대상으로 -", 대한응급의학회지, 13(4), pp.485~488 (2002), 대한응급의학회
- "cTnI"[URL]
- 김규희, "심장동맥조영술 후 협착에 미치는 대사증후군의 영향인자 분석", 방사선기술과학, 45(1), pp.19~29 (2022), 대한방사선과학회
- 배혜진, "심장초음파검사에서 좌심방 확장과 대사증후군 요인과의 상관관계", 방사선기술과학, 43(3), pp.177~185 (2020), 대한방사선과학회