1
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Kachi D, Lee T, Naito M, Matsuda K, Sayama K, Odanaka Y, Terui M, Horie T, Okata S, Nagase M, Taomoto Y, Misawa T, Miyazaki R, Kaneko M, Nagata Y, Nozato T, Ashikaga T. Excimer Laser Coronary Angioplasty and Drug-Coated Balloon Treatment for Very Late Stent Thrombosis Due to Neoatherosclerosis as Assessed by Optical Coherence Tomography. Circ J 2023; 87:1408. [PMID: 37690820 DOI: 10.1253/circj.cj-23-0391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/12/2023]
Affiliation(s)
- Daigo Kachi
- Department of Cardiology, Japanese Red Cross Musashino Hospital
| | - Tetsumin Lee
- Department of Cardiology, Japanese Red Cross Musashino Hospital
| | - Michihito Naito
- Department of Cardiology, Japanese Red Cross Musashino Hospital
| | - Kazuki Matsuda
- Department of Cardiology, Japanese Red Cross Musashino Hospital
| | - Kodai Sayama
- Department of Cardiology, Japanese Red Cross Musashino Hospital
| | - Yuki Odanaka
- Department of Cardiology, Japanese Red Cross Musashino Hospital
| | - Mao Terui
- Department of Cardiology, Japanese Red Cross Musashino Hospital
| | - Tomoki Horie
- Department of Cardiology, Japanese Red Cross Musashino Hospital
| | | | - Masashi Nagase
- Department of Cardiology, Japanese Red Cross Musashino Hospital
| | - Yuta Taomoto
- Department of Cardiology, Japanese Red Cross Musashino Hospital
| | - Toru Misawa
- Department of Cardiology, Japanese Red Cross Musashino Hospital
| | | | - Masakazu Kaneko
- Department of Cardiology, Japanese Red Cross Musashino Hospital
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2
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Lee T, Ashikaga T, Nozato T, Kaneko M, Miyazaki R, Okata S, Nagase M, Horie T, Terui M, Kishigami T, Nagata Y, Misawa T, Taomoto Y, Kachi D, Naito M, Yonetsu T, Sasano T. Predictors of coronary artery injury after orbital atherectomy as assessed by optical coherence tomography. Int J Cardiovasc Imaging 2023:10.1007/s10554-023-02837-7. [PMID: 37027104 DOI: 10.1007/s10554-023-02837-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Accepted: 03/13/2023] [Indexed: 04/08/2023]
Abstract
PURPOSE The association between the extent of the wire and device bias as assessed by optical coherence tomography (OCT) in the healthy portion of the vessel and the risk of coronary artery injury after orbital atherectomy (OA) has not been fully elucidated. Thus, purpose of this study is to investigate the association between pre-OA OCT findings and post-OA coronary artery injury by OCT. METHODS We enrolled 148 de novo lesions having calcified lesion required OA (max Ca angle > 90°) in 135 patients who underwent both pre- and post-OA OCT. In pre-OA OCT, OCT catheter contact angle and the presence or absences of guide-wire (GW) contact with the normal vessel intima were assessed. Also, in post-OA OCT, we assessed there was post-OA coronary artery injury (OA injury), defined as disappearance of both of intima and medial wall of normal vessel, or not. RESULTS OA injury was found in 19 lesions (13%). Pre-PCI OCT catheter contact angle with the normal coronary artery was significantly larger (median 137°; inter quartile range [IQR] 113-169 vs. median 0°; IQR 0-0, P < 0.001) and more GW contact with the normal vessel was found (63% vs. 8%, P < 0.001). Pre-PCI OCT catheter contact angle > 92° and GW contact with the normal vessel intima were associated with post-OA vascular injury (Both: 92% (11/12), Either: 32% (8/25), Neither: 0% (0/111), P < 0.001). CONCLUSION Pre-PCI OCT findings, such as catheter contact angle > 92° and guide-wire contact to the normal coronary artery, were associated with post-OA coronary artery injury.
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Affiliation(s)
- Tetsumin Lee
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan.
| | - Takashi Ashikaga
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Toshihiro Nozato
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Masakazu Kaneko
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Ryoichi Miyazaki
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Shinichiro Okata
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Masashi Nagase
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Tomoki Horie
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Mao Terui
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Tetsuya Kishigami
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Yasutoshi Nagata
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Toru Misawa
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Yuta Taomoto
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Daigo Kachi
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Michihito Naito
- Department of Cardiology, Japanese Red Cross Musashino Hospital, 1-26-1 Kyonancho, Musashinoshi, Tokyo, Tokyo, Japan
| | - Taishi Yonetsu
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan
| | - Tetsuo Sasano
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan
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3
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Yamamoto T, Miyazaki S, Tanaka Y, Kono T, Nakata T, Mizukami A, Aoyama D, Arai H, Taomoto Y, Horie T, Hojo R, Kawamoto S, Yabe K, Akiyoshi K, Kato N, Ono Y, Suzuki A, Fukamizu S, Nagata Y, Yamauchi Y, Tada H, Hachiya H, Inaba O, Takahashi A, Goya M, Sasano T. Peri-procedural anticoagulation in patients with end-stage kidney disease undergoing atrial fibrillation ablation: results from the multicentre end-stage kidney disease-atrial fibrillation ablation registry. Europace 2023; 25:1400-1407. [PMID: 36892146 PMCID: PMC10105877 DOI: 10.1093/europace/euad056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 02/09/2023] [Indexed: 03/10/2023] Open
Abstract
AIMS The optimal anticoagulation regimen in patients with end-stage kidney disease (ESKD) undergoing atrial fibrillation (AF) catheter ablation is unknown. We sought to describe the real-world practice of peri-procedural anticoagulation management in patients with ESKD undergoing AF ablation. METHODS AND RESULTS Patients with ESKD on haemodialysis undergoing catheter ablation for AF in 12 referral centres in Japan were included. The international normalized ratio (INR) before and 1 and 3 months after ablation was collected. Peri-procedural major haemorrhagic events as defined by the International Society on Thrombosis and Haemostasis, as well as thromboembolic events, were adjudicated. A total of 347 procedures in 307 patients (67 ±9 years, 40% female) were included. Overall, INR values were grossly subtherapeutic [1.58 (interquartile range: 1.20-2.00) before ablation, 1.54 (1.22-2.02) at 1 month, and 1.22 (1.01-1.71) at 3 months]. Thirty-five patients (10%) suffered major complications, the majority of which was major bleeding (19 patients; 5.4%), including 11 cardiac tamponade (3.2%). There were two peri-procedural deaths (0.6%), both related to bleeding events. A pre-procedural INR value of 2.0 or higher was the only independent predictor of major bleeding [odds ratio, 3.3 (1.2-8.7), P = 0.018]. No cerebral or systemic thromboembolism occurred. CONCLUSION Despite most patients with ESKD undergoing AF ablation showing undertreatment with warfarin, major bleeding events are common while thromboembolic events are rare.
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Affiliation(s)
- Tasuku Yamamoto
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8510, Japan
| | - Shinsuke Miyazaki
- Corresponding author. Tel: +81 3 5803 5231, Fax: +81 3 5803 0133. E-mail address:
| | - Yasuaki Tanaka
- Department of Cardiology, Yokosuka Kyosai Hospital, Yonegahama-dori 1-16, Yokosuka-shi, Kanagawa 238-8558, Japan
| | - Toshikazu Kono
- Department of Cardiology, Japanese Red Cross Saitama Hospital, Shintoshin 1-5, Chuo-ku, Saiatama-shi, Saitama 330-8553, Japan
| | - Tadanori Nakata
- Cardiovascular Division, Tsuchiura Kyodo Hospital, Otsuno 4-1-1, Tsuchiura-shi, Ibaraki 300-0028, Japan
| | - Akira Mizukami
- Department of Cardiology, Kameda Medical Center, Higashicho 929, Kamogawa-shi, Chiba 296-8602, Japan
| | - Daisetsu Aoyama
- Department of Cardiology, University of Fukui Hospital, Shimoaizuki 2303, Matsuoka, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan
| | - Hirofumi Arai
- Department of Cardiology, Japanese Red Cross Yokohama City Bay Hospital, Shinyamashita 3-12-1, Naka-ku, Yokohama-shi, Kanagawa 231-8682, Japan
| | - Yuta Taomoto
- Department of Cardiology, Musashino Red Cross Hospital, Sakaiminami-cho 1-26-1, Musashino-shi, Tokyo 180-8610, Japan
| | - Tomoki Horie
- Department of Cardiology, Musashino Red Cross Hospital, Sakaiminami-cho 1-26-1, Musashino-shi, Tokyo 180-8610, Japan
| | - Rintaro Hojo
- Department of Cardiology, Tokyo Metropolitan Hiroo Hospital, Ebisu 2-34-10, Shibuya-ku, Tokyo 150-0013, Japan
| | - Shiho Kawamoto
- Heart Center, Tokyo Yamate Medical Center, Hyakunin-cho 3-22-1, Shinjuku-ku, Tokyo 169-0073, Japan
| | - Kento Yabe
- Department of Cardiology, Ome Municipal General Hospital, Higashiome 4-16-5, Ome-shi 198-0042, Japan
| | - Kikou Akiyoshi
- Department of Cardiology, Hiratsuka Kyosai Hospital, Higashiome 4-16-5, Ome-shi 198-0042, Japan
| | - Nobutaka Kato
- Department of Cardiology, Hiratsuka Kyosai Hospital, Higashiome 4-16-5, Ome-shi 198-0042, Japan
| | - Yuichi Ono
- Department of Cardiology, Ome Municipal General Hospital, Higashiome 4-16-5, Ome-shi 198-0042, Japan
| | - Atsushi Suzuki
- Heart Center, Tokyo Yamate Medical Center, Hyakunin-cho 3-22-1, Shinjuku-ku, Tokyo 169-0073, Japan
| | - Seiji Fukamizu
- Department of Cardiology, Tokyo Metropolitan Hiroo Hospital, Ebisu 2-34-10, Shibuya-ku, Tokyo 150-0013, Japan
| | - Yasutoshi Nagata
- Department of Cardiology, Musashino Red Cross Hospital, Sakaiminami-cho 1-26-1, Musashino-shi, Tokyo 180-8610, Japan
| | - Yasuteru Yamauchi
- Department of Cardiology, Japanese Red Cross Yokohama City Bay Hospital, Shinyamashita 3-12-1, Naka-ku, Yokohama-shi, Kanagawa 231-8682, Japan
| | - Hiroshi Tada
- Department of Cardiology, University of Fukui Hospital, Shimoaizuki 2303, Matsuoka, Eiheiji-cho, Yoshida-gun, Fukui 910-1193, Japan
| | - Hitoshi Hachiya
- Cardiovascular Division, Tsuchiura Kyodo Hospital, Otsuno 4-1-1, Tsuchiura-shi, Ibaraki 300-0028, Japan
| | - Osamu Inaba
- Department of Cardiology, Japanese Red Cross Saitama Hospital, Shintoshin 1-5, Chuo-ku, Saiatama-shi, Saitama 330-8553, Japan
| | - Atsushi Takahashi
- Department of Cardiology, Yokosuka Kyosai Hospital, Yonegahama-dori 1-16, Yokosuka-shi, Kanagawa 238-8558, Japan
| | - Masahiko Goya
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8510, Japan
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4
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Sakai E, Fujinami T, Yamaguchi A, Sato K, Taomoto Y, Adachi T, Shibui T, Hata A. Transcatheter aspiration of a thrombus and percutaneous transluminal coronary recanalization for ST-segment elevation myocardial infarction related to coronavirus disease 2019. J Cardiol Cases 2022; 25:373-376. [PMID: 35035630 PMCID: PMC8752290 DOI: 10.1016/j.jccase.2021.12.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 12/14/2021] [Accepted: 12/27/2021] [Indexed: 12/04/2022] Open
Abstract
Although the novel coronavirus disease 2019 (COVID-19) causes severe viral pneumonia, it has also been reported, in some cases, to co-exist with ST-segment elevation myocardial infarction. Here, we describe the case of a patient with COVID-19 and coronary risk factors for hypertension, including smoking and obesity, who developed acute myocardial infarction due to primary coronary artery thrombosis and was treated with transcatheter thrombus aspiration and percutaneous transluminal coronary recanalization (PTCR) with intracoronary urokinase administration. A large volume of thrombus was collected and thrombolysis in myocardial infarction flow grade 3 was obtained after the procedures. PTCR with or without transcatheter thrombus aspiration may be a useful treatment option. <Learning objective: ST-segment elevation myocardial infarction is a critical complication in patients with novel coronavirus disease 2019. Patients need emergent recanalization to prevent development of fatal cardiac events.>
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Affiliation(s)
- Eiko Sakai
- Department of Cardiology, Tokyo Metropolitan Health and Hospitals Corporation Toshima Hospital, Tokyo, Japan.,Department of Cardiology, Tokyo Yamate Medical Center, Tokyo, Japan
| | - Tatsuya Fujinami
- Department of Cardiology, Tokyo Metropolitan Health and Hospitals Corporation Toshima Hospital, Tokyo, Japan.,Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan
| | - Aya Yamaguchi
- Department of Cardiology, Tokyo Metropolitan Health and Hospitals Corporation Toshima Hospital, Tokyo, Japan
| | - Kuniyoshi Sato
- Department of Cardiology, Tokyo Metropolitan Health and Hospitals Corporation Toshima Hospital, Tokyo, Japan
| | - Yuta Taomoto
- Department of Cardiology, Tokyo Metropolitan Health and Hospitals Corporation Toshima Hospital, Tokyo, Japan
| | - Takuya Adachi
- Department of Infectious Diseases, Tokyo Metropolitan Health and Hospitals Corporation Toshima Hospital, Tokyo, Japan
| | - Takashi Shibui
- Department of Cardiology, Tokyo Metropolitan Health and Hospitals Corporation Toshima Hospital, Tokyo, Japan
| | - Akihiro Hata
- Department of Cardiology, Tokyo Metropolitan Health and Hospitals Corporation Toshima Hospital, Tokyo, Japan
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5
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Manno T, Shimizu M, Ohomri M, Taomoto Y, Kaneda T, Yamakami Y, Iiya M, Shimada H, Isshiki A, Kimura S, Fujii H, Suzuki M, Hirao K. P4386Prognostic value of pressure-strain curve analysis by echocardiography for cardiac death in patients with congestive heart failure. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz745.0791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Pressure-strain curve analysis (PS-curve) is novel method of echocardiographic evaluation for left ventricular (LV) systolic myocardial work including the effect of blood pressure. However, the prognostic value of PS-curve for prospective cardiac death in patients with congestive heart failure (CHF).
Purpose
To elucidate the prognostic value of PS-curve analysis for cardiac death in patients with CHF.
Methods
We enrolled 63 consecutive sinus-rhythm patients with CHF admission who were evaluated by PS-curve analysis before discharge (76.0±13.3 years, 39 males). Endpoint was set as all cardiac death.
Results
Observation period was median 327 days [25%: 91, 75%: 656 days], and the longest period was 1004 days. Five patients died for cardiac causes. Multivariate Cox regression analysis (stepwise regression) revealed diastolic blood pressure (BP) and global constructive work (GCW) were independent predictors (Hazard ratio: 0.854, 0.996, P value: 0.016, 0.019, respectively). ROC curve analysis demonstrated GCW ≤601 had high diagnostic performance for cardiac death (specificity 0.891, sensitivity 0.800, area under ROC 0.824). Kaplan-Meyer curve analysis indicated the group with GCW ≤601 was worse cardiac prognosis (Logrank P<0.001).
Cox Hazard Regression Analysis Univariate Multivariate (stepwise regression) Hazard Ratio 95% CI P Hazard Ratio 95% CI P BP systole (mmHg) 0.915 0.85–0.99 0.026 BP diastole (mmHg) 0.915 0.84–0.99 0.043 0.854 0.75–0.97 0.016 LVDd (mm) 1.064 1.01–1.12 0.025 NA LVDs (mm) 1.066 1.01–1.12 0.016 LVEF (%) 0.963 0.91–1.02 0.221 LAD (mm) 1.197 1.06–1.36 0.005 GWE 0.937 0.88–0.99 0.041 GWI 0.998 0.99–0.99 0.041 NA GCW 0.998 0.99–0.99 0.037 0.996 0.99–0.99 0.019 GWW 0.996 0.98–1.01 0.502 Considering multicollinearity, we excluded GWI and LVDd (correlation coefficient: GWI and GCW = 0.979, LVDd and LVDs = 0.942).
Conclusion
Pressure-strain curve analysis had powerful predictive value for cardiac death in patients with CHF.
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Affiliation(s)
- T Manno
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Shimizu
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Ohomri
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - Y Taomoto
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - T Kaneda
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - Y Yamakami
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Iiya
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - H Shimada
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - A Isshiki
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - S Kimura
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - H Fujii
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Suzuki
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - K Hirao
- Tokyo Medical and Dental University, Departmentof Cardiology, Tokyo, Japan
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6
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Shimizu M, Iiya M, Hara K, Ohmori M, Taomoto Y, Kaneda T, Yamakami Y, Shimada H, Manno T, Isshiki A, Kimura S, Fujii H, Suzuki M, Nishizaki M. P5643Simple 12-leads electrocardiography can predict cardiac death in patients with complete left bundle branch block. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Patients with complete left bundle branch block (CLBBB) generally fall in two categories: CLBBB with good prognosis and poor prognosis. However, a simple electrocardiography (ECG) was considered impossible to predict the two categories.
Purpose
To elucidate the possibility of 12-leads ECG for predicting cardiac prognosis in patients with CLBBB
Methods
To estimate myocardial damage and left ventricular function, the ECG was performed with semiconductor SPECT simultaneously. Among consecutive 5864 patients who underwent ECG gated SPECT, finally 103 sinus-rhythm patients were enrolled. The observed period of them was median 632 days, and primary endpoint was set as cardiac death.
Results
Eight patients fell into cardiac death. Cox univariate analysis showed ventricular activation time (VAT: duration from onset of Q wave to peak of R wave) in V1 lead, T wave amplitude in aVR (aVR T-amp), and multiple fragmented QRS (At least 2 fQRS in LV anterior/inferior/lateral wall), and left ventricular ejection fraction, standard deviation of phase analysis (Phase SD), and summed rest score were significant predictors. After optimization of all significant continuous predictors by ROC curve analysis, all the significant predictors were analyzed by multivariate Cox analysis (stepwise regression). VAT in V1 (Hazard ratio: 4.594, P=0.034), aVR T-amp ≥-85microV (HR: 11.11, P=0.029), and Phase SD≥48.7 (HR6.047, P=0.035) were independent predictors. Kaplan-Meyer curve analysis demonstrated VAT V1≥70 and aVR T amp≥-85 showed the worst prognosis (P=0.008).
Cox Regression after Optimization by ROC Univariate Multivariate (Stepwise regression) HR 95% CI P HR 95% CI P VAT I ≥70 6.861 1.759–26.76 0.006 4.594 1.126–18.75 0.034 T amp in aVR ≥−85 27.34 3.458–216.2 0.002 11.11 1.274–96.85 0.029 Multiple fQRS 3.836 1.081–13.61 0.037 LVEF ≤37% 7.250 1.874–28.04 0.004 SD ≥48.7 17.30 3.671–81.57 <0.001 6.047 1.133–32.28 0.035 SRS≥17 4.178 1.206–14.48 0.024 SD: standard deviation of histogram by phase analysis of SPECT; SRS: summed rest score by myocardial perfusion analysis of SPECT.
Conclusion
Simple 12-leads ECG could predict the prognosis of patients with CLBBB.
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Affiliation(s)
- M Shimizu
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Iiya
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - K Hara
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Ohmori
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - Y Taomoto
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - T Kaneda
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - Y Yamakami
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - H Shimada
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - T Manno
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - A Isshiki
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - S Kimura
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - H Fujii
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Suzuki
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
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7
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Ohmori M, Taomoto Y, Kaneda T, Yamakami Y, Iiya M, Shimada H, Manno T, Fujii H, Suzuki M, Yamawake N, Nishizaki M, Sakurada H, Hiraoka M, Hirao K. T-wave Amplitude in aVR for Left Ventricular Dyssynchrony in Patients with Complete Left Bundle Branch Block. J Electrocardiol 2019. [DOI: 10.1016/j.jelectrocard.2019.01.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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8
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Ohmori M, Taomoto Y, Kaneda T, Yamakami Y, Iiya M, Shimada H, Manno T, Fujii H, Suzuki M, Yamawake N, Nishizaki M, Sakurada H, Hiraoka M, Hirao K. T-wave Amplitude in aVR for Left Ventricular Dyssynchrony in Patients with Complete Left Bundle Branch Block. J Electrocardiol 2018. [DOI: 10.1016/j.jelectrocard.2018.10.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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9
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Manno T, Shimizu M, Ohomri M, Taomoto Y, Kaneda T, Yamakami Y, Iiya M, Shimada H, Fujii H, Suzuki M, Yamawake N, Nishizaki M, Hirao K. P4728Prognostic value of heart rate variability for cardiac events after discharge in patients with congestive heart failure. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- T Manno
- Yokohama Minami Kyosai Hospital, Dept. of Cardiology, Yokohama, Japan
| | - M Shimizu
- Yokohama Minami Kyosai Hospital, Dept. of Cardiology, Yokohama, Japan
| | - M Ohomri
- Yokohama Minami Kyosai Hospital, Dept. of Cardiology, Yokohama, Japan
| | - Y Taomoto
- Yokohama Minami Kyosai Hospital, Dept. of Cardiology, Yokohama, Japan
| | - T Kaneda
- Yokohama Minami Kyosai Hospital, Dept. of Cardiology, Yokohama, Japan
| | - Y Yamakami
- Yokohama Minami Kyosai Hospital, Dept. of Cardiology, Yokohama, Japan
| | - M Iiya
- Yokohama Minami Kyosai Hospital, Dept. of Cardiology, Yokohama, Japan
| | - H Shimada
- Yokohama Minami Kyosai Hospital, Dept. of Cardiology, Yokohama, Japan
| | - H Fujii
- Yokohama Minami Kyosai Hospital, Dept. of Cardiology, Yokohama, Japan
| | - M Suzuki
- Yokohama Minami Kyosai Hospital, Dept. of Cardiology, Yokohama, Japan
| | - N Yamawake
- Yokohama Minami Kyosai Hospital, Dept. of Cardiology, Yokohama, Japan
| | - M Nishizaki
- Odawara Cardiovascular Hospital, Dept. of Cardiology, Odawara, Japan
| | - K Hirao
- Tokyo Medical and Dental University, Dept. of Cardiology, Tokyo, Japan
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Shimizu M, Ohmori M, Taomoto Y, Kaneda T, Yamakami Y, Iiya M, Shimada H, Manno T, Fujii H, Suzuki M, Yamawake N, Nishizaki M. P2760Prognostic value of left ventricular contractile entropy for the presence of chronic total occlusion in coronary artery disease. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy565.p2760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- M Shimizu
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Ohmori
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - Y Taomoto
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - T Kaneda
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - Y Yamakami
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Iiya
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - H Shimada
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - T Manno
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - H Fujii
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Suzuki
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - N Yamawake
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
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Shimizu M, Ohmori M, Taomoto Y, Kaneda T, Yamakami Y, Iiya M, Shimada H, Manno T, Fujii H, Suzuki M, Yamawake N, Nishizaki M, Sakurada H, Hiraoka M. P4727T-wave amplitude in aVR for left ventricular dyssynchrony in patients with complete left bundle branch block. Eur Heart J 2018. [DOI: 10.1093/eurheartj/ehy563.p4727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- M Shimizu
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Ohmori
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - Y Taomoto
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - T Kaneda
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - Y Yamakami
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Iiya
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - H Shimada
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - T Manno
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - H Fujii
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - M Suzuki
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | - N Yamawake
- Yokohama Minami Kyosai Hospital, Department of Cardiology, Yokohama, Japan
| | | | - H Sakurada
- Tokyo Metropolitan Okubo Hospital, Tokyo, Japan
| | - M Hiraoka
- Tokyo Medical and Dental University, Tokyo, Japan
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Iiya M, Shimizu M, Taomoto Y, Amemiya M, Sato Y, Yamakami Y, Nakamura R, Nakano K, Shimada H, Fujii H, Yamawake N, Nishizaki M. P6431Impact of hemoglobin level for prediction of neurological-full-recovery in patients with out-of-hospital-cardiac-arrest after return-of-spontaneous-circulation. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p6431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Sato Y, Shimizu M, Taomoto Y, Amemiya M, Iiya M, Yamakami Y, Nakamura R, Nakano K, Shimada H, Fujii H, Yamawake N, Nishizaki M, Sakurada H, Hiraoka M. P6427The prognostic value of high-frequency component in holter electrocardiograms on lethal arrhythmia in patients with vasospastic angina. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx493.p6427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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14
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Shimizu M, Taomoto Y, Amemiya M, Yamakami Y, Sato Y, Iiya M, Nakamura R, Nakano K, Shimada H, Fujii H, Yamawake N, Nishizaki M, Sakurada H, Hiraoka M. P881Diagnostic performance of T-axis deviation on 12-leads electrocardiography for myocardial ischemia: Analysis by semiconductor SPECT. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx501.p881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Shimizu M, Taomoto Y, Amemiya M, Yamakami Y, Sato Y, Iiya M, Nakamura R, Nakano K, Shimada H, Fujii H, Yamawake N, Nishizaki M, Sakurada H, Hiraoka M. P1458Prognostic value of T wave axis deviation for left ventricular dysfunction in patients with complete left bundle branch block. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx502.p1458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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