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Prevalence of Coronary Artery Disease in Patients Who Underwent Valve Surgery in Korea

판막 질환으로 개심술을 받는 한국 성인에서 관상동맥 질환의 동반 유병률

  • Park, Nam-Hee (Department of Cardiothoracic Surgery, Keimyung University School of Medicine) ;
  • Hur, Seung-Ho (Department of Cardiology, Keimyung University School of Medicine)
  • 박남희 (계명대학교 의과대학 흉부외과학교실) ;
  • 허승호 (계명대학교 의과대학 내과학교실)
  • Published : 2012.07.01

Abstract

It has been recommended that the evaluation of coronary artery disease should be performed before valve surgery. This recommendation is based on the observation that coronary artery disease may be an appreciable cause of morbidity and mortality after valve surgery. ACC/AHA joint committee released the guidelines for the evaluation and treatment of coronary artery disease in patients with valvular heart disease. However, these guidelines are derived from the data of western developed countries, and there is very limited data in Korean adult patient unfortunately. The incidence of coronary artery disease is relatively low and concomitant coronary bypass surgery with valve surgery is less frequently performed in Korea compared to US. Because the characteristics of patients were quite different than US including age, sex, the cause of valve disease, therefore the optimal strategies for diagnosis in Korean adult patient is necessary.

Keywords

References

  1. Bonow RO, Carabello BA, Chatterjee K, et al. 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation 2008;118:e523-e661. https://doi.org/10.1161/CIRCULATIONAHA.108.190748
  2. The Society of Thoracic Surgeon. 2011 Harvest 1-Executive Summary Adult Cardiac Surgery Database [Internet]. Chicago (IL): The Society of Thoracic Surgeon, c2011 [cited 2011 Apr 27]. Available from: http://www.sts.org/sts-national- database/database-managers/executive- summaries
  3. Ministry of Health and welfare, National Health and Nutrition Examination Survey. Korea, 2008.
  4. Centers for Disease Control and Prevention (CDC). Prevalence of coronary heart disease: United States, 2006-2010. MMWR Morb Mortal Wkly Rep 2011;60:1377-1381.
  5. Shahian DM, O'Brien SM, Filardo G, et al. The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 3: valve plus coronary artery bypass grafting surgery. Ann Thorac Surg 2009;88(1 Suppl):S43-S62.
  6. Nkomo VT, Gardin JM, Skelton TN, Gottdiener JS, Scott CG, Enriquez-Sarano M. Burden of valvular heart diseases: a population-based study. Lancet 2006;368:1005-1011 https://doi.org/10.1016/S0140-6736(06)69208-8
  7. Meijboom WB, Mollet NR, Van Mieghem CA, et al. Pre-operative computed tomography coronary angiography to detect significant coronary artery disease in patients referred for cardiac valve surgery. J Am Coll Cardiol 2006;48:1658-1665.