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dc.contributor.author최규선-
dc.date.accessioned2020-07-30T05:35:21Z-
dc.date.available2020-07-30T05:35:21Z-
dc.date.issued2019-06-
dc.identifier.citationWORLD NEUROSURGERY, v. 126, Page. 1099-1111en_US
dc.identifier.issn1878-8750-
dc.identifier.issn1878-8769-
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S1878875019306904?via%3Dihub-
dc.identifier.urihttps://repository.hanyang.ac.kr/handle/20.500.11754/151978-
dc.description.abstractOBJECTIVE: Cardiac dysfunction may worsen outcomes after aneurysmal subarachnoid hemorrhage (SAH). This study quantitatively assessed the prognostic value of left ventricular dysfunction with respect to functional outcomes and mortality in patients with aneurysmal SAH. METHODS: We searched MEDLINE and EMBASE databases to retrieve relevant studies evaluating echocardiographic left ventricular dysfunction following aneurysmal SAH. Fourteen relevant observational studies evaluating 2234 patients were finally included in this study. RESULTS: Echocardiographic regional wall motion abnormalities (RWMA) and neurogenic cardiomyopathy (NCM) of the left ventricle occurring after SAH were significantly related to an increase of in-hospital mortality (in 8 studies for RWMA, odds ratio [OR] 2.37; 95% confidence interval [CI] 1.74-3.25 and in 5 studies for NCM, OR 2.82; 95% CI 1.2-6.6). Decreased ejection fraction on echocardiography was not associated with the increase of in-hospital mortality (in 4 studies, OR 1.76; 95% CI 0.86-3.61). The heterogeneities of decreased ejection fraction and NCM were significantly resolved by analyzing only the studies based on echocardiogram measurements obtained within 72 hours after admission. CONCLUSIONS: The present meta-analysis suggests that the identification of echocardiographic left ventricular dysfunction identified by RWMA and NCM after SAH could provide better prognostic information for in-hospital mortality.en_US
dc.language.isoenen_US
dc.publisherELSEVIER SCIENCE INCen_US
dc.subjectEchocardiographyen_US
dc.subjectMeta-analysisen_US
dc.subjectMortalityen_US
dc.subjectPrognosisen_US
dc.subjectSubarachnoid hemorrhageen_US
dc.titlePrognostic Value of Echocardiography for Left Ventricular Dysfunction After Aneurysmal Subarachnoid Hemorrhage: A Systematic Review and Meta-Analysisen_US
dc.typeArticleen_US
dc.relation.volume126-
dc.identifier.doi10.1016/j.wneu.2019.03.054-
dc.relation.page1099-1111-
dc.relation.journalWORLD NEUROSURGERY-
dc.contributor.googleauthorKim, Wonhee-
dc.contributor.googleauthorChoi, Kyu-Sun-
dc.contributor.googleauthorLim, Taeho-
dc.contributor.googleauthorAhn, Chiwon-
dc.contributor.googleauthorCho, Youngsuk-
dc.contributor.googleauthorYi, Hyeong-Joong-
dc.contributor.googleauthorLee, Seon-Heui-
dc.relation.code2019003420-
dc.sector.campusS-
dc.sector.daehakCOLLEGE OF MEDICINE[S]-
dc.sector.departmentDEPARTMENT OF MEDICINE-
dc.identifier.pidvertex09-
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COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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