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홍영준,정명호,최윤하,송진아,김동한,이기홍,Futoshi Yamanaka,이민구,박근호,심두선,윤남식,윤현주,김계훈,박형욱,김주한,안영근,조정관,박종춘,강정채 대한의학회 2012 Journal of Korean medical science Vol.27 No.4
The aim of the present study was to evaluate the plaque components and the predictors of thin-cap fibroatheroma (TCFA) in anemic patients with acute coronary syndrome using virtual histology-intravascular ultrasound (VH-IVUS). Anemia was defined according to criteria of the World Health Organization, (i.e. , hemoglobin levels < 13 g/dL in men and < 12 g/dL in women) and we compared VH-IVUS findings between anemia group (171patients, 260 lesions) and non-anemia group (569 patients, 881 lesions). Anemia group had greater % necrotic core (NC) volume (21% ± 9% vs 19% ± 9%, P = 0.001) compared with non-anemia group. Hemoglobin level correlated negatively with absolute NC volume (r = -0.235, P < 0.001) and %NC volume (r = -0.209, P < 0.001). Independent predictors of TCFA by multivariate analysis were diabetes mellitus (odds ratio [OR], 2.213; 95%confidence interval [CI], 1.403-3.612, P = 0.006), high-sensitivity C-reactive protein (OR,1.143; 95% CI, 1.058-1.304, P = 0.012), microalbuminuria (albumin levels of 30 to 300mg/g of creatinine) (OR, 2.124; 95% CI, 1.041-3.214, P = 0.018), and anemia (OR: 2.112;95% CI 1.022-3.208, P = 0.028). VH-IVUS analysis demonstrates that anemia at the time of clinical presentation is associated with vulnerable plaque component in patients with acute coronary syndrome.
Hong, Young Joon,Jeong, Myung Ho,Choi, Yun Ha,Song, Jin A,Kim, Dong Han,Lee, Ki Hong,Yamanaka, Futoshi,Lee, Min Goo,Park, Keun Ho,Sim, Doo Sun,Yoon, Nam Sik,Yoon, Hyun Ju,Kim, Kye Hun,Park, Hyung Wook The Korean Academy of Medical Sciences 2012 JOURNAL OF KOREAN MEDICAL SCIENCE Vol.27 No.4
<P>The aim of the present study was to evaluate the plaque components and the predictors of thin-cap fibroatheroma (TCFA) in anemic patients with acute coronary syndrome using virtual histology-intravascular ultrasound (VH-IVUS). Anemia was defined according to criteria of the World Health Organization, (i.e. , hemoglobin levels < 13 g/dL in men and < 12 g/dL in women) and we compared VH-IVUS findings between anemia group (171 patients, 260 lesions) and non-anemia group (569 patients, 881 lesions). Anemia group had greater % necrotic core (NC) volume (21% ± 9% vs 19% ± 9%, <I>P</I> = 0.001) compared with non-anemia group. Hemoglobin level correlated negatively with absolute NC volume (<I>r</I> = -0.235, <I>P</I> < 0.001) and %NC volume (<I>r</I> = -0.209, <I>P</I> < 0.001). Independent predictors of TCFA by multivariate analysis were diabetes mellitus (odds ratio [OR], 2.213; 95% confidence interval [CI], 1.403-3.612, <I>P</I> = 0.006), high-sensitivity C-reactive protein (OR, 1.143; 95% CI, 1.058-1.304, <I>P</I> = 0.012), microalbuminuria (albumin levels of 30 to 300 mg/g of creatinine) (OR, 2.124; 95% CI, 1.041-3.214, <I>P</I> = 0.018), and anemia (OR: 2.112; 95% CI 1.022-3.208, <I>P</I> = 0.028). VH-IVUS analysis demonstrates that anemia at the time of clinical presentation is associated with vulnerable plaque component in patients with acute coronary syndrome.</P>