Publications by authors named "Minjae Yoon"

Background: Adherence to oral anticoagulant therapy is essential to prevent ischemic stroke in patients with atrial fibrillation (AF).

Objective: This study aimed to evaluate whether smartphone app-based interventions improve medication adherence in patients with AF.

Methods: This open-label, multicenter randomized controlled trial (ADHERE-App [Self-Awareness of Drug Adherence to Edoxaban Using an Automatic App Feedback System] study) enrolled patients with AF treated with edoxaban for stroke prevention.

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Background And Objectives: The Korean Organ Transplant Registry (KOTRY) provided data for this third official report on adult heart transplantation (HT), including information from 709 recipients.

Methods: Data from HTs performed at seven major centers in Korea between March 2014 and December 2020 were analyzed, focusing on immunosuppression, acute rejection, cardiac allograft vasculopathy (CAV), post-transplant survival, and mechanical circulatory support (MCS) usage.

Results: The median ages of the recipients and donors were 56.

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Article Synopsis
  • The PARAGON-HF study compared the effects of sacubitril-valsartan and valsartan on heart failure with preserved ejection fraction but initially found no significant benefits using traditional statistical methods.
  • This new analysis applied a win ratio statistical model to reevaluate the outcomes from the PARAGON-HF study, focusing on various clinical measures, including hospitalizations and symptom scores.
  • The results indicated that patients receiving sacubitril-valsartan experienced more clinical benefits than those on valsartan, regardless of their ejection fraction or sex, showing a significant advantage for the treatment.
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Background: Heart failure exhibits sex-based differences in prevalence, clinical characteristics, and outcomes. However, these differences may have an interaction with age. This study investigates these disparities in Asian patients with acute heart failure according to age.

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Background: Although several biomarkers exist for patients with heart failure (HF), their use in routine clinical practice is often constrained by high costs and limited availability.

Objective: We examined the utility of an artificial intelligence (AI) algorithm that analyzes printed electrocardiograms (ECGs) for outcome prediction in patients with acute HF.

Methods: We retrospectively analyzed prospectively collected data of patients with acute HF at two tertiary centers in Korea.

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Article Synopsis
  • Beta-blockers, like carvedilol, may help heart failure patients, but their effectiveness in heart failure with preserved ejection fraction (HFpEF) is not well understood, particularly based on heart strain measurements.
  • This study, known as CARE-preserved HF, will recruit 100 HFpEF patients with hypertension and examine how carvedilol-SR affects their heart-related outcomes over 6 months, comparing results between those receiving the drug and those given a placebo.
  • The main goal is to see how much NT-proBNP levels change, as this marker indicates heart strain, and to analyze the results based on different levels of global longitudinal strain (GLS).
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Background And Objectives: The number of people with heart failure (HF) is increasing worldwide, and the social burden is increasing as HF has high mortality and morbidity. We aimed to provide updated trends on the epidemiology of HF in Korea to shape future social measures against HF.

Methods: We used the National Health Information Database of the National Health Insurance Service to determine the prevalence, incidence, hospitalization rate, mortality rate, comorbidities, in-hospital mortality, and healthcare cost of patients with HF from 2002 to 2020 in Korea.

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Unlabelled: With advancements in both pharmacologic and non-pharmacologic treatments, significant changes have occurred in heart failure (HF) management. The previous Korean HF registries, namely the Korea Heart Failure Registry (KorHF-registry) and Korean Acute Heart Failure Registry (KorAHF-registry), no longer accurately reflect contemporary acute heart failure (AHF) patients. Our objective is to assess contemporary AHF patients through a nationwide registry encompassing various aspects, such as clinical characteristics, management approaches, hospital course, and long-term outcomes of individuals hospitalized for AHF in Korea.

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Article Synopsis
  • Current heart failure (HF) guidelines recommend a comprehensive approach for management, including patient education and self-care, but implementing these recommendations is difficult in practice.
  • A study was conducted to test a mobile health (mHealth) platform that pairs a smartphone app with Bluetooth monitoring devices to improve self-management and symptoms of heart failure.
  • Results showed that the intervention group reported significantly better symptom improvement and adherence to the app compared to the control group, demonstrating the potential benefits of technology in managing HF.
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The effect of changes in immunosuppressive therapy during the acute phase post-heart transplantation (HTx) on clinical outcomes remains unclear. This study aimed to investigate the effects of changes in immunosuppressive therapy by corticosteroid (CS) weaning and everolimus (EVR) initiation during the first year post-HTx on clinical outcomes. We analyzed 622 recipients registered in the Korean Organ Transplant Registry (KOTRY) between January 2014 and December 2021.

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The prevalence of heart failure (HF) is increasing, necessitating accurate diagnosis and tailored treatment. The accumulation of clinical information from patients with HF generates big data, which poses challenges for traditional analytical methods. To address this, big data approaches and artificial intelligence (AI) have been developed that can effectively predict future observations and outcomes, enabling precise diagnoses and personalized treatments of patients with HF.

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Background: Frailty is an issue in patients with heart failure (HF). A Korean version of the frailty scale (K-FRAIL) has been developed.

Hypothesis: We aimed to analyze the relationship between the K-FRAIL scale and physical performance in patients with HF.

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Article Synopsis
  • - This study evaluates the effectiveness of a smartphone app designed to improve medication adherence in patients with atrial fibrillation (AF) who are prescribed non-vitamin K antagonist oral anticoagulants (NOACs), which is critical for stroke prevention.
  • - The RIVOX-AF trial will enroll 1,042 participants across 13 hospitals in South Korea, randomly assigning them to either the app-based intervention group or a control group to compare adherence levels over 24 weeks.
  • - Key outcomes being measured include adherence rates assessed by pill counts and clinical events such as strokes or major bleeding incidents during the follow-up period.
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Background: Although iron deficiency (ID) is an important and treatable risk factor for heart failure (HF), data on ID are scarce in Asian patients with HF. Therefore, we sought to determine the prevalence and clinical characteristics of ID in hospitalized Korean patients with HF.

Methods: In this prospective, multicenter cohort study, 461 patients with acute HF seen at five tertiary centers from January to November 2019 in Korea were enrolled.

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Background And Objectives: Atrial fibrillation (AF) is associated with decreased cardiac resynchronization therapy (CRT) benefits compared to sinus rhythm (SR). Effective biventricular (BiV) pacing is a determinant of CRT success, but AF can interfere with adequate BiV pacing and affect clinical outcomes. We investigated the effect of device-detected AF on clinical outcomes and optimal BiV pacing in patients with heart failure (HF) treated with CRT.

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Background: High C-reactive protein (CRP) levels are associated with poor outcomes of heart failure (HF), and statins are known to reduce CRP levels. We investigated the prognostic value of CRP and statin in patients with HF with reduced and preserved ejection fraction (EF).

Methods: Altogether, 3,831 patients from the Korean Acute Heart Failure registry were included and stratified according to the tertiles of CRP levels (T1: CRP < 0.

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Background And Objectives: Some individuals exhibit discrepancies between risk classifications assessed using clinical factors and those obtained by vascular imaging. We aimed to evaluate whether statins provide clinical outcome benefits in patients classified as having low to moderate cardiovascular risk but with carotid plaque.

Methods: This was a retrospective propensity score matching study.

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Article Synopsis
  • Researchers developed a mobile app (SMBP-App) to provide tailored feedback for patients measuring their blood pressure (BP) at home, aiming to improve BP management and medication adherence for those with hypertension.
  • A clinical trial named SMART-BP will compare the effectiveness of using SMBP-App versus traditional self-monitoring methods, involving 180 patients with uncomplicated hypertension.
  • The study will measure outcomes like mean home systolic BP and medication adherence over a 24-week period to determine whether the app is a superior method for managing high BP.
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Background: Previous studies regarding donor-recipient size and sex matching in heart transplantation (HTx) mainly included Caucasians with only a small portion of Asians. Even predicted heart mass (PHM) has not yet been elucidated in Asians. We evaluated the association between donor-recipient sex and size matching, including mismatching by PHM, and post-heart transplant survival in Korea.

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Familial hypercholesterolemia (FH) is the most common monogenic disorder. Due to the marked elevation of cardiovascular risk, the early detection, diagnosis, and proper management of this disorder are critical. Herein, the 2022 Korean guidance on this disease is presented.

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Familial hypercholesterolemia (FH) is the most common monogenic disorder. Due to the marked elevation of cardiovascular risk, the early detection, diagnosis, and proper management of this disorder are critical. Herein, the 2022 Korean guidance on this disease is presented.

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Approximately 29% of Korean adults have hypertension; however, the prevalence of primary aldosteronism among the hypertensive population is largely unknown. The aim of our study was to evaluate the prevalence and clinical characteristics of primary aldosteronism in a tertiary-care center in Korea. We retrospectively analyzed 1173 patients with newly diagnosed or preexisting hypertension who were referred to our tertiary-care hospital between January 2013 and December 2018.

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The prognosis of refractory hypertension is largely unknown due to its low prevalence. This study aimed to investigate the prognosis of refractory hypertension and compare it with those of resistant and nonresistant hypertension. We retrospectively analyzed the data of 16,284 participants with hypertension who underwent ambulatory blood pressure (BP) monitoring between 2012 and 2019 at a tertiary center.

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Dilated cardiomyopathy (DCM) is a heart muscle disease that causes heart failure and is the leading cause for heart transplantation. It is a heart muscle disease resulted from a variety of genetics, toxic, metabolic, and infectious causes. One of the most prevalent genetic causes of DCM is a protein-truncating variant in the Titin gene (TTNtv).

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