Publications by authors named "You-Mi Hwang"

Long QT syndrome type 2 (LQT2) is a heart disorder resulting from a loss-of-function mutation in theKCNH2gene that causes loss of Kv11.1 channel function, potentially resulting in syncope, arrhythmias, and sudden death. We derived induced pluripotent stem cell line from PBMC of LQT2 patient carrying a variant of pathogenic variant (c.

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Background: The adoption of remote monitoring (RM) is especially relevant for patients with implantable cardiac devices due to their high risk of hospitalization and the need for frequent outpatient visits. Though RM can help with early detection of cardiac episodes, it may also increase the number of tasks healthcare providers engage in to monitor patients' health. The adoption of RM may increase healthcare providers' workloads, potentially impacting the quality of care and increasing the risk of clinician-provider burnout.

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Purpose: Remote monitoring of cardiac devices reduces unnecessary outpatient visits and increases patient satisfaction. We aimed to evaluate remote monitoring in terms of patient satisfaction, economic efficiency, and safety.

Patients And Methods: This was a single university hospital survey.

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Article Synopsis
  • The study investigated stroke risk and bleeding risks in patients with atrial fibrillation (AF) who had non-gender CHADS-VASc scores of 0-1, focusing on the effectiveness of different antithrombotic treatments (ATT).
  • A multi-center cohort of 2,465 patients evaluated the outcomes of single antiplatelet (SAPT), vitamin K antagonists (VKA), and non-VKA oral anticoagulants (NOAC), using an ABCD scoring system for better risk stratification.
  • Results showed that NOAC provided a significant net clinical benefit over SAPT and VKA for patients with an ABCD score of 1 or more, while no benefit was found for patients with an
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Introduction: The prevalence of atrial fibrillation (AF) is increasing as the elderly population continues to increase. Chronic kidney disease, diabetes, and hypertension are known risk factors for AF. Since multimorbidity exists in chronic kidney disease, it is difficult to determine the impact of hypertension alone.

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  • Atrial fibrillation (AF) patients with low to intermediate risk (CHADS-VASc score 0-1) still face stroke risks, so the ABCD score was evaluated for better risk assessment.
  • A multi-center cohort study was conducted on 2,694 AF patients, revealing that those with a higher ABCD score had an increased stroke rate compared to those with a score of 0.
  • The study concluded that the ABCD score outperforms the non-gender CHADS-VASc score in identifying stroke risk and highlighted that using non-vitamin K antagonist oral anticoagulants (NOACs) significantly reduces stroke rates in patients with an ABCD score of at least 1.
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  • The incidence of acute coronary syndrome (ACS) has risen over the years, but advancements in stents, medication, and interventions have improved overall patient outcomes.
  • This study investigated the long-term impact of tachyarrhythmias, specifically atrial fibrillation (AF) and ventricular arrhythmia (VA), on mortality and readmission rates in ACS patients who underwent percutaneous coronary intervention (PCI) between 2004 and 2018.
  • Findings indicated that late diagnosis of AF and the presence of VA were linked to higher mortality rates, while readmission was more common in patients with chronic kidney disease or newly diagnosed AF.
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Background/aims: Studies showed that remote device monitoring reduced unnecessary outpatient visits and increased patient satisfaction. As there was no local research on remote monitoring (RM) in Korea, there was a lack of evidence for policy or insurance standards due to the lack of domestic data despite high demand by domestic arrhythmia experts. To establish the basis for patient satisfaction, economic efficiency, and safety of wireless monitoring, a survey-based study was planned.

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  • Atrial tachycardias (ATs) originating from noncoronary aortic cusps (NCC) were rarely identified during radiofrequency ablation for atrial fibrillation (AF), prompting a study to explore their prevalence and characteristics.
  • Out of 10,178 AF cases analyzed, 8 NCC AT cases emerged (0.08%), demonstrating spontaneous induction and variable P-wave characteristics, with 1 out of 8 experiencing AF recurrence post-ablation.
  • The study concludes that these uncommon NCC ATs, which differ from newly identified cases, should be considered when wide propagation from the anterior interatrial septum is observed, regardless of P-wave morphologies.
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The prognostic impact of atrial fibrillation (AF) in patients with severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection has not been well evaluated. We estimated the prognostic implications of AF in SARS-CoV-2 confirmed patients.The OpenData4Covid19 (https://hira-covid19.

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Transcatheter aortic valve replacement (TAVR) is a standard treatment indicated for severe aortic stenosis in high-risk patients. The objective of this study was to evaluate the incidence of pacemaker dependency after permanent pacemaker implantation (PPI) following TAVR or surgical aortic valve replacement (SAVR) and the risk of mortality at a tertiary center in Korea.In this retrospective study conducted at a single tertiary center, clinical outcomes related to pacemaker dependency were evaluated for patients implanted with pacemakers after TAVR from January 2012 to November 2018 and post-SAVR from January 2005 to May 2015.

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Background And Objectives: A mobile application (app)-based electrocardiogram (ECG) consultation system (InterMD Co., Ltd., Seoul, Korea) using the collective intelligence (CI) and the availability of large-scale digitized ECG data would extend the utility of ECGs beyond their current limitations, while at the same time preserving interpretability that remains critical to medical decision-making.

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  • Contact force (CF)-sensing technology allows for real-time measurement of force in tissue, with average CF being related to lesion volume through the force-time integral (FTI).
  • Research aimed to determine which factors in FTI or the force-power-time index (FPTI) better predict lesion size during radiofrequency ablation in swine skeletal muscle under various power, time, and force settings.
  • Findings indicate that the time factor is more significant for lesion formation than the force factor, and FPTI outperforms FTI in predicting lesions, with a higher area under the curve and better explanatory power in regression analysis.
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Objective: Mitral stenosis increases the risk of atrial fibrillation (AF) and stroke. Large data underlying the trend in incidence, treatment and outcomes of mitral stenosis are lacking.

Methods: Based on the Health Insurance Review and Assessment Service database in Republic of Korea, patients who were diagnosed with mitral stenosis between 2007 and 2016 were enrolled.

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Achieving bidirectional conduction block (BDB) across the mitral isthmus (MI) is technically challenging. We describe our experience using different ablation strategies for achieving successful MI block.We reviewed the records of patients who had undergone MI ablation for peri-mitral (PM) flutter at our institution from January 2010 to May 2015.

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Objective: Conduction disturbances are common in patients with aortic stenosis. We investigated the incidence, reversibility, and prognosis of conduction disorders requiring permanent pacemaker implantation in patients with degenerative aortic stenosis after isolated aortic valve replacement.

Methods: This was a retrospective study conducted at a tertiary care center.

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Despite the technological advance in 3-dimensional (3D) mapping, radiation exposure during catheter ablation of atrial fibrillation (AF) continues to be a major concern in both patients and physicians. Previous studies reported substantial radiation exposure (7369-8690 cGy cm) during AF catheter ablation with fluoroscopic settings of 7.5 frames per second (FPS) under 3D mapping system guidance.

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Introduction: The ligament of Marshall may hinder the creation of mitral isthmus (MI) block or pulmonary vein (PV) isolation (PVI) in radiofrequency (RF) catheter ablation of atrial fibrillation (AF). We aimed to assess the benefit of RF ablation targeting the vein of Marshall (VOM) in failed cases of MI block or PVI.

Methods And Results: We reviewed the medical records of patients who underwent RF ablation targeting the VOM after failed MI ablation or left PVI using the conventional method, which included circumferential point-by-point ablation around the PV antrum and carina for PVI, and endocardial MI and epicardial distal coronary sinus (CS) ablation for MI block.

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Background: We tested a hypothesis that the 2 fundamental components of early repolarization (ER), J wave and ST elevation (STE) might have different prevalence and prognostic implications.

Methods: The study population comprised 26,345 general ambulatory Korean subjects (mean 48.0±10.

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Background And Objectives: Although magnetic resonance imaging (MRI) conditional cardiac implantable electronic devices (CIEDs) have become recently available, non-MRI conditional devices and the presence of epicardial and abandoned leads remain a contraindication for MRIs.

Subjects And Methods: This was a single center retrospective study, evaluating the clinical outcomes and device parameter changes in patients with CIEDs who underwent an MRI from June 1992 to March 2015. Clinical and device related information was acquired by a thorough chart review.

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Persistent atrial fibrillation (PeAF) predictors after dual-chamber pacemaker (PM) implantation remain unclear. We sought to determine these predictors and establish an integrated scoring model. Data were retrospectively reviewed for 649 patients (63.

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Introduction: Data are lacking on the relationship between improved left ventricular ejection fraction (LVEF) and the incidence of ventricular arrhythmia in patients with an implantable cardioverter-defibrillator (ICD) for secondary prevention. The aim of this study was to evaluate the incidence and predictors of improvement in left ventricular (LV) function and determine the impact of improved LVEF on the occurrence of appropriate ICD therapy in patients with reduced LVEF and ICD for secondary prevention.

Methods: In this study, 93 patients who received ICDs for secondary prevention, had an LVEF of < 45%, and underwent echocardiographic follow-up assessment after receiving an ICD were enrolled.

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Objective: High-degree atrioventricular block (AVB), including complete AVB in acute inferior ST-elevation myocardial infarction (STEMI), is not uncommon. However, there is no study evaluating the clinical differences between patients who have undergone temporary pacing (TP) and patients who have not. The present study was designed to investigate whether TP has any prognostic significance in inferior STEMI complicated by complete AVB.

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