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Frequent supraventricular premature contractions are an independent predictor for detection of atrial fibrillation in patients with embolic stroke undetermined source
http://hdl.handle.net/10129/00007776
http://hdl.handle.net/10129/000077768e7b2389-4813-4157-a88d-03c7b23315ba
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
Hirosaki Med J 72-1-4_43.pdf (158.5 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2022-04-25 | |||||
| タイトル | ||||||
| タイトル | Frequent supraventricular premature contractions are an independent predictor for detection of atrial fibrillation in patients with embolic stroke undetermined source | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Embolic stroke undetermined source | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Implantable cardiac monitor | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Supraventricular premature contraction | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Atrial fibrillation | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 著者 |
Kitayama, Kazutaka
× Kitayama, Kazutaka× Saito, Shin× Hamadate, Misato× Miura, Naotake× Yamada, Natsumi× Shiroto, Hiroshi× Metoki, Norifumi× Hagii, Joji× Kamada, Takaatsu× Takanashi, Shingo× Tomita, Hirofumi |
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| 著者所属 | ||||||
| 値 | Department of Cardiology and Nephrology, Hirosaki University Graduate School of Medicine | |||||
| 著者所属 | ||||||
| 値 | Hirosaki Stroke and Rehabilitation Center | |||||
| 著者所属 | ||||||
| 値 | Hirosaki Stroke and Rehabilitation Center | |||||
| 著者所属 | ||||||
| 値 | Hirosaki Stroke and Rehabilitation Center | |||||
| 著者所属 | ||||||
| 値 | Hirosaki Stroke and Rehabilitation Center | |||||
| 著者所属 | ||||||
| 値 | Hirosaki Stroke and Rehabilitation Center | |||||
| 著者所属 | ||||||
| 値 | Hirosaki Stroke and Rehabilitation Center | |||||
| 著者所属 | ||||||
| 値 | Hirosaki Stroke and Rehabilitation Center | |||||
| 著者所属 | ||||||
| 値 | Hirosaki Stroke and Rehabilitation Center | |||||
| 著者所属 | ||||||
| 値 | Hirosaki Stroke and Rehabilitation Center | |||||
| 著者所属 | ||||||
| 値 | Department of Cardiology and Nephrology, Hirosaki University Graduate School of Medicine | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: Implantable cardiac monitor（ ICM） is an effective tool to detect atrial fibrillation（ AF） in patients withembolic stroke undetermined sources（ ESUS）. We investigated predictive factors for AF detection in ESUS patientswith ICM implantation. Methods: A total of 29 ESUS patients who underwent ICM implantation （median 71 ［66-84］ years and 18 males）were followed-up for a median of 253［ 44-570］ days. Results: AF was detected in 10 patients（ 34.5%）. The median time from ICM implantation to AF detection was 41.5［33.25-59.25］ days and that from stroke onset to AF detection was 62.5 ［52.25-71.75］ days. AF was detected within90 days after ICM implantation in 90% （9/10） of the study patients. Plasma brain natriuretic peptide level wassignificantly higher in patients with AF detection than in those without it（ 125［ 49.8-550.8］ versus 18.2［ 14.1-60.0］ pg/mL, p=0.007）. More frequent supraventricular premature contraction （SVPC） on Holter electrocardiogram （ECG）was observed in patients with AF detection than in those without it（ 1.81［ 0.40-4.80］ versus 0.04［ 0.02-0.13］ %/day,p<0.001）. Cox proportional hazards model showed that the frequent SVPCs was a significant factor for AF detection. Conclusions: The frequent SVPCs on Holter ECG is an independent predictor for covert AF in ESUS patients. |
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| 書誌情報 |
弘前医学 巻 72, 号 1-4, p. 43-50, 発行日 2022-03-10 |
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| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 0439-1721 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN00211444 | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| 出版者 | ||||||
| 出版者 | 弘前大学大学院医学研究科 | |||||
| 資源タイプ | ||||||
| 値 | Article | |||||
