메뉴 건너뛰기




Volumn 21, Issue 2, 2010, Pages 104-112

Diastolic stress echocardiography detects coronary artery disease in patients with asymptomatic type II diabetes

Author keywords

Coronary artery disease; Early diastolic transmitral velocity to the early diastolic tissue velocity ratio; Exercise; Left ventricular diastolic function; Tissue Doppler echocardiography

Indexed keywords

ADULT; AGED; ANGIOCARDIOGRAPHY; ANGIOGRAPHY; ARTICLE; CONTROLLED STUDY; CORONARY ARTERY DISEASE; CORONARY ARTERY OBSTRUCTION; EXERCISE TEST; FEMALE; HEART MUSCLE ISCHEMIA; HUMAN; MAJOR CLINICAL STUDY; MALE; NON INSULIN DEPENDENT DIABETES MELLITUS; POSITRON EMISSION TOMOGRAPHY; PRIORITY JOURNAL; SCINTIGRAPHY; STRESS ECHOCARDIOGRAPHY;

EID: 77249135134     PISSN: 09546928     EISSN: None     Source Type: Journal    
DOI: 10.1097/MCA.0b013e328335a05d     Document Type: Article
Times cited : (10)

References (44)
  • 1
    • 33846414720 scopus 로고    scopus 로고
    • Guidelines on diabetes, pre-diabetes and cardiovascular disease: Executive.The task force on diabetes and cardiovascular disease of the European Society of Cardiology and of the European for the study of diabetes
    • Guidelines on diabetes, pre-diabetes and cardiovascular disease: executive. The task force on diabetes and cardiovascular disease of the European Society of Cardiology and of the European for the study of diabetes. Eur Heart J 2007; 28:88-136.
    • (2007) Eur Heart J , vol.28 , pp. 88-136
  • 2
    • 0029661986 scopus 로고    scopus 로고
    • Risk stratification in coronary artery disease and special population
    • Bonow RO, Bohannon N, Hazzard W. Risk stratification in coronary artery disease and special population. Am J Med 1996; 101:17S-22S.
    • (1996) Am J Med , vol.101
    • Bonow, R.O.1    Bohannon, N.2    Hazzard, W.3
  • 3
    • 0023931661 scopus 로고    scopus 로고
    • Angina and exertional myocardial ischemia in diabetic and non diabetic patients: Assessment by exercise thalium scintigraphy
    • Nesto RW, Phillips RT, Kett KG, Hill T, Perper E, Young E, et al. Angina and exertional myocardial ischemia in diabetic and non diabetic patients: assessment by exercise thalium scintigraphy. Ann Intern Med 1998; 108:170-175.
    • (1998) Ann Intern Med , vol.108 , pp. 170-175
    • Nesto, R.W.1    Phillips, R.T.2    Kett, K.G.3    Hill, T.4    Perper, E.5    Young, E.6
  • 4
    • 33746809890 scopus 로고    scopus 로고
    • On behalf of the Global Dialogue Group for the Evaluation of Cardiovascular Risk in Patients with Diabetes. The potential of myocardial perfusion scintigraphy for risk stratification of asymptomatic patients with type 2 diabetes
    • Bax JJ, Bonow RO, Tschope D, Inzucchi SE, Barrett E, on behalf of the Global Dialogue Group for the Evaluation of Cardiovascular Risk in Patients with Diabetes. The potential of myocardial perfusion scintigraphy for risk stratification of asymptomatic patients with type 2 diabetes. J Am Coll Cardiol 2006; 48:754-760.
    • (2006) J Am Coll Cardiol , vol.48 , pp. 754-760
    • Bax, J.J.1    Bonow, R.O.2    Tschope, D.3    Inzucchi, S.E.4    Barrett, E.5
  • 6
    • 0027302878 scopus 로고
    • Association of diabetes mellitus with coronary atherosclerosis and myocardial lesions. An autopsy study from the Honolulu Heart Program
    • Burchfiel CM, Reed DM, Marcus EB, Strong JP, Hayashi T. Association of diabetes mellitus with coronary atherosclerosis and myocardial lesions. An autopsy study from the Honolulu Heart Program. Am J Epidemiol 1993; 137:1328-1340.
    • (1993) Am J Epidemiol , vol.137 , pp. 1328-1340
    • Burchfiel, C.M.1    Reed, D.M.2    Marcus, E.B.3    Strong, J.P.4    Hayashi, T.5
  • 8
    • 0036141051 scopus 로고    scopus 로고
    • Prognostic value of a negative stress echocardiographic study in diabetic patients
    • Kamalesh M, Matorin R, Sawada S. Prognostic value of a negative stress echocardiographic study in diabetic patients. Am Heart J 2002; 143:163-168.
    • (2002) Am Heart J , vol.143 , pp. 163-168
    • Kamalesh, M.1    Matorin, R.2    Sawada, S.3
  • 9
    • 0036596683 scopus 로고    scopus 로고
    • Use of stress echocardiography to predict mortality in patients with diabetes and known or suspected coronary artery disease
    • Marwick TH, Case C, Sawada S, Vasey C, Short L, Lauer M. Use of stress echocardiography to predict mortality in patients with diabetes and known or suspected coronary artery disease. Diabetes Care 2002; 25:1042-1048.
    • (2002) Diabetes Care , vol.25 , pp. 1042-1048
    • Marwick, T.H.1    Case, C.2    Sawada, S.3    Vasey, C.4    Short, L.5    Lauer, M.6
  • 11
    • 3142652496 scopus 로고    scopus 로고
    • Challenge of identifying patients with diabetes mellitus who are at low risk for coronary events by use of cardiac stress imaging
    • Kamalesh M, Feigenbaum H, Sawada S. Challenge of identifying patients with diabetes mellitus who are at low risk for coronary events by use of cardiac stress imaging. Am Heart J 2004; 147:561-563.
    • (2004) Am Heart J , vol.147 , pp. 561-563
    • Kamalesh, M.1    Feigenbaum, H.2    Sawada, S.3
  • 12
    • 0023132629 scopus 로고
    • The ischemic cascade: Temporal sequence of hemodynamic, electrocardiographic and symptomatic expressions of ischemia
    • Nesto RW, Kowalchuk GJ. The ischemic cascade: temporal sequence of hemodynamic, electrocardiographic and symptomatic expressions of ischemia. Am J Cardiol 1987; 59:23C-30C.
    • (1987) Am J Cardiol , vol.59
    • Nesto, R.W.1    Kowalchuk, G.J.2
  • 13
    • 0023203067 scopus 로고
    • Evaluation of left ventricular systolic and diastolic dysfunction during transient myocardial ischemia produced by angioplasty
    • Labovitz AJ, Lewen MK, Kern M, Vandormael M, Deligonal U, Kennedy HL. Evaluation of left ventricular systolic and diastolic dysfunction during transient myocardial ischemia produced by angioplasty. J Am Coll Cardiol 1987; 10:748-755.
    • (1987) J Am Coll Cardiol , vol.10 , pp. 748-755
    • Labovitz, A.J.1    Lewen, M.K.2    Kern, M.3    Vandormael, M.4    Deligonal, U.5    Kennedy, H.L.6
  • 14
    • 0030698732 scopus 로고    scopus 로고
    • Doppler tissue imaging: A noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures
    • Nagueh SF, Middleton KJ, Kopelen HA, Zoghbi WA, Quiñones MA. Doppler tissue imaging: a noninvasive technique for evaluation of left ventricular relaxation and estimation of filling pressures. J Am Coll Cardiol 1997; 30:1527-1533.
    • (1997) J Am Coll Cardiol , vol.30 , pp. 1527-1533
    • Nagueh, S.F.1    Middleton, K.J.2    Kopelen, H.A.3    Zoghbi, W.A.4    Quiñones, M.A.5
  • 15
    • 0030751956 scopus 로고    scopus 로고
    • Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular diastolic function
    • Sohn DW, Chai IH, Lee DJ, Kim HC, Kim HS, Oh BH, et al. Assessment of mitral annulus velocity by Doppler tissue imaging in the evaluation of left ventricular diastolic function. J Am Coll Cardiol 1997; 30:474-480.
    • (1997) J Am Coll Cardiol , vol.30 , pp. 474-480
    • Sohn, D.W.1    Chai, I.H.2    Lee, D.J.3    Kim, H.C.4    Kim, H.S.5    Oh, B.H.6
  • 16
    • 0034633812 scopus 로고    scopus 로고
    • Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures: A comparative simultaneous Doppler-catheterization study
    • Ommen SR, Nishimura RA, Appleton CP, Miller FA, Oh JK, Redfield MM, et al. Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures: a comparative simultaneous Doppler-catheterization study. Circulation 2000; 102:1788-1794.
    • (2000) Circulation , vol.102 , pp. 1788-1794
    • Ommen, S.R.1    Nishimura, R.A.2    Appleton, C.P.3    Miller, F.A.4    Oh, J.K.5    Redfield, M.M.6
  • 18
    • 33646190450 scopus 로고    scopus 로고
    • Diastolic stress echocardiography: Hemodynamic validation and clinical significance of estimation of ventricular filling pressure with exercise
    • Burgess MI, Jenkins C, Sharman JE, Marwick TH. Diastolic stress echocardiography: hemodynamic validation and clinical significance of estimation of ventricular filling pressure with exercise. J Am Coll Cardiol 2006; 47:1891-1900.
    • (2006) J Am Coll Cardiol , vol.47 , pp. 1891-1900
    • Burgess, M.I.1    Jenkins, C.2    Sharman, J.E.3    Marwick, T.H.4
  • 19
    • 15344341950 scopus 로고    scopus 로고
    • Doppler-derived left ventricular filling pressures and the regulation of heart rate recovery after exercise in patients with suspected coronary artery disease
    • Skaluba SJ, Litwin SE. Doppler-derived left ventricular filling pressures and the regulation of heart rate recovery after exercise in patients with suspected coronary artery disease. Am J Cardiol 2005; 95:832-837.
    • (2005) Am J Cardiol , vol.95 , pp. 832-837
    • Skaluba, S.J.1    Litwin, S.E.2
  • 20
    • 11844259382 scopus 로고    scopus 로고
    • Standards of medical care in diabetes (Position Statement)
    • American Diabetes Association
    • American Diabetes Association. Standards of medical care in diabetes (Position Statement). Diabetes Care 2005; 28 (Suppl 1):S4-S36.
    • (2005) Diabetes Care , vol.28 , Issue.SUPPL.1
  • 21
    • 0042932653 scopus 로고    scopus 로고
    • Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity
    • The Global Diabetic Retinopathy Project Group
    • The Global Diabetic Retinopathy Project Group. Proposed international clinical diabetic retinopathy and diabetic macular edema disease severity. Ophthalmology 2003; 110:1677-1682.
    • (2003) Ophthalmology , vol.110 , pp. 1677-1682
  • 22
    • 20144389536 scopus 로고    scopus 로고
    • Diabetic neuropathies. A statement by the American Diabetes Association
    • American Diabetes Association
    • Boulton AJ, Vinik AI, Arezzo JC, Bril V, Feldman EL, Freeman R, et al., American Diabetes Association. Diabetic neuropathies. A statement by the American Diabetes Association. Diabetes Care 2005; 28:956-962.
    • (2005) Diabetes Care , vol.28 , pp. 956-962
    • Boulton, A.J.1    Vinik, A.I.2    Arezzo, J.C.3    Bril, V.4    Feldman, E.L.5    Freeman, R.6
  • 23
    • 33750601713 scopus 로고    scopus 로고
    • The RENAAL study Investigators. Risk scores predicting outcomes in patients with type 2 diabetes and nephropathy: The RENAAL study
    • The RENAAL study Investigators. Risk scores predicting outcomes in patients with type 2 diabetes and nephropathy: the RENAAL study. Clin J Am Soc Nephrol 2006; 1:761-767.
    • (2006) Clin J Am Soc Nephrol , vol.1 , pp. 761-767
  • 24
    • 0030787769 scopus 로고    scopus 로고
    • A report of the American College of Cardiology/American heart association task force on practice guidelines (Committee on Exercise Testing)
    • ACC/AHA Guidelines for Exercise Testing.
    • ACC/AHA Guidelines for Exercise Testing. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Exercise Testing). J Am Coll Cardiol 1997; 30:260-315.
    • (1997) J Am Coll Cardiol , vol.30 , pp. 260-315
  • 25
    • 0026728533 scopus 로고
    • Relationship between exercise echocardiography and perfusion single-photon emission computed tomography in patients with single-vessel coronary artery disease
    • Salustri A, Pozzoli MM, Hermans W, Ilmer B, Cornel JH, Reijs AE, et al. Relationship between exercise echocardiography and perfusion single-photon emission computed tomography in patients with single-vessel coronary artery disease. Am Heart J 1992; 124:75-83.
    • (1992) Am Heart J , vol.124 , pp. 75-83
    • Salustri, A.1    Pozzoli, M.M.2    Hermans, W.3    Ilmer, B.4    Cornel, J.H.5    Reijs, A.E.6
  • 26
    • 0026718616 scopus 로고
    • Noninvasive identification of severe coronary artery disease using exercise tomographic thallium-201 imaging
    • Christian TF, Miller TD, Bailey KR, Gibbons RJ. Noninvasive identification of severe coronary artery disease using exercise tomographic thallium-201 imaging. Am J Cardiol 1992; 70:14-20.
    • (1992) Am J Cardiol , vol.70 , pp. 14-20
    • Christian, T.F.1    Miller, T.D.2    Bailey, K.R.3    Gibbons, R.J.4
  • 27
    • 29344470555 scopus 로고    scopus 로고
    • Detection of coronary artery disease in asymptomatic patients with type 2 diabetes mellitus
    • Scognamiglio R, Negut C, Ramondo A, Tiengo A, Avogaro A. Detection of coronary artery disease in asymptomatic patients with type 2 diabetes mellitus. J Am Coll Cardiol 2006; 47:65-71.
    • (2006) J Am Coll Cardiol , vol.47 , pp. 65-71
    • Scognamiglio, R.1    Negut, C.2    Ramondo, A.3    Tiengo, A.4    Avogaro, A.5
  • 28
    • 0023921287 scopus 로고
    • Diastolic abnormalities in young asymptomatic diabetic patients assessed by pulsed Doppler echocardiography
    • Zarich SW, Arbuckle BE, Cohen LR, Roberts M, Nesto RW. Diastolic abnormalities in young asymptomatic diabetic patients assessed by pulsed Doppler echocardiography. J Am Coll Cardiol 1988; 12:114-120.
    • (1988) J Am Coll Cardiol , vol.12 , pp. 114-120
    • Zarich, S.W.1    Arbuckle, B.E.2    Cohen, L.R.3    Roberts, M.4    Nesto, R.W.5
  • 29
    • 0024401855 scopus 로고
    • The effect of diabetes mellitus on prognosis and serial left ventricular function after acute myocardial infarction: Contribution of both coronary disease and diastolic left ventricular dysfunction to the adverse prognosis
    • MILIS Study Group
    • Stone PH, Muller JE, Hartwell T, York BJ, Rutherford JD, Parker CB, et al., MILIS Study Group. The effect of diabetes mellitus on prognosis and serial left ventricular function after acute myocardial infarction: contribution of both coronary disease and diastolic left ventricular dysfunction to the adverse prognosis. J Am Coll Cardiol 1989; 14:49-57.
    • (1989) J Am Coll Cardiol , vol.14 , pp. 49-57
    • Stone, P.H.1    Muller, J.E.2    Hartwell, T.3    York, B.J.4    Rutherford, J.D.5    Parker, C.B.6
  • 30
    • 5644232173 scopus 로고    scopus 로고
    • Diastolic dysfunction can it be diagnosed by Doppler echocardiography?
    • Maurer MS, Spevack D. Diastolic dysfunction: can it be diagnosed by Doppler echocardiography? J Am Coll Cardiol 2004; 44:1543-1549.
    • (2004) J Am Coll Cardiol , vol.44 , pp. 1543-1549
    • Maurer, M.S.1    Spevack, D.2
  • 31
    • 3843094224 scopus 로고    scopus 로고
    • Diastolic heart failure abnormalities in active relaxation and passive stiffness of the left ventricle
    • Zile MR, Baicu CF, Gaasch WH. Diastolic heart failure abnormalities in active relaxation and passive stiffness of the left ventricle. N Engl J Med 2004; 350:1953-1959.
    • (2004) N Engl J Med , vol.350 , pp. 1953-1959
    • Zile, M.R.1    Baicu, C.F.2    Gaasch, W.H.3
  • 33
    • 0032552904 scopus 로고    scopus 로고
    • Doppler estimation of left ventricular filling pressure insinus tachycardia: A new application of tissue Doppler imaging
    • Nagueh SF, Mikati I, Kopelen HA, Middleton KJ, Quinones MA, Zoghbi WA. Doppler estimation of left ventricular filling pressure insinus tachycardia: a new application of tissue Doppler imaging. Circulation 1998; 98:1644-1650.
    • (1998) Circulation , vol.98 , pp. 1644-1650
    • Nagueh, S.F.1    Mikati, I.2    Kopelen, H.A.3    Middleton, K.J.4    Quinones, M.A.5    Zoghbi, W.A.6
  • 34
    • 15244349240 scopus 로고    scopus 로고
    • Usefulness of tissue Doppler imaging for estimation of left ventricular filling pressures in patients with systolic and diastolic heart failure
    • Bruch C, Grude M, Muller J, Breithart G, Wichter T. Usefulness of tissue Doppler imaging for estimation of left ventricular filling pressures in patients with systolic and diastolic heart failure. Am J Cardiol 2005; 95:892-895.
    • (2005) Am J Cardiol , vol.95 , pp. 892-895
    • Bruch, C.1    Grude, M.2    Muller, J.3    Breithart, G.4    Wichter, T.5
  • 35
    • 11144239323 scopus 로고    scopus 로고
    • Diastolic stress echocardiography: A novel noninvasive diagnostic test for diastolic dysfunction using supine bicycle exercise Doppler echocardiography
    • Ha JW, Oh JK, Pellikka PA, Ommen SR, Stussy VL, Bailey KR, et al. Diastolic stress echocardiography: a novel noninvasive diagnostic test for diastolic dysfunction using supine bicycle exercise Doppler echocardiography. J Am Soc Echocardiogr 2005; 18:63-68.
    • (2005) J Am Soc Echocardiogr , vol.18 , pp. 63-68
    • Ha, J.W.1    Oh, J.K.2    Pellikka, P.A.3    Ommen, S.R.4    Stussy, V.L.5    Bailey, K.R.6
  • 36
    • 0025899196 scopus 로고
    • Symptom-limited exercise testing causes sustained diastolic dysfunction in patients with coronary disease and low effort tolerance
    • Fragasso G, Benti R, Sciammarella M, Rossetti E, Savi A, Gerundini P, et al. Symptom-limited exercise testing causes sustained diastolic dysfunction in patients with coronary disease and low effort tolerance. J Am Coll Cardiol 1991; 17:1251-1255.
    • (1991) J Am Coll Cardiol , vol.17 , pp. 1251-1255
    • Fragasso, G.1    Benti, R.2    Sciammarella, M.3    Rossetti, E.4    Savi, A.5    Gerundini, P.6
  • 37
    • 0023089086 scopus 로고
    • Hemodynamic effects of the beta 1-adrenoceptor partial agonist xamoterol in relation to plasma norepinephrine levels during exercise in patients with left ventricular dysfunction
    • Sato H, Inoue M, Matsuyama T, Ozaki H, Shimazu T, Takeda H, et al. Hemodynamic effects of the beta 1-adrenoceptor partial agonist xamoterol in relation to plasma norepinephrine levels during exercise in patients with left ventricular dysfunction. Circulation 1987; 75:213-220.
    • (1987) Circulation , vol.75 , pp. 213-220
    • Sato, H.1    Inoue, M.2    Matsuyama, T.3    Ozaki, H.4    Shimazu, T.5    Takeda, H.6
  • 38
    • 0023820892 scopus 로고
    • Reprodudcibility of Doppler echocardiographic measurements of left ventricular diastolic function
    • Spirito P, Maron BJ, Verter I, Merrill JS. Reproducibility of Doppler echocardiographic measurements of left ventricular diastolic function. Eur Heart J 1988; 9:879-886. (Pubitemid 18219633)
    • (1988) European Heart Journal , vol.9 , Issue.8 , pp. 879-886
    • Spirito, P.1    Maron, B.J.2    Verter, I.3    Merrill, J.S.4
  • 39
    • 0031038840 scopus 로고    scopus 로고
    • Dobutamine stress Doppler echocardiography: Reproducibility and physiologic left ventricular filling patterns
    • Nixdorff U,Wagner S, Erbel R, Mohr-Kahaly S,Weitzel P, Rieger K, Meyer J. Dobutamine stress Doppler echocardiography: reproducibility and physiologic left ventricular filling patterns. Int J Cardiol 1997; 58:293-303.
    • (1997) Int J Cardiol , vol.58 , pp. 293-303
    • Nixdorff Uwagner, S.1    Erbel, R.2    Mohr-Kahaly, S.3    Weitzel, P.4    Rieger, K.5    Meyer, J.6
  • 40
    • 0034810337 scopus 로고    scopus 로고
    • Variability of myocardial perfusion defects assessed by thallium-201 scintigraphy in patients with coronary artery disease not amenable to angioplasty or bypass surgery
    • Burkhoff D, Jones JW, Becker LC. Variability of myocardial perfusion defects assessed by thallium-201 scintigraphy in patients with coronary artery disease not amenable to angioplasty or bypass surgery. J Am Coll Cardiol 2001; 38:1033-1039.
    • (2001) J Am Coll Cardiol , vol.38 , pp. 1033-1039
    • Burkhoff, D.1    Jones, J.W.2    Becker, L.C.3
  • 41
    • 0034700790 scopus 로고    scopus 로고
    • Effects of ramipril on cardiovascular and microvascular outcomes in people with diabetes mellitus: Results of the HOPE study and MICRO-HOPE sub study
    • Heart Outcomes Prevention Evaluation Study Investigators
    • Heart Outcomes Prevention Evaluation Study Investigators. Effects of ramipril on cardiovascular and microvascular outcomes in people with diabetes mellitus: results of the HOPE study and MICRO-HOPE sub study. Lancet 2000; 355:253-259.
    • (2000) Lancet , vol.355 , pp. 253-259
  • 42
    • 33846083971 scopus 로고    scopus 로고
    • Primary prevention of cardiovascular disease in people with diabetes mellitus
    • Buse J, Ginsberg H, Bakris G, Clark NG, Costa F, Eckel RH, et al. Primary prevention of cardiovascular disease in people with diabetes mellitus. Circulation 2007; 115:114-126.
    • (2007) Circulation , vol.115 , pp. 114-126
    • Buse, J.1    Ginsberg, H.2    Bakris, G.3    Clark, N.G.4    Costa, F.5    Eckel, R.H.6
  • 43
    • 37349080234 scopus 로고    scopus 로고
    • Diastolic stiffness of the failing diabetic heart importance of fibrosis, advanced glycation end products, and myocyte resting tension
    • Van Heerebeek L, Hamdani N, Handoko ML, Falcao-Pires I, Musters RJ, Kupreishvili K, et al. Diastolic stiffness of the failing diabetic heart importance of fibrosis, advanced glycation end products, and myocyte resting tension. Circulation 2008; 117:43-51.
    • (2008) Circulation , vol.117 , pp. 43-51
    • Van Heerebeek, L.1    Hamdani, N.2    Handoko, M.L.3    Falcao-Pires, I.4    Musters, R.J.5    Kupreishvili, K.6
  • 44
    • 33746996524 scopus 로고    scopus 로고
    • A comparison of Tl-201, Tc-99m sestamibi, and Tc-99m tetrofosmin myocardial perfusion scintigraphy in patients with mild to moderate coronary stenosis
    • Reyes E, Loong CY, Harbinson M, Rahman S, Prvulovich E, Ell PJ, et al. A comparison of Tl-201, Tc-99m sestamibi, and Tc-99m tetrofosmin myocardial perfusion scintigraphy in patients with mild to moderate coronary stenosis. J Nucl Cardiol 2006; 13:488-494.
    • (2006) J Nucl Cardiol , vol.13 , pp. 488-494
    • Reyes, E.1    Loong, C.Y.2    Harbinson, M.3    Rahman, S.4    Prvulovich, E.5    Ell, P.J.6


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.