Publications by authors named "Myung-Jin Cha"

Background: In professional basketball, Jones fractures are among the most common cause of lower extremity stress injury. Despite its prevalence, there is a paucity of research on the impact of Jones fractures on athletic performance in the National Basketball Association (NBA).

Purpose: To determine the impact of Jones fractures on return to play and performance among NBA players when compared with preinjury values and healthy matched controls.

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Aims & Objectives: This study characterized the independent association between insurance type and healthcare outcomes in patients undergoing total joint arthroplasty (TJA).

Materials &methods: National data identified patients who underwent total hip, knee, shoulder, elbow, ankle or wrist joint arthroplasty surgery from 2012 to 2020 for osteoarthritis. Medicaid, Medicare≥65 years old, Medicare<65 years old, and uninsured patients were matched to privately insured patients based on age, sex, and comorbidities.

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Article Synopsis
  • This study analyzes the impact of various comorbidities, such as obesity and hypertension, on hospital charges, costs, and length of stay for patients undergoing total knee arthroplasty (TKA).
  • A total of over 1 million patients from a national database were examined, revealing significant variation in hospital charges and costs associated with specific comorbidities like weight loss and pulmonary hypertension.
  • The findings suggest that addressing certain modifiable and non-modifiable health issues through targeted programs could help reduce overall hospital expenses and length of stay for TKA patients.
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Background And Objectives: Evidence remains limited on the real-world prescription of very low-dose oral anticoagulation among frail patients with atrial fibrillation (AF). We described the practice patterns, effectiveness, and safety of very low-dose edoxaban (15 mg once daily).

Methods: Patients with AF prescribed edoxaban 15 mg once daily in 2 tertiary hospitals between 2016 and September 2022 were included.

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Introduction: Little is known about age and clinical intervention after implantable loop recorder (ILR) insertion. This study investigated the association between age and clinical intervention after ILR implantation.

Methods And Results: Data were obtained from a multicenter registry of ILR in Korea (2017-2020, n = 795).

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Introduction: Pulmonary vein isolation (PVI) by cryoballoon ablation (CBA) is considered an effective primary strategy for early persistent atrial fibrillation (AF). However, data regarding CBA for long-standing persistent AF (PeAF) are limited. We evaluated the efficacy and safety of CBA for long-standing PeAF compared to PeAF.

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Introduction: Nerve palsies are potential consequences of fractures that can result in temporary loss of muscular function. Nerve palsies have not been extensively described in the context of tibial tubercle fractures in the pediatric population. Although the symptoms accompanying nerve palsies concern patients, evidence suggests that non-operative management often results in full functional recovery over time.

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Case: A 4-year-old girl with no relevant medical history presented with left knee swelling. Knee laxity, magnetic resonance imaging findings of anterior cruciate ligament (ACL) deficiency and discoid meniscus, and the chronicity of symptoms prompted arthroscopic ACL reconstruction and meniscal saucerization. Pain and swelling continued, and repeat arthroscopy revealed regeneration of the discoid meniscus at 18-month follow-up.

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Article Synopsis
  • A 67-year-old man with a history of heart disease, high blood pressure, and obesity experienced severe knee pain due to advanced osteoarthritis and was set to have knee surgery after conservative treatments failed.
  • During the surgery, doctors found a broken distal femur and had to cancel the procedure to investigate further.
  • The analysis of the broken bone revealed diffuse large B-cell lymphoma, highlighting the need to consider possible underlying cancers in similar cases before proceeding with surgery.
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Objective: Our study investigated the effects of surgical training on residents' personal relationships. It aimed to address the gaps in understanding of how the surgical training commitment can influence relationship stability, decision-making, and life planning within this unique professional group.

Design: We used cross-sectional survey methodology to gather data on the intricacies of relationship dynamics amid the rigors of surgical training.

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Introduction: The impact of early recurrence of atrial tachyarrhythmia (ERAT) within the 90-day blanking period on long-term outcomes in atrial fibrillation (AF) patients undergoing cryoballoon ablation (CBA) is controversial. This study aimed to assess the relationship between ERAT and late recurrence of atrial tachyarrhythmia (LRAT) post-CBA.

Methods: Utilizing data from a multicenter registry in Korea (May 2018 to June 2022), we analyzed the presence and timing of ERAT (<30, 30-60, and 60-90 days) and its association with LRAT risk after CBA.

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Accurate delineation of key waveforms in an ECG is a critical step in extracting relevant features to support the diagnosis and treatment of heart conditions. Although deep learning based methods using segmentation models to locate P, QRS, and T waves have shown promising results, their ability to handle arrhythmias has not been studied in any detail. In this paper we investigate the effect of arrhythmias on delineation quality and develop strategies to improve performance in such cases.

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Article Synopsis
  • A study was conducted to compare the effectiveness and safety of catheter ablation (CA) versus pacemaker (PM) implantation for treating tachycardia-bradycardia syndrome in patients with paroxysmal atrial fibrillation.
  • Sixty-eight patients were randomly assigned to receive either CA or PM, with outcomes focused on emergency visits or hospitalizations related to cardiovascular issues over a 2-year period.
  • Results showed no significant differences in emergency visits or hospitalizations between the two groups, but the CA group had a lower recurrence rate of atrial fibrillation and a better overall maintenance of sinus rhythm, suggesting it may be a better initial treatment choice.
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  • Cryoablation is a safe and effective treatment for atrial fibrillation (AF), but its outcomes may vary by body mass index (BMI) in patients, especially in Asians.
  • In a study involving 2,648 patients, underweight individuals had a higher recurrence rate of AF after treatment compared to those with a normal BMI, along with a greater risk of complications like transient phrenic nerve palsy.
  • These findings suggest that underweight patients require special attention during and after cryoablation due to increased risks of both AF recurrence and procedural complications.
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  • The study focuses on left atrial thrombus (LAT) formation in patients with atrial fibrillation (AF) already on anticoagulation therapy for over 4 weeks, highlighting its link to thromboembolic events.
  • The research analyzed 1,122 patients and found that LAT was present in 5.3% of them, with factors like age, type of AF, CHADS-VASc score, left ventricular ejection fraction, and atrial enlargement influencing its presence.
  • A predictive model combining these clinical and echocardiographic factors showed strong performance, indicating it could help identify patients who might need further imaging before treatment interventions.
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  • This study explored how typical atrial flutter affects long-term outcomes in patients with atrial fibrillation (AF) undergoing cavotricuspid isthmus (CTI) ablation for rhythm control.
  • Out of 1,907 patients analyzed, 493 (25.9%) had typical atrial flutter, which was associated with a lower recurrence rate of overall atrial arrhythmias (19.7%) compared to those without it (29.9%).
  • The results suggest that having atrial flutter may be beneficial for patients with AF, as it leads to less frequent AF recurrence, indicating that routine screening and ablation for atrial flutter could enhance treatment outcomes for AF patients.
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Introduction: Influence of early atrial fibrillation (AF) ablation, particularly cryoballoon ablation (CBA), on clinical outcome during long-term follow-up has not been clarified. The objective was to determine whether an early CBA (diagnosis-to-ablation of ≤6 months) strategy could affect freedom from AF recurrence after index CBA.

Methods: The study included 2605 patients from Korean CBA registry data with follow-up >12 months after de novo CBA.

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Objective: Tricuspid regurgitation (TR) is a progressive disease with high mortality and limited medical treatment options, and its association with atrial fibrillation (AF) has been documented. This study aimed to investigate whether successful rhythm control through catheter ablation for AF could reduce TR severity.

Methods: A total of 106 patients with drug-refractory AF with moderate to severe secondary TR who underwent AF ablation were screened from a single-centre ablation registry.

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Article Synopsis
  • The study investigates bleeding risks associated with long-term oral anticoagulation (OAC) in patients with nonvalvular atrial fibrillation (AF) and compares those with cancer to those without.
  • It involved 5,902 patients from a registry in Korea, revealing that 464 had cancer, with similar baseline characteristics between the two groups.
  • Key findings showed that patients with AF and cancer experienced a higher incidence of clinically relevant nonmajor bleeding events (4.4 vs. 2.8 per 100 person-years) and had a greater overall risk for bleeding compared to those without cancer.
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Article Synopsis
  • The study explores the long-term impact of atrial fibrillation (AF) on the development of significant tricuspid regurgitation (TR) in patients without structural heart disease, analyzing data from 4,613 AF patients.
  • During a median follow-up of 2.9 years, 3.6% of patients developed severe TR, primarily as isolated progression, with associations noted with advanced mitral regurgitation.
  • Key predictors for developing severe TR included moderate baseline TR, age over 65, history of heart failure, persistent AF, and being female.
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Introduction: Patients with atrial fibrillation-related stroke (AF-stroke) are prone to developing rapid ventricular response (RVR). We investigated whether RVR is associated with initial stroke severity, early neurological deterioration (END) and poor outcome at 3 months.

Methods: We reviewed patients who had AF-stroke between January 2017 and March 2022.

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Background: As the pelvis is a dynamic structure, the quantification of pelvic tilt (PT) should be done in different hip positions prior to total hip arthroplasty (THA). We sought to investigate functional PT in young female patients undergoing THA and explore the correlation of PT with the extent of acetabular dysplasia. Additionally, we aimed to define the PS-SI (pubic symphysis-sacroiliac joint) index as a PT quantifier on AP pelvis X-ray.

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