판막 질환으로 개심술을 받는 한국 성인에서 관상동맥 질환의 동반 유병률
Prevalence of Coronary Artery Disease in Patients Who Underwent Valve Surgery in Korea
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It has been recommended that the evaluation of coronary artery disease should be performed before valve surgery. This recommendation is based on the observation that coronary artery disease may be an appreciable cause of morbidity and mortality after valve surgery. ACC/AHA joint committee released the guidelines for the evaluation and treatment of coronary artery disease in patients with valvular heart disease. However, these guidelines are derived from the data of western developed countries, and there is very limited data in Korean adult patient unfortunately. The incidence of coronary artery disease is relatively low and concomitant coronary bypass surgery with valve surgery is less frequently performed in Korea compared to US. Because the characteristics of patients were quite different than US including age, sex, the cause of valve disease, therefore the optimal strategies for diagnosis in Korean adult patient is necessary. (Korean J Med 2012;83:62-64)
Abstract
It has been recommended that the evaluation of coronary artery disease should be performed before valve surgery. This recommendation is based on the observation that coronary artery disease may be an appreciable cause of morbidity and mortality after valve surgery. ACC/AHA joint committee released the guidelines for the evaluation and treatment of coronary artery disease in patients with valvular heart disease. However, these guidelines are derived from the data of western developed countries, and there is very limited data in Korean adult patient unfortunately. The incidence of coronary artery disease is relatively low and concomitant coronary bypass surgery with valve surgery is less frequently performed in Korea compared to US. Because the characteristics of patients were quite different than US including age, sex, the cause of valve disease, therefore the optimal strategies for diagnosis in Korean adult patient is necessary. (Korean J Med 2012;83:62-64)
참고문헌 (7)
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- Shahian DM, "The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 3: valve plus coronary artery bypass grafting surgery", Ann Thorac Surg, 88(1 Suppl), pp.43~62 (2009)
- Nkomo VT, "Burden of valvular heart diseases: a population-based study", Lancet, 368, pp.1005~1011 (2006)
- Meijboom WB, "Pre-operative computed tomography coronary angiography to detect significant coronary artery disease in patients referred for cardiac valve surgery", J Am Coll Cardiol, 48, pp.1658~1665 (2006)
