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Kim M, Byun SS, Riahl CS, Shin EK, Han SH. Transcatheter coil embolization of multiple symptomatic coronary arteriovenous fistulas: lessons from long‑term follow‑up. Kardiol Pol 2020; 78:257-258. [DOI: 10.33963/kp.15148] [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: 11/23/2022]
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Oh PC, Kim M, Shin EK, Kang WC. Prevention of Kinked Stent Graft Limb Due to Severe Angulated Proximal Neck during Endovascular Repair for Abdominal Aortic Aneurysm. Ann Thorac Cardiovasc Surg 2018; 24:106-109. [PMID: 29187677 DOI: 10.5761/atcs.cr.17-00072] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Although the technology of endovascular aortic repair (EVAR) for abdominal aortic aneurysm (AAA) is evolving that make it appealing for challenging anatomy, proximal aortic neck morphology, especially severe angulation, is still one of the most determinants for a successful procedure. We describe a patient of AAA with severely angulated proximal neck, in whom kinked stent graft limb occurred against severe angulation of proximal neck. Then, we suggested how to prevent this complication in the second patient. Our case demonstrated the stent graft limb could be kinked by severe aortic neck angulation, making it challenging. However, the kinked stent graft limb could be prevented by deploying stent graft limbs below the most severely angulated aortic neck intentionally.
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Affiliation(s)
- Pyung Chun Oh
- Department of Cardiology, Gachon University Gil Medical Center, Incheon, Korea
| | - Minsu Kim
- Department of Cardiology, Gachon University Gil Medical Center, Incheon, Korea
| | - Eak Kyun Shin
- Department of Cardiology, Gachon University Gil Medical Center, Incheon, Korea
| | - Woong Chol Kang
- Department of Cardiology, Gachon University Gil Medical Center, Incheon, Korea
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Gaspar MP, Pham PP, Pankiw CD, Jacoby SM, Shin EK, Osterman AL, Kane PM. Mid-term outcomes of routine proximal row carpectomy compared with proximal row carpectomy with dorsal capsular interposition arthroplasty for the treatment of late-stage arthropathy of the wrist. Bone Joint J 2018; 100-B:197-204. [PMID: 29437062 DOI: 10.1302/0301-620x.100b2.bjj-2017-0816.r2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
AIMS The aims of this study were to compare the mid-term outcomes of patients with late-stage arthritis of the wrist treated with proximal row carpectomy (PRC) and dorsal capsular interposition (DCI) arthroplasty with a matched cohort treated with routine PRC alone. PATIENTS AND METHODS A total of 25 arthritic wrists (24 patients) with pre-existing degenerative changes of the proximal capitate and/or the lunate fossa of the radius were treated with PRC + DCI over a ten-year period. This group of patients were matched 1:2 with a group of 50 wrists (48 patients) without degenerative changes in the capitate or lunate fossa that were treated with a routine PRC alone during the same period. The mean age of the patients at the time of surgery was 56.8 years (25 to 81), and the demographics and baseline range of movement of the wrist, grip strength, Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score, and Patient-Rated Wrist Evaluation (PRWE) score were similar in both groups. RESULTS At a mean follow-up of 5.9 years (1.8 to 11.8), significant improvements in mean grip strength, the flexion-extension arc of movement of the wrist, QuickDASH, and PRWE scores were seen in both groups. There was no diifference between the groups for any of the outcomes. One patient in the PRC + DCI group required additional surgery for a deep infection, while two in the PRC group had complications (one wound dehiscence requiring revision closure, one transient radial sensory neuritis). One patient in each group required total arthrodesis of the wrist for progressive degenerative radiocarpal changes. A total of 70 patients (93%) were satisfied with the outcomes. CONCLUSION PRC with DCI is an effective form of treatment for late-stage arthritis of the wrist involving the capitolunate joint, with mid-term outcomes that are similar to those in patients without degenerative changes affecting the capitate or lunate fossa who are treated with a routine PRC alone. Cite this article: Bone Joint J 2018;100-B:197-204.
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Affiliation(s)
- M P Gaspar
- Philadelphia Hand to Shoulder Center, Thomas Jefferson University, 834 Chestnut Street, The Franklin Building, Suite G114, Philadelphia, PA 19107, USA and Darden School of Business, University of Virginia, 100 Darden Boulevard, Charlottesville, Virginia 22903, USA
| | - P P Pham
- Philadelphia Hand to Shoulder Center, Thomas Jefferson University, 834 Chestnut Street, The Franklin Building, Suite G114, Philadelphia, PA 19107, USA
| | - C D Pankiw
- Philadelphia Hand to Shoulder Center, Thomas Jefferson University, 834 Chestnut Street, The Franklin Building, Suite G114, Philadelphia, PA 19107, USA
| | - S M Jacoby
- Philadelphia Hand to Shoulder Center, Thomas Jefferson University, 834 Chestnut Street, The Franklin Building, Suite G114, Philadelphia, PA 19107, USA
| | - E K Shin
- Philadelphia Hand to Shoulder Center, Thomas Jefferson University, 834 Chestnut Street, The Franklin Building, Suite G114, Philadelphia, PA 19107, USA
| | - A L Osterman
- Philadelphia Hand to Shoulder Center, Thomas Jefferson University, 834 Chestnut Street, The Franklin Building, Suite G114, Philadelphia, PA 19107, USA
| | - P M Kane
- Philadelphia Hand to Shoulder Center, Thomas Jefferson University, 834 Chestnut Street, The Franklin Building, Suite G114, Philadelphia, PA 19107, USA
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Han SH, Oh PC, Koh KK, Ahn TH, Shin EK, Park YM. The role of coronary response to nitrate in patients with suspected vasospastic angina. Atherosclerosis 2017. [DOI: 10.1016/j.atherosclerosis.2017.06.443] [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: 11/15/2022]
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Park YM, Cha MS, Kang WC, Shin MS, Kim YH, Choi IS, Shin EK. Torsades de Pointes associated with QT prolongation after catheter ablation of paroxysmal atrial fibrillation. Indian Pacing Electrophysiol J 2017; 17:146-149. [PMID: 29192591 PMCID: PMC5652273 DOI: 10.1016/j.ipej.2017.07.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [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: 04/10/2017] [Revised: 06/26/2017] [Accepted: 07/11/2017] [Indexed: 01/09/2023] Open
Abstract
A 79-year-old woman who underwent catheter ablation for paroxysmal atrial fibrillation presented with Torsades de Pointes (TdP). Aggravation of prolonged QT interval which is most likely due to neural modulation by catheter ablation, played major role in the initiation of TdP. The patient was successfully treated with isoproterenol during acute stage and discharged after stabilization without implantation of permanent pacemaker or implantable cardioverter defibrillator.
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Affiliation(s)
- Yae Min Park
- Cardiology Division, Gachon University Gil Medical Center, Incheon, Republic of Korea.
| | - Mi Suk Cha
- Cardiology Division, Gachon University Gil Medical Center, Incheon, Republic of Korea
| | - Woong Chol Kang
- Cardiology Division, Gachon University Gil Medical Center, Incheon, Republic of Korea
| | - Mi-Seung Shin
- Cardiology Division, Gachon University Gil Medical Center, Incheon, Republic of Korea
| | - Young-Hoon Kim
- Cardiology Division, Korea University Anam Hospital, Seoul, Republic of Korea
| | - In Suck Choi
- Cardiology Division, Gachon University Gil Medical Center, Incheon, Republic of Korea
| | - Eak Kyun Shin
- Cardiology Division, Gachon University Gil Medical Center, Incheon, Republic of Korea
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Oh PC, Yu J, Byun K, Son M, Kim M, Suh SY, Lee K, Han SH, Ahn T, Shin EK, Kang WC. PROGNOSTIC VALUE OF SOLUBLE ST2 IN PATIENTS WITH ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION. J Am Coll Cardiol 2017. [DOI: 10.1016/s0735-1097(17)33523-4] [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: 10/20/2022]
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Oh PC, Kang WC, Kim M, Moon J, Lee K, Shin EK, Suh J, Park HW, Jang HJ, Kim TH, Park SD, Kwon SW. PROGNOSTIC IMPACT OF ALKALINE PHOSPHATASE MEASURED AT THE TIME OF PRESENTATION IN PATIENTS UNDERGOING PRIMARY PERCUTANEOUS CORONARY INTERVENTION FOR ST-SEGMENT ELEVATION MYOCARDIAL INFARCTION. J Am Coll Cardiol 2017. [DOI: 10.1016/s0735-1097(17)33567-2] [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: 11/28/2022]
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Koh KK, Oh PC, Sakuma I, Lee Y, Han SH, Shin EK. Rosuvastatin dose-dependently improves flow-mediated dilation, but reduces adiponectin levels and insulin sensitivity in hypercholesterolemic patients. Int J Cardiol 2016; 223:488-493. [DOI: 10.1016/j.ijcard.2016.08.051] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2016] [Revised: 06/29/2016] [Accepted: 08/03/2016] [Indexed: 01/07/2023]
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Han SH, Oh PC, Kim MS, Park YM, Koh KK, Shin EK. GW27-e0546 The Role of Insulin Resistance and Metabolic Risk Factors on Culprit Coronary Plaque. J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.07.319] [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: 11/16/2022]
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Han SH, Oh PC, Kim MS, Kang WC, Suh SY, Lee K, Ahn TH, Shin EK. GW27-e0547 Real World Treatment and its Long Term Clinical Outcomes Between DES and CABG in Patients With Left Main Disease, Single Center Experience. J Am Coll Cardiol 2016. [DOI: 10.1016/j.jacc.2016.07.395] [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: 11/26/2022]
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Kim MG, Kang WC, Oh PC, Jeon YB, Lee JY, Shin EK. Protective effect of angulated aorta for saving coronary artery during endovascular repair for ascending aortic pseudoaneurysm. J Thorac Dis 2016; 8:E667-71. [PMID: 27621896 DOI: 10.21037/jtd.2016.05.62] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Ascending aortic pseudoaneurysm is a rare complication after cardiothoracic surgery and the open surgical repair for this complication is challenging. We report on a patient who developed an ascending aortic pseudoaneurysm after aortic valve replacement (AVR), which was treated successfully with endovascular therapy. Our case showed that angulation of the ascending aorta is one of factors for consideration in application of endovascular therapy and endovascular therapy might be an option for management of ascending aortic pathology in patients with high surgical risk, particularly patients with a severely angulated proximal ascending aorta.
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Affiliation(s)
- Myeong Gun Kim
- Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea
| | - Woong Chol Kang
- Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea
| | - Pyung Chun Oh
- Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea
| | - Yang Bin Jeon
- Department of Cardiovascular Surgery, Gachon University Gil Medical Center, Incheon, Korea
| | - Ji Yeon Lee
- Department of Anesthesiology, Gachon University Gil Medical Center, Incheon, Korea
| | - Eak Kyun Shin
- Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea
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Kim M, Kim MG, Kang WC, Oh PC, Lee JY, Kang JM, Chung WJ, Shin EK. Thrombotic Occlusion of Stent Graft Limbs due to Severe Angulation of Aortic Neck in Endovascular Repair of Abdominal Aortic Aneurysm. Korean Circ J 2016; 46:727-729. [PMID: 27721866 PMCID: PMC5054187 DOI: 10.4070/kcj.2016.46.5.727] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 10/20/2015] [Revised: 10/29/2015] [Accepted: 11/05/2015] [Indexed: 11/11/2022] Open
Abstract
Endovascular aneurysm repair (EVAR) is a safe alternative to open surgical repair for an abdominal aortic aneurysm. However, unfavorable aortic anatomy of the aneurysm has restricted the widespread use of EVAR. Anatomic limitation is most often related to characteristics of the proximal neck anatomy. In this report, we described a patient with a severely angulated proximal neck who underwent EVAR, but required repeat intervention because of thrombotic occlusion of stent graft limbs.
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Affiliation(s)
- Minsu Kim
- Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.; Gachon Cardiovascular Research Institute, Gachon University, Incheon, Korea
| | - Myeong Gun Kim
- Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.; Gachon Cardiovascular Research Institute, Gachon University, Incheon, Korea
| | - Woong Chol Kang
- Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.; Gachon Cardiovascular Research Institute, Gachon University, Incheon, Korea
| | - Pyung Chun Oh
- Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.; Gachon Cardiovascular Research Institute, Gachon University, Incheon, Korea
| | - Ji Yeon Lee
- Gachon Cardiovascular Research Institute, Gachon University, Incheon, Korea.; Department of Anesthesiology, Gachon University Gil Medical Center, Incheon, Korea
| | - Jin Mo Kang
- Gachon Cardiovascular Research Institute, Gachon University, Incheon, Korea.; Department of Vascular Surgery, Gachon University Gil Medical Center, Incheon, Korea
| | - Wook-Jin Chung
- Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.; Gachon Cardiovascular Research Institute, Gachon University, Incheon, Korea
| | - Eak Kyun Shin
- Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.; Gachon Cardiovascular Research Institute, Gachon University, Incheon, Korea
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Koh KK, Oh PC, Sakuma I, Lee Y, Han SH, Shin EK. Vascular and metabolic effects of omega-3 fatty acids combined with fenofibrate in patients with hypertriglyceridemia. Int J Cardiol 2016; 221:342-6. [PMID: 27424313 DOI: 10.1016/j.ijcard.2016.07.038] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Accepted: 07/04/2016] [Indexed: 12/11/2022]
Abstract
BACKGROUND Effects of omega-3 fatty acids (n-3 FA) combined with fenofibrate are not yet investigated, compared with fenofibrate. METHODS This was a randomized, single-blind, placebo-controlled, parallel study. Age, sex, and body mass index were matched among groups. All patients were recommended to maintain a low fat diet. Fifty patients with hypertriglyceridemia in each group were given placebo, n-3 FA 2g+fenofibrate 160mg (combination), or fenofibrate 160mg, respectively daily for 2months. RESULTS Placebo, combination, and fenofibrate significantly decreased triglycerides by 7%, 41% and 30%, respectively and triglycerides/HDL cholesterol ratio by 11%, 45% and 32%, respectively relative to baseline measurements (all P<0.05 by paired t-test). When compared with placebo and fenofibrate, these with combination were significant (P<0.001 by ANOVA). When compared with placebo, both combination and fenofibrate significantly decreased apolipoprotein B and non-HDL cholesterol and improved flow-mediated dilation and reduced CRP and fibrinogen (all P<0.05 by ANOVA), however, there were no significant differences between combination and fenofibrate. When compared with placebo, both combination and fenofibrate significantly reduced insulin and glucose (both P<0.05 by ANOVA), and improved insulin sensitivity (P=0.005 by ANOVA). However, there were no significant differences between combination and fenofibrate. CONCLUSIONS When compared with fenofibrate, combination significantly decreased triglycerides and triglycerides/HDL cholesterol ratio. Otherwise, combination and fenofibrate significantly reduced apolipoprotein B and non-HDL cholesterol and improved flow-mediated dilation and reduced CRP and fibrinogen to a similar extent. Also, combination and fenofibrate significantly improved insulin sensitivity to a similar extent by reducing insulin and glucose in patients with hypertriglyceridemia.
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Affiliation(s)
- Kwang Kon Koh
- Cardiology, Gachon University Gil Medical Center, Incheon, Republic of Korea; Gachon Cardiovascular Research Institute, Incheon, Republic of Korea.
| | - Pyung Chun Oh
- Cardiology, Gachon University Gil Medical Center, Incheon, Republic of Korea; Gachon Cardiovascular Research Institute, Incheon, Republic of Korea
| | - Ichiro Sakuma
- Cardiology, Gachon University Gil Medical Center, Incheon, Republic of Korea; Gachon Cardiovascular Research Institute, Incheon, Republic of Korea
| | - Yonghee Lee
- Cardiology, Gachon University Gil Medical Center, Incheon, Republic of Korea; Gachon Cardiovascular Research Institute, Incheon, Republic of Korea
| | - Seung Hwan Han
- Cardiology, Gachon University Gil Medical Center, Incheon, Republic of Korea; Gachon Cardiovascular Research Institute, Incheon, Republic of Korea
| | - Eak Kyun Shin
- Cardiology, Gachon University Gil Medical Center, Incheon, Republic of Korea; Gachon Cardiovascular Research Institute, Incheon, Republic of Korea
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Kang WC, Ko YG, Oh PC, Shin EK, Park CH, Choi D, Youn YN, Lee DY. Comparison of Total Arch and Partial Arch Transposition During Hybrid Endovascular Repair for Aortic Arch Disease. Eur J Vasc Endovasc Surg 2016; 52:173-8. [PMID: 27346445 DOI: 10.1016/j.ejvs.2016.06.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [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: 01/28/2016] [Accepted: 06/01/2016] [Indexed: 11/20/2022]
Abstract
OBJECTIVE Total arch transposition (TAT) during hybrid endovascular repair for aortic arch disease is believed to allow a better landing zone, but also to be associated with higher peri-operative mortality than partial arch transposition (PAT). Information on this issue is limited. METHOD This study was a retrospective analysis. All 53 consecutive patients with aortic arch disease (41 males, mean age 65.0 years) who underwent hybrid endovascular repair with TAT (zone 0, n=20) or PAT (zone 1 or 2, n=33) from 2008 to 2014 were analyzed retrospectively. The peri-operative and late outcomes of these two groups were compared. RESULTS Baseline characteristics, including EuroSCORE II results, were similar in the two groups. After procedures, peri-operative mortalities and stroke rates were similar in the two groups (5.0% vs. 9.1%, p=1.000, and 10.0% vs. 6.1%, p=.627). Interestingly, all four strokes occurred in patients with a type III aortic arch irrespective of transposition type. Primary success rates (80.0% vs. 69.7%, p=.527) and type I endoleak incidences (20.0% vs. 27.3%, p=.744) were not significantly different. During follow up (mean duration 36.9 months), overall survival (89.7% vs. 87.4% at 1 year and 89.7% vs. 79.3% at 3 years; p=.375) and re-intervention free survival rates (78.6% vs. 92.0% at 1 year; 72.0% vs. 62.2% at 3 years, p=.872) were similar in the two groups. CONCLUSION Morbidity and mortality were high within the first year of hybrid endovascular therapy for aortic arch disease, implying that candidates for hybrid procedures need to be selected carefully. Hybrid endovascular repair with TAT was found to have peri-operative mortality, stroke, and long-term survival rates comparable with PAT, so hybrid endovascular repair may be considered, irrespective of type of arch reconstruction, when clinically indicated.
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Affiliation(s)
- W C Kang
- Cardiology, Gachon University Gil Medical Center, Incheon, Republic of Korea
| | - Y-G Ko
- Cardiothoracic Surgery, Gachon University Gil Medical Center, Incheon, Republic of Korea.
| | - P C Oh
- Cardiology, Gachon University Gil Medical Center, Incheon, Republic of Korea
| | - E K Shin
- Cardiology, Gachon University Gil Medical Center, Incheon, Republic of Korea
| | - C-H Park
- Cardiology, Severance Cardiovascular Hospital, Yonsei University, Seoul, Republic of Korea
| | - D Choi
- Cardiothoracic Surgery, Gachon University Gil Medical Center, Incheon, Republic of Korea
| | - Y N Youn
- Cardiothoracic Surgery, Severance Cardiovascular Hospital, Yonsei University, Seoul, Republic of Korea
| | - D Y Lee
- Radiology, Severance Cardiovascular Hospital, Yonsei University, Seoul, Republic of Korea
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Oh PC, Kang WC, Moon J, Park YM, Kim S, Kim MG, Lee K, Ahn T, Shin EK. Anti-Anginal and Metabolic Effects of Carvedilol and Atenolol in Patients with Stable Angina Pectoris: A Prospective, Randomized, Parallel, Open-Label Study. Am J Cardiovasc Drugs 2016; 16:221-8. [PMID: 27021556 DOI: 10.1007/s40256-016-0168-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND While recent guidelines have suggested the potential for beta-blockers as first-line agents in chronic stable angina, few data regarding comparative anti-anginal and metabolic effects between beta-blockers with and without vasodilating properties have been reported, particularly in patients with angina pectoris. OBJECTIVE Our objective was to compare the anti-anginal and metabolic effects of carvedilol and atenolol in patients with stable angina pectoris. METHODS A total of 89 patients (mean age 54.9 ± 9.3 years; male 53.9 %) with stable angina pectoris were randomly assigned to carvedilol (n = 43) or atenolol (n = 46). The subjects undertook an exercise treadmill test and completed the Seattle Angina Questionnaire (SAQ); metabolic parameters were measured at baseline and 6 months after treatment. RESULTS The baseline characteristics of both groups were well balanced. Both carvedilol and atenolol significantly reduced heart rate from baseline (76 ± 11 to 66 ± 9 beat/min, p < 0.001; 74 ± 9 to 64 ± 9 beat/min, p < 0.001, respectively) with no significant changes in systolic and diastolic blood pressure. Improvement of time to ST-segment depression during the treadmill exercise and the SAQ scores for angina stability and frequency after 6 months of treatment were similar between groups. There was no significant change from baseline in the level of fasting glucose, insulin, or glycated hemoglobin in either group. However, total cholesterol and low-density lipoprotein cholesterol levels significantly reduced to a greater extent with carvedilol than with atenolol (-23 vs. -10 and -38 vs. -24 %, respectively, p < 0.05 for both), although the rate of statin use was comparable. No changes were seen in high-density lipoprotein cholesterol and triglyceride levels after 6 months of treatment in both groups compared with baseline. CONCLUSIONS Both carvedilol and atenolol had a similar anti-anginal effect. Compared with atenolol, carvedilol might have more beneficial effects on lipid metabolism in patients with stable angina pectoris [ClinicalTrials.gov identifier: NCT02547597].
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Oh PC, Suh SY, Kang WC, Lee K, Han SH, Ahn T, Shin EK. The efficacy and safety of drug-eluting balloons for the treatment of in-stent restenosis as compared with drug-eluting stents and with conventional balloon angioplasty. Korean J Intern Med 2016; 31:501-6. [PMID: 26951915 PMCID: PMC4855086 DOI: 10.3904/kjim.2014.189] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Revised: 11/18/2014] [Accepted: 03/23/2015] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND/AIMS Treatment of coronary in-stent restenosis (ISR) is still associated with a high incidence of recurrence. We aimed to compare the efficacy and safety of drug-eluting balloons (DEB) for the treatment of ISR as compared with conventional balloon angioplasty (BA) and drug-eluting stents (DES). METHODS Between January 2006 and May 2012 a total of 177 patients (188 lesions, 64.1 ± 11.7 years old) who underwent percutaneous coronary intervention for ISR were retrospectively enrolled. Clinical outcomes were compared between patients treated with DEB (n = 58, 32.8%), conventional BA (n = 65, 36.7%), or DES (n = 54, 30.5%). The primary end point was a major adverse cardiac event (MACE), defined as a composite of cardiac death, myocardial infarction, and target lesion revascularization(TLR). RESULTS Baseline characteristics were not different except for a history of previous MI, which was more frequent in patients treated by conventional BA or DES than in patients treated by DEB (40.0% vs. 48.1% vs. 17.2%, respectively, p = 0.002). The total incidences of MACEs were 10.7%, 7.4%, and 15.4% in patients treated by DEB, DES, or conventional BA, respectively (p > 0.05). TLR was more frequent in patients treated by conventional BA than in patients treated by DEB or DES, but this was not statistically significant (10.8% vs. 6.9% vs. 3.7%, p > 0.05 between all group pairs, respectively). CONCLUSIONS This study showed that percutaneous coronary intervention using DEB might be a feasible alternative to conventional BA or DES implantation for treatment of coronary ISR. Further large-scaled, randomized study assessing long-term clinical and angiographic outcomes will be needed.
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Affiliation(s)
| | - Soon Yong Suh
- Correspondence to Soon Yong Suh, M.D. Division of Cardiology, Department of Internal Medicine, Gachon University Gil Medical Center, 21 Namdong-daero 774beon-gil, Namdong-gu, Incheon 21565, Korea Tel: +82-32-460-3054 Fax: +82-32-469-1906 E-mail:
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Lee K, Moon J, Oh PC, Suh SY, Kang WC, Han SH, Tae Hoon TH, Koh KK, Choi IS, Shin EK. CRT-200.94 The Transradial Coronary Interventions Do Not Influence the Diameter of Radial Artery Measured by Quantitative Artery Analysis Six Months Later. JACC Cardiovasc Interv 2016. [DOI: 10.1016/j.jcin.2015.12.280] [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: 11/30/2022]
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Koh KK, Oh PC, Sakuma I, Kim EY, Lee Y, Hayashi T, Han SH, Park YM, Shin EK. Vascular and metabolic effects of ezetimibe combined with simvastatin in patients with hypercholesterolemia. Int J Cardiol 2015; 199:126-31. [DOI: 10.1016/j.ijcard.2015.07.016] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Accepted: 07/06/2015] [Indexed: 11/27/2022]
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Kang WC, Moon J, Ahn T, Choi D, Chung WJ, Kim S, Kim MG, Lee DY, Oh PC, Park CH, Shin EK, Youn YN, Ko YG. TCT-785 Comparison of hybrid endovascular and open surgical repair for proximal aortic arch diseases. J Am Coll Cardiol 2015. [DOI: 10.1016/j.jacc.2015.08.1095] [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: 11/28/2022]
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Park YM, Han SH, Seo JG, Lee S, Oh PC, Koh KK, Lee K, Suh SY, Kang WC, Ahn T, Choi IS, Shin EK. The role of insulin resistance and metabolic risk factors on culprit coronary plaque. Int J Cardiol 2015; 190:56-62. [DOI: 10.1016/j.ijcard.2015.04.163] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2015] [Revised: 04/15/2015] [Accepted: 04/18/2015] [Indexed: 11/24/2022]
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Kim S, Kang WC, Lee S, Yoon PH, Han SY, Oh PC, Shin EK. Endovascular treatment of ruptured subclavian artery aneurysm presented with hemoptysis. J Cardiol Cases 2015; 11:129-131. [PMID: 30546549 DOI: 10.1016/j.jccase.2014.10.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2014] [Revised: 10/21/2014] [Accepted: 10/22/2014] [Indexed: 11/29/2022] Open
Abstract
Ruptured subclavian artery aneurysm (SAA) is extremely rare and it can cause a life-threatening condition. We described an elderly patient with ruptured SAA who underwent endovascular treatment successfully. Our case showed that endovascular repair may be one of the options for the treatment of ruptured SAA when surgical repair is impossible or not indicated for its difficulty. <Learning objective: How to manage ruptured subclavian artery aneurysm by endovascular therapy.>.
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Affiliation(s)
- Sihun Kim
- Cardiology Division, Department of Internal Medicine, Gil Medical Center, Gachon University, Incheon, Republic of Korea
| | - Woong Chol Kang
- Cardiology Division, Department of Internal Medicine, Gil Medical Center, Gachon University, Incheon, Republic of Korea
| | - Seungik Lee
- Cardiology Division, Department of Internal Medicine, Gil Medical Center, Gachon University, Incheon, Republic of Korea
| | - Phil Hoon Yoon
- Cardiology Division, Department of Internal Medicine, Gil Medical Center, Gachon University, Incheon, Republic of Korea
| | - Song Yi Han
- Cardiology Division, Department of Internal Medicine, Gil Medical Center, Gachon University, Incheon, Republic of Korea
| | - Pyung Chun Oh
- Cardiology Division, Department of Internal Medicine, Gil Medical Center, Gachon University, Incheon, Republic of Korea
| | - Eak Kyun Shin
- Cardiology Division, Department of Internal Medicine, Gil Medical Center, Gachon University, Incheon, Republic of Korea
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Abstract
PURPOSE Pulmonary arterial hypertension (PAH) is an orphan disease showing poor prognosis. The purpose of study was to evaluate clinical factors influencing outcomes in PAH. MATERIALS AND METHODS Patients who were diagnosed with PAH at a single center were reviewed retrospectively. Forty patients (34.9±14.5 years, 80% of female) were enrolled. RESULTS Causes were congenital heart disease in 24 (60%), connective tissue disease in 8 (20%) and idiopathic PAH in 6 (15%). Sixteen patients (40%) were WHO functional class III or IV at the time of diagnosis. Twenty seven patients (67.5%) received molecular targeted therapy. During follow-up (53.6±45.5 months), 10 patients (25%) died and 1-, 2-, and 8 year survival rates were 91.3%, 78.7%, and 66.8%, respectively. As expected, median survival of patients with functional class I or II were significantly longer than patients with III or IV (p=0.041). Interestingly, patients with molecular targeted therapy showed longer survival than conventional therapy (p=0.021). CONCLUSION WHO functional class at the time of diagnosis was the strong predictor of survival, and molecular targeted therapy could significantly improve the survival. Therefore, early screening and intensive management would be crucial to improve the prognosis in the patient with PAH.
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Affiliation(s)
- Yae Min Park
- Division of Cardiology, Heart Center, Gachon University Gil Hospital, Incheon, Korea.; Gachon Cardiovascular Research Institute, Gachon University Gil Hospital, Incheon, Korea
| | - Wook-Jin Chung
- Division of Cardiology, Heart Center, Gachon University Gil Hospital, Incheon, Korea.; Gachon Cardiovascular Research Institute, Gachon University Gil Hospital, Incheon, Korea.
| | - Deok Young Choi
- Gachon Cardiovascular Research Institute, Gachon University Gil Hospital, Incheon, Korea.; Division of Pediatric Cardiology, Gachon University Gil Hospital, Incheon, Korea
| | - Han Joo Baek
- Division of Rheumatology, Gachon University Gil Hospital, Incheon, Korea
| | - Sung Hwan Jung
- Division of Pulmonology, Gachon University Gil Hospital, Incheon, Korea
| | - In Suck Choi
- Division of Cardiology, Heart Center, Gachon University Gil Hospital, Incheon, Korea.; Gachon Cardiovascular Research Institute, Gachon University Gil Hospital, Incheon, Korea
| | - Eak Kyun Shin
- Division of Cardiology, Heart Center, Gachon University Gil Hospital, Incheon, Korea.; Gachon Cardiovascular Research Institute, Gachon University Gil Hospital, Incheon, Korea
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Oh PC, Han SH, Koh KK, Lee K, Seo JG, Suh SY, Ahn T, Choi IS, Shin EK. Rosuvastatin treatment improves arterial stiffness with lowering blood pressure in healthy hypercholesterolemic patients. Int J Cardiol 2014; 176:1284-7. [DOI: 10.1016/j.ijcard.2014.07.181] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2014] [Accepted: 07/27/2014] [Indexed: 10/25/2022]
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Oh PC, Koh KK, Sakuma I, Lim S, Lee Y, Lee S, Lee K, Han SH, Shin EK. Omega-3 fatty acid therapy dose-dependently and significantly decreased triglycerides and improved flow-mediated dilation, however, did not significantly improve insulin sensitivity in patients with hypertriglyceridemia. Int J Cardiol 2014; 176:696-702. [DOI: 10.1016/j.ijcard.2014.07.075] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2014] [Revised: 05/16/2014] [Accepted: 07/24/2014] [Indexed: 01/29/2023]
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Park YM, Chung WJ, Lee SP, Choi DY, Baek HJ, Jung SH, Choi IS, Shin EK. Efficacy of inhaled iloprost in cor pulmonale and severe pulmonary hypertension associated with tuberculous destroyed lung. J Cardiovasc Ultrasound 2014; 22:95-7. [PMID: 25031802 PMCID: PMC4096673 DOI: 10.4250/jcu.2014.22.2.95] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 11/24/2013] [Revised: 04/02/2014] [Accepted: 05/15/2014] [Indexed: 11/22/2022] Open
Abstract
Chronic obstructive pulmonary disease (COPD) is one of the causes of cor pulmonale. Cor pulmonale patients with pulmonary hypertension have a significant lower survival rate than patients without. However, there is no conclusive treatment options in cor pulmonale and pulmonary hypertension associated with COPD until now. We report a patient with cor pulmonale and pulmonary hypertension associated with severe form of COPD and tuberculous destroyed lung who achieved marked clinical, functional and echocardiographic hemodynamic improvements with inhaled iloprost for six months.
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Affiliation(s)
- Yae Min Park
- Division of Cardiology, Heart Center, Gachon University Gil Medical Center, Incheon, Korea. ; Gachon Cardiovascular Research Institute, Gachon University Gil Medical Center, Incheon, Korea
| | - Wook-Jin Chung
- Division of Cardiology, Heart Center, Gachon University Gil Medical Center, Incheon, Korea. ; Gachon Cardiovascular Research Institute, Gachon University Gil Medical Center, Incheon, Korea
| | - Sang Pyo Lee
- Division of Pulmonology, Gachon University Gil Medical Center, Incheon, Korea
| | - Deok Young Choi
- Gachon Cardiovascular Research Institute, Gachon University Gil Medical Center, Incheon, Korea. ; Department of Pediatric Cardiology, Gachon University Gil Medical Center, Incheon, Korea
| | - Han Joo Baek
- Division of Rheumatology, Gachon University Gil Medical Center, Incheon, Korea
| | - Sung Hwan Jung
- Division of Pulmonology, Gachon University Gil Medical Center, Incheon, Korea
| | - In Suck Choi
- Division of Cardiology, Heart Center, Gachon University Gil Medical Center, Incheon, Korea. ; Gachon Cardiovascular Research Institute, Gachon University Gil Medical Center, Incheon, Korea
| | - Eak Kyun Shin
- Division of Cardiology, Heart Center, Gachon University Gil Medical Center, Incheon, Korea. ; Gachon Cardiovascular Research Institute, Gachon University Gil Medical Center, Incheon, Korea
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Oh PC, Kang WC, Seo JG, Suh SY, Lee K, Han SH, Ahn T, Shin EK. THE PREVENTIVE EFFECT OF POST-PROCEDURAL STATIN THERAPY ON THE DEVELOPMENT OF CONTRAST-INDUCED NEPHROPATHY IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION UNDERGOING PRIMARY CORONARY INTERVENTION. J Am Coll Cardiol 2014. [DOI: 10.1016/s0735-1097(14)60192-3] [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: 10/25/2022]
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Oh PC, Kang WC, Seo JG, Suh SY, Lee K, Han SH, Ahn T, Shin EK. TCTAP A-016 The Impact of First- Versus Second-generation Drug-eluting Stent on 1-year Outcomes in Patients with ST-segment Elevation Myocardial Infarction Undergoing Primary Coronary Intervention. J Am Coll Cardiol 2014. [DOI: 10.1016/j.jacc.2014.02.024] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Han SH, Seo JG, Oh PC, Lee K, Kang WC, Suh SY, Koh KK, Ahn TH, Shin EK. PM226 Male Patients Had More Vulnerable Plaque Than In Female, Specifically In Patients With Stable Angina And Young Age Group. Glob Heart 2014. [DOI: 10.1016/j.gheart.2014.03.1606] [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: 10/25/2022] Open
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Koh KK, Lim S, Choi H, Lee Y, Han SH, Lee K, Oh PC, Sakuma I, Shin EK, Quon MJ. Combination pravastatin and valsartan treatment has additive beneficial effects to simultaneously improve both metabolic and cardiovascular phenotypes beyond that of monotherapy with either drug in patients with primary hypercholesterolemia. Diabetes 2013; 62:3547-52. [PMID: 23863812 PMCID: PMC3781478 DOI: 10.2337/db13-0566] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Statin and angiotensin II type 1 receptor blocker therapy improves endothelial dysfunction using distinct mechanisms. We evaluated simultaneous vascular and metabolic responses to pravastatin and valsartan therapy, alone or in combination, in hypercholesterolemic patients. Forty-eight hypercholesterolemic patients (23 had metabolic syndrome) were given pravastatin 40 mg and placebo, pravastatin 40 mg and valsartan 160 mg, or valsartan 160 mg and placebo daily during each 2-month treatment period in a randomized, single-blind, placebo-controlled, crossover trial with three treatment arms and two washout periods (each 2 months). Brachial artery flow-mediated dilation and C-reactive protein improved to a greater extent with combined therapy compared with either monotherapy. Importantly, we also observed simultaneous improvement in metabolic phenotypes, with all three treatments causing increased plasma adiponectin levels, reduced fasting insulin levels, and increased insulin sensitivity relative to baseline measurements. For the first time in a statin combination trial, pravastatin combined with valsartan therapy increased plasma adiponectin, lowered fasting insulin levels, and improved insulin sensitivity in an additive manner when compared with monotherapy alone. In contrast to other statins, hydrophilic pavastatin may be combined with other drugs to safely reach lipid target levels while simultaneously improving the metabolic and cardiovascular phenotype of patients at high risk.
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Affiliation(s)
- Kwang Kon Koh
- Cardiology, Gachon University Gil Medical Center, Incheon, Korea
- Corresponding author: Kwang Kon Koh,
| | - Soo Lim
- Division of Endocrinology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
| | - Hanul Choi
- Cardiology, Gachon University Gil Medical Center, Incheon, Korea
| | - Yonghee Lee
- Department of Statistics, University of Seoul, Seoul, Korea
| | - Seung Hwan Han
- Cardiology, Gachon University Gil Medical Center, Incheon, Korea
| | - Kyounghoon Lee
- Cardiology, Gachon University Gil Medical Center, Incheon, Korea
| | - Pyung Chun Oh
- Cardiology, Gachon University Gil Medical Center, Incheon, Korea
| | - Ichiro Sakuma
- Cardiovascular Medicine, Hokko Memorial Clinic, Sapporo, Japan
| | - Eak Kyun Shin
- Cardiology, Gachon University Gil Medical Center, Incheon, Korea
| | - Michael J. Quon
- Division of Endocrinology, Diabetes and Nutrition, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland
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Suh SY, Kang WC, Oh PC, Choi H, Moon CI, Lee K, Han SH, Ahn T, Choi IS, Shin EK. Efficacy and safety of aspirin, clopidogrel, and warfarin after coronary artery stenting in Korean patients with atrial fibrillation. Heart Vessels 2013; 29:578-83. [PMID: 23974943 DOI: 10.1007/s00380-013-0399-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2013] [Accepted: 08/02/2013] [Indexed: 11/25/2022]
Abstract
There are limited data on the optimal antithrombotic therapy for patients with atrial fibrillation (AF) who undergoing coronary stenting. We reviewed 203 patients (62.6 % men, mean age 68.3 ± 10.1 years) between 2003 and 2012, and recorded clinical and demographic characteristics of the patients. Clinical follow-up included major adverse cardiac and cerebrovascular events (MACCE) (cardiac death, myocardial infarction, target lesion revascularization, and stroke), stent thrombosis, and bleeding. The most commonly associated comorbidities were hypertension (70.4 %), diabetes mellitus (35.5 %), and congestive heart failure (26.6 %). Sixty-three percent of patients had stroke risk higher than CHADS2 score 2. At discharge, dual-antiplatelet therapy (aspirin, clopidogrel) was used in 166 patients (81.8 %; Group I), whereas 37 patients (18.2 %) were discharged with triple therapy (aspirin, clopidogrel, warfarin; Group II). The mean follow-up period was 42.0 ± 29.0 months. The mean international normalized ratio (INR) in group II was 1.83 ± 0.41. The total MACCE was 16.3 %, with stroke in 3.4 %. Compared with the group II, the incidence of MACCE (2.7 % vs 19.3 %, P = 0.012) and cardiac death (0 % vs 11.4 %, P = 0.028) were higher in the group I. Major and any bleeding, however, did not differ between the two groups. In multivariate analysis, no warfarin therapy (odds ratio 7.8, 95 % confidence interval 1.02-59.35; P = 0.048) was an independent predictor of MACCE. By Kaplan-Meier survival analysis, warfarin therapy was associated with a lower risk of MACCE (P = 0.024). In patients with AF undergoing coronary artery stenting, MACCE were reduced by warfarin therapy without increased bleeding, which might be related to tighter control with a lower INR value.
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Affiliation(s)
- Soon Yong Suh
- Cardiology Division, Department of Internal Medicine, Gil Medical Center, Gachon University, 1198 Guwol-dong, Namdong-gu, Incheon, 405-760, Korea
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Park YM, Han SH, Ko KP, Koh KK, Kang WC, Lee K, Shin KC, Suh SY, Ahn TH, Choi IS, Shin EK. Diffuse multi-vessel coronary artery spasm: Incidence and clinical prognosis. Int J Cardiol 2013; 167:398-402. [DOI: 10.1016/j.ijcard.2011.12.106] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2011] [Revised: 11/25/2011] [Accepted: 12/26/2011] [Indexed: 11/16/2022]
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Kang WC, Shin EK, Park CH, Kang JM, Ko YG, Choi D, Youn YN, Shim WH. Hybrid endovascular repair for aortic arch pathology: Intermediate outcomes and complications. Catheter Cardiovasc Interv 2013; 82:275-82. [DOI: 10.1002/ccd.24384] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2011] [Revised: 02/01/2012] [Accepted: 02/20/2012] [Indexed: 12/19/2022]
Affiliation(s)
- Woong Chol Kang
- Department of Cardiology; Gil Hospital; Gachon University; Incheon Korea
| | - Eak Kyun Shin
- Department of Cardiology; Gil Hospital; Gachon University; Incheon Korea
| | - Chul-Hyun Park
- Department of Cardiovascular Surgery; Gil Hospital; Gachon University; Incheon Korea
| | - Jin Mo Kang
- Department of and Vascular Surgery; Gil Hospital; Gachon University; Incheon Korea
| | - Young-Guk Ko
- Department of Cardiology; Yonsei Cardiovascular Hospital; Yonsei University College of Medicine; Seoul Korea
| | - Donghoon Choi
- Department of Cardiology; Yonsei Cardiovascular Hospital; Yonsei University College of Medicine; Seoul Korea
| | - Young Nam Youn
- Department of Cardiovascular Surgery; Yonsei Cardiovascular Hospital; Yonsei University College of Medicine; Seoul Korea
| | - Won-Heum Shim
- Department of Cardiology; Yonsei Cardiovascular Hospital; Yonsei University College of Medicine; Seoul Korea
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Lee K, Ahn T, Han SH, Kang WC, Shin EK, Suh SY. TCT-529 5 types of drug-eluting stents including zotarolimus-eluting stent with biolinx polymer show the similar clinical outcomes for the treatment of ST-segment elevation myocardial infarction. J Am Coll Cardiol 2012. [DOI: 10.1016/j.jacc.2012.08.561] [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: 11/15/2022]
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Park YM, Han SH, Lee K, Suh SY, Oh PC, Chung WJ, Kang WC, Koh KK, Ahn TH, Choi IS, Shin EK. Dexamethasone-eluting stents had sustained favorable ischemic driven target lesion revascularization rates over 5 years: a randomized controlled prospective study. Int J Cardiol 2012; 165:359-62. [PMID: 22974726 DOI: 10.1016/j.ijcard.2012.08.033] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2012] [Accepted: 08/23/2012] [Indexed: 10/27/2022]
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Shin MS, Kim BR, Moon J, Suh SY, Lee K, Kang WC, Ahn TH, Shin EK. 992 IMPACT OF GESTATIONAL HYPERTENSION ON WOMEN'S HEART. J Hypertens 2012. [DOI: 10.1097/01.hjh.0000420938.81063.28] [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: 11/25/2022]
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Park YM, Ahn T, Lee K, Shin KC, Jung ES, Shin DS, Kim MG, Kang WC, Han SH, Choi IS, Shin EK. A comparison of two brands of clopidogrel in patients with drug-eluting stent implantation. Korean Circ J 2012; 42:458-63. [PMID: 22870079 PMCID: PMC3409394 DOI: 10.4070/kcj.2012.42.7.458] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [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: 09/06/2011] [Revised: 11/15/2011] [Accepted: 01/08/2012] [Indexed: 11/17/2022] Open
Abstract
Background and Objectives Although generic clopidogrel is widely used, clinical efficacy and safety between generic and original clopidogrel had not been well evaluated. The aim of this study was to evaluate the clinical outcomes of 2 oral formulations of clopidogrel 75 mg tablets in patients with coronary artery disease (CAD) undergoing drug-eluting stent (DES) implantation. Subjects and Methods Between July 2006 and February 2009, 428 patients that underwent implantation with DES for CAD and completed >1 year of clinical follow-up were enrolled in this study. Patients were divided into the following 2 groups based on treatment formulation, Platless® (test formulation, n=211) or Plavix® (reference formulation, n=217). The incidence of 1-year major adverse cardiovascular and cerebrovascular event (MACCE) and stent thrombosis (ST) were retrospectively reviewed. Results The baseline demographic and procedural characteristics were not significantly different between two treatment groups. The incidence of 1-year MACCEs was 8.5% {19/211, 2 deaths, 4 myocardial infarctions (MIs), 2 strokes, and 11 target vessel revascularizations (TVRs)} in Platless® group vs. 7.4% (16/217, 4 deaths, 1 MI, 2 strokes, and 9 TVRs) in Plavix® group (p=0.66). The incidence of 1-year ST was 0.5% (1 definite and subacute ST) in Platless® group vs. 0% in Plavix® group (p=0.49). Conclusion In this study, the 2 tablet preparations of clopidogrel showed similar rates of MACCEs, but additional prospective randomized studies with pharmacodynamics and platelet reactivity are needed to conclude whether generic clopidgrel may replace original clopidogrel.
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Affiliation(s)
- Yae Min Park
- Cardiology Division, Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea
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Han SH, Chung WJ, Kang WC, Lee K, Park YM, Shin MS, Ahn TH, Choi IS, Shin EK. Rosuvastatin combined with ramipril significantly reduced atheroma volume by anti-inflammatory mechanism: Comparative analysis with rosuvastatin alone by intravascular ultrasound. Int J Cardiol 2012; 158:217-24. [DOI: 10.1016/j.ijcard.2011.01.030] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2010] [Revised: 12/14/2010] [Accepted: 01/10/2011] [Indexed: 11/27/2022]
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Kang WC, Ahn T, Lee K, Han SH, Shin EK, Jeong MH, Yoon JH, Park JS, Bae JH, Hur SH, Rha SW, Oh SK, Kim DI, Jang Y, Choi JW, Kim BO. Comparison of zotarolimus-eluting stents versus sirolimus-eluting stents versus paclitaxel-eluting stents for primary percutaneous coronary intervention in patients with ST-elevation myocardial infarction: results from the Korean Multicentre Endeavor (KOMER) acute myocardial infarction (AMI) trial. EUROINTERVENTION 2012; 7:936-43. [PMID: 21959255 DOI: 10.4244/eijv7i8a148] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
AIMS The aim of this study was to compare the efficacy and safety of zotarolimus-eluting stents (ZES), sirolimus-eluting stents (SES) and paclitaxel-eluting stents (PES) in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI). METHODS AND RESULTS This study was a prospective, single-blind, multicentre, randomised trial. The primary endpoint was major adverse cardiac events (MACE) at 12 months post-procedure, defined as cardiac death, recurrent myocardial infarction (MI), or ischaemia-driven target lesion revascularisation (TLR). An angiographic substudy was performed at nine months among 348 patients. From October 2006 to April 2008, 611 patients with STEMI undergoing primary PCI were randomly assigned to treatment with ZES (n=205), SES (n=204), or PES (n=202). The cumulative incidence of MACE was 5.9% in the ZES group, 3.4% in the SES group and 5.7% in the PES group at 12-month follow-up (p=0.457). There was a trend towards a lower rate of ischaemia-driven TLR at 12- (p=0.092) and 18-month (p=0.080) follow-up in the SES group compared to the ZES and PES groups. No difference was observed in rates of cardiac death, recurrent MI and combined death and/or recurrent MI among three groups at 12- and 18-month follow-up. The rate of stent thrombosis was similar among the three groups (2.0% in each group, p=1.000). CONCLUSIONS As compared with SES and PES, the use of ZES in patients with STEMI undergoing primary PCI, showed similar rates of MACE, cardiac death and recurrent MI at 12 and 18 months. There was a trend towards a higher rate of TLR with ZES or PES compared to SES.
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Affiliation(s)
- Woong Chol Kang
- Gil Hospital. Gachon University of Medicine and Science, Incheon, Republic of Korea
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Kim Y, Shin MS, Kim YS, Kang WC, Kim BR, Moon J, Chung WJ, Ahn TH, Shin EK. The impact of diabetes duration on left ventricular diastolic function and cardiovascular disease. Postgrad Med J 2012; 88:189-93. [DOI: 10.1136/postgradmedj-2011-130439] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Koh KK, Quon MJ, Shin KC, Lim S, Lee Y, Sakuma I, Lee K, Han SH, Shin EK. Significant differential effects of omega-3 fatty acids and fenofibrate in patients with hypertriglyceridemia. Atherosclerosis 2012; 220:537-44. [PMID: 22153696 DOI: 10.1016/j.atherosclerosis.2011.11.018] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2011] [Revised: 11/11/2011] [Accepted: 11/14/2011] [Indexed: 12/11/2022]
Abstract
BACKGROUND Omega-3 fatty acids and fenofibrate are both used to treat patients with hypertriglyceridemia. However, a head-to-head comparison of the lipoprotein and metabolic effects of these two medicines has not been published. METHODS This was a randomized, single-blind, placebo-controlled, parallel study. Age, sex, and body mass index were matched among groups. All patients were recommended to maintain a low fat diet. Fifty patients in each group were given placebo, omega-3 fatty acids 2 g (most commonly used dosage in Korean patients), or fenofibrate 160 mg, respectively daily for 2 months. RESULTS Omega-3 fatty acids therapy decreased triglycerides by 21% and triglycerides/HDL cholesterol and improved flow-mediated dilation (P<0.01), however, did not significantly change insulin, plasma adiponectin levels, and insulin sensitivity (determined by QUICKI) relative to baseline measurements. Fenofibrate therapy decreased total cholesterol, triglycerides by 29%, and triglycerides/HDL-cholesterol (all P<0.01) and improved flow-mediated dilation when compared with baseline. When compared with placebo and omega-3 fatty acids, fenofibrate therapy decreased non-HDL cholesterol (P<0.001) and triglycerides/HDL cholesterol (P=0.016) while increasing HDL cholesterol (P<0.001) and apolipoprotein AI (P=0.001). Of note, when compared with omega-3 fatty acids, fenofibrate therapy decreased fasting insulin (P=0.023) and increased plasma adiponectin (P=0.002) and insulin sensitivity (P=0.015). CONCLUSIONS Omega-3 fatty acids and fenofibrate therapy promoted similar changes in triglycerides and endothelium-dependent dilation. However, fenofibrate therapy had substantially better effects on lipoprotein and metabolic profiles in patients with hypertriglyceridemia.
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Affiliation(s)
- Kwang Kon Koh
- Cardiology, Gachon University Gil Hospital, Incheon, Republic of Korea.
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Park YM, Kang WC, Shin KC, Han SH, Ahn T, Choi IS, Shin EK. Repeated sudden cardiac death in coronary spasm: Is IVUS helpful to decide treatment strategy? Int J Cardiol 2012; 154:e57-9. [DOI: 10.1016/j.ijcard.2011.06.034] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2011] [Accepted: 06/06/2011] [Indexed: 10/18/2022]
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Kim MG, Chung WJ, Choi CH, Moon J, Shin MS, Han SH, Shin EK. Right coronary cusp prolapse resembling subpulmonic stenosis in an old adult patient with ventricular septal defect. J Cardiovasc Ultrasound 2011; 19:216-20. [PMID: 22259668 PMCID: PMC3259549 DOI: 10.4250/jcu.2011.19.4.216] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 08/08/2011] [Revised: 11/23/2011] [Accepted: 11/30/2011] [Indexed: 11/22/2022] Open
Abstract
Ventricular septal defect (VSD) can be associated with various complications such as aortic regurgitation (AR). AR in VSD come from a deficiency or hypoplasia of the conal septum which leads to abnormal apposition in diastole and prolapse of the poorly supported noncoronary or right coronary cusp through the VSD into the right ventricle resembling subpulmonic stenosis and subsequently results in distortion of the aortic valve and progressive AR. AR often increases in severity with age and it indicates a worse prognosis. Therefore, appropriate timing of surgical repair in progressive AR in VSD might be important. Until now, many earlier experiences about surgical repair of AR complicating VSD were on adolescents or young adults. We reported a case of AR in 48-year-old male patient with right coronary cusp prolapse complicating the subarterial type of VSD which was properly assessed by echocardiography and was successfully treated with surgical repair. Right coronary cusp or noncoronary cusp prolapse should be suspected in AR complicating VSD through proper echocardiographic assessment and the surgical repair on VSD and distorted aortic valve should be considered in the old patient, as well as the young.
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Affiliation(s)
- Myeong Gun Kim
- Cardiology Division, Heart Center, Gachon University Gil Hospital, Incheon, Korea
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Suh SY, Rha SW, Ahn TH, Shin EK, Choi CU, Oh DJ, Bae JH, Hur SH, Yun KH, Oh SK, Kim JH, Kim SW, Chae IH, Kim KS, Hong YJ, Jeong MH. Long-term safety and efficacy of Pitavastatin in patients with acute myocardial infarction (from the Livalo Acute Myocardial Infarction Study [LAMIS]). Am J Cardiol 2011; 108:1530-5. [PMID: 21890083 DOI: 10.1016/j.amjcard.2011.07.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2011] [Revised: 07/12/2011] [Accepted: 07/12/2011] [Indexed: 11/15/2022]
Abstract
Pitavastatin is a potent lipophilic statin and may play an important role in acute myocardial infarction (AMI) but there have been limited data on the safety and efficacy of pitavastatin in AMI. This study consisted of 1,039 consecutive patients with AMI (74.0% men, mean age 61.4 ± 12.6 years) who presented in 10 major percutaneous coronary intervention centers in Korea from February 2007 through September 2009. Pitavastatin 2 mg/day was routinely administered in patients with AMI from time of presentation. We investigated changes of lipid profiles, biochemical markers, adverse events, and clinical outcomes up to 12 months. During the study 318 events overall occurred in 220 patients (21.2%) who reported ≥1 treatment emergent adverse event, although 20 events in 14 patients (1.4%) were treatment-related adverse events. Low-density lipoprotein (LDL) cholesterol percent change was -25.6% and LDL cholesterol target attainment was 70.5% at 12-month follow-up. Levels of creatinine phosphokinase, serum glutamic oxaloacetic transaminase, glutamic pyruvic transaminase, and high-sensitivity C-reactive protein decreased significantly during the first 1 month of pitavastatin treatment and were sustained to 12-month follow-up. Major adverse cardiac events occurred in 66 patients (7.3%). All-cause deaths occurred in 32 patients (3.5%) including 19 (2.1%) cardiac deaths and recurrent MIs occurred in 14 (1.6%) and target lesion revascularizations in 42 (4.7%). In conclusion, administration of pitavastatin 2 mg/day in patients with AMI showed 70.5% LDL cholesterol target attainment with good tolerance and was associated with favorable clinical outcomes up to 12 months.
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Affiliation(s)
- Soon Yong Suh
- Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea
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Lee K, Ahn TH, Kang WC, Han SH, Choi IS, Shin EK. The effects of statin and niacin on plaque stability, plaque regression, inflammation and oxidative stress in patients with mild to moderate coronary artery stenosis. Korean Circ J 2011; 41:641-8. [PMID: 22194758 PMCID: PMC3242018 DOI: 10.4070/kcj.2011.41.11.641] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [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: 07/27/2010] [Accepted: 02/25/2011] [Indexed: 01/16/2023] Open
Abstract
Background and Objectives The aim of this study was to compare the effects of a combination of niacin and simvastatin to simvastatin alone, on plaque regression and inflammatory makers. Subjects and Methods The study had a prospective, randomized design. Subjects were patients with intermediate coronary artery stenosis. A total of 28 patients received a combination of niacin 1,000 mg plus simvastatin 40 mg (N+S group, n=14); the other group received simvastatin 40 mg alone (S group, n=14). All patients had a baseline and a 9-month follow-up coronary angiogram and an intravascular ultrasound procedure. Parameters such as normalized total atheroma volume (nTAV) and percent atheroma volume (PAV) were analyzed before and after treatment as were inflammatory markers such as high sensitivity C-reactive protein (hs-CRP), Matrix me-talloproteinase-9 (MMP-9) and soluble CD40 ligand (sCD40L). Results There was no difference in baseline characteristics between the two groups. The nTAV and PAV in the N+S group before and after treatment were not different than those in the S group. But the degree of changes (delta) in nTAV in the N+S group was greater than that in the S group (-21.6±10.68 vs. 5.25±42.19, respectively, p=0.024). Also, the change in PAV in the NS group was higher than that in the S group (-1.2±2.5 vs. -0.6±5, respectively, p=0.047. Changes in hs-CRP, MMP-9, and sCD40L in the NS group were significantly greater than those of the S group (-0.71±1.25, 73.5±64.9, -1,970±1,925 vs. -0.32±0.96, 62.5±30.6, -1,673±2,628, respectively). Conclusion The combination of niacin plus simvastatin decreases coronary plaque volume and attenuates the inflammatory response in patients with intermediate coronary artery stenosis.
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Affiliation(s)
- Kyounghoon Lee
- Department of Cardiology, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea
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Suh SY, Lee KH, Moon J, Kang WC, Han SH, Ahn TH, Shin EK. Comparison of efficacy between paclitaxel-eluting stents with different polymers in terms of major adverse cardiac events and stent thrombosis up to 12months of clinical follow-up. Int J Cardiol 2011; 152:392-5. [DOI: 10.1016/j.ijcard.2011.08.028] [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] [Received: 08/07/2011] [Accepted: 08/13/2011] [Indexed: 10/17/2022]
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Han SH, Koh KK, Kim MG, Ahn TH, Choi IS, Shin EK. Rosuvastatin can reduce aortic stiffness in hypercholesterolemic patients for 2 months treatment by favorable hemodynamic changes. Int J Cardiol 2011. [DOI: 10.1016/j.ijcard.2011.08.697] [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: 10/15/2022]
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Kang WC, Park YM, Shin KC, Moon CI, Lee K, Han SH, Shin MS, Moon J, Ahn T, Shin EK. Comparison of edge vascular response after sirolimus- and paclitaxel-eluting stent implantation. Int J Cardiol 2011; 165:46-50. [PMID: 21903281 DOI: 10.1016/j.ijcard.2011.07.108] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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] [Received: 04/21/2011] [Revised: 07/04/2011] [Accepted: 07/25/2011] [Indexed: 10/17/2022]
Abstract
BACKGROUND To compare the edges vascular response, we analyzed the intravascular ultrasound (IVUS) parameters after implantation of the sirolimus-eluting stent (SES) or the paclitaxel-eluting stent (PES). METHODS Two hundred-two angina patients (123 men; 61.5 ± 9.2 years of age, SES: n = 91, PES: n=111) were enrolled. Both edge segments of the stent were analyzed. The change (Δ) of each parameter at follow-up was calculated. RESULTS The edge restenosis rate was higher in the PES group. However, the Δ Vessel, Δ Plaque and Δ Lumen volume at 5mm edge segments were not different between the two groups except the Δ Plaque volume at the distal segment, higher in the PES than the SES group (6.6 ± 15.7 vs. 1.0 ± 13.1mm(3), P=.016). In the PES group, lumen area at the both 1mm edge segments decreased because of plaque progression (proximal, 1.9 ± 1.5 to 2.2 ± 2.0mm(2), P=.095; distal, 0.6 ± 1.1 to 1.0 ± 1.4mm(2), P=.018) with negative remodeling (proximal, 9.9 ± 2.4 to 9.4 ± 2.6mm(2), P=.004; distal, 7.6 ± 2.4 to 7.2 ± 2.4mm(2), P=.052). Conversely, lumen area at these segments increased due to plaque regression (proximal, 3.2 ± 1.8 to 2.1 ± 1.6mm(2), P=.000; distal, 1.5 ± 1.4 to 0.9 ± 1.3mm(2), P=.000) even though there was negative remodeling in the SES group (proximal, 10.1 ± 2.4 to 9.6 ± 2.3mm(2), P=.019; distal, 7.8 ± 2.3 to 7.5 ± 2.3mm(2), P=.074). The Δ Plaque and Δ Lumen area at the both 1mm edge segments were more prominent in the PES group. CONCLUSIONS Compared to SES, PES was associated with luminal reduction accompanied by plaque progression with negative remodeling at edge segments.
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Affiliation(s)
- Woong Chol Kang
- Department of Cardiology, Gil University, Gachon University of Medicine and Science, Incheon, Republic of Korea.
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Park YM, Kang WC, Kim MG, Shin KC, Lee K, Han SH, Ahn T, Shin EK. AS-209 The Changes of Hs-CRP after DES Implantation Predict Neointimal Hyperplasia Proliferation but Not Long-Term Clinical Outcomes in Stable Angina. Am J Cardiol 2011. [DOI: 10.1016/j.amjcard.2011.02.187] [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: 11/25/2022]
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Kim MG, Kang WC, Shin KC, Pak YM, Han SH, Lee K, Ahn T, Shin EK. AS-055 Comparison of Inflammatory Markers for Prediction of Neointimal Hyperplasia Proliferation after Drug-Eluting Stent Implantation. Am J Cardiol 2011. [DOI: 10.1016/j.amjcard.2011.02.161] [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: 11/29/2022]
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Park YM, Han SH, Shin KC, Kim MG, Lee KH, Kang WC, Koh KK, Ahn TH, Choi IS, Shin EK. THE FAVORABLE LONG TERM CLINICAL OUTCOMES OF A HIGH-DOSE DEXAMETHASONE-ELUTING STENT: RANDOMIZED CONTROLLED PROSPECTIVE STUDY. J Am Coll Cardiol 2011. [DOI: 10.1016/s0735-1097(11)61699-9] [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: 10/18/2022]
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