Declining Trend in the In-Hospital Case-Fatality Rate From Acute Myocardial Infarction in Miyagi Prefecture From 1980 to 1999
スポンサーリンク
概要
- 論文の詳細を見る
The case-fatality rate from acute myocardial infarction(AMI)appears to have been declining in recent decades, so the present study reviewed the trend in in-hospital case-fatalities from AMI in Miyagi Prefecture, Japan, 1980-1999. The causes of death and the effects of gender and age on the trend were also analyzed. From the AMI registration database of the Miyagi Study Group for AMI, 12, 961 cases of AMI were analyzed. The 30-day in-hospital case-fatality was calculated from the data for 1980-1999: data for causes of death were available for 1980-1997, and the data concerning primary percutaneous transluminal coronary angioplasty(PTCA)for AMI were available for 1997-1999. The in-hospital case-fatality rate declined from 17.0% in the early 80s to 7.3% in the late 90s(approximately 57% reduction). The in-hospital case-fatality rate was higher in female patients. Rhythm failure substantially decreased in the late 1980s. Pump failure is decreasing, but is still the biggest problem. The in-hospital case-fatality rate was significantly lower in patients received PTCA. The declining trend in the in-hospital case-fatality rate suggests the benefits of current therapeutic procedures, including primary PTCA, for AMI. Pump failure is an important target for further decreasing the trend.
- 社団法人日本循環器学会の論文
- 2001-10-20
著者
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小岩 喜郎
Oizumi Memorial Hospital
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Shirato Kunio
Tohoku University
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Iwabuchi Kaoru
Department Of Cardiology Osaki City Hospital
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Komaru Tatsuya
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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Miura Masahito
Tohoku University School Of Health Science
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Shinozaki Tsuyoshi
Tohoku University Graduate School of Medicine
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Watanabe Jun
Tohoku University Graduate School of Medicine
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Fukuchi Mitsumasa
Tohoku Kosai Hospital
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Kagaya Yutaka
Tohoku University Graduate School of Medicine
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Koseki Yoshito
Tohoku University Graduate School of Medicine,Department of Cardiovascular Medicine
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Komaru Tatsuya
Tohoku University Graduate School of Medicine,Department of Cardiovascular Medicine
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Kitaoka Shigenori
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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Iwabuchi Kaoru
Tohoku University Graduate School of Medicine, Department of Cardiovascular Medicine
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Kitaoka Shigenori
Miyagi Study Group of Acute Myocardial Infarction(Miyagi-Ken Shinkin Kousoku Taisaku Kyogikai)
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Ishide Nobumasa
Miyagi Study Group of Acute Myocardial Infarction(Miyagi-Ken Shinkin Kousoku Taisaku Kyogikai)
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Takishima Tamotsu
Miyagi Study Group of Acute Myocardial Infarction(Miyagi-Ken Shinkin Kousoku Taisaku Kyogikai)
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Miura Masahito
The First Department Of Internal Medicine Tohoku University School Of Medicine
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Fukuchi Mitsumasa
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Kitaoka Shigenori
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Komaru Tatsuya
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Komaru Tatsuya
The First Department Of Internal Medicine Tohoku University School Of Medicine
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Miura Masaetsu
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Koiwa Yoshio
1st Dept. Of Intern. Med. Tohoku Univ.
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Kaomaru Tatsuya
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Kitaoka Shigenori
Ational Sendai Hospital Dpt Of Cardiology
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Ishide Nobumasa
The 1st.department Of Internal Medicine Tohoku University School Of Medicine
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Miura Masahito
Department Of Cardiology Tohoku University
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Takishima Tamotsu
The 1st.department Of Internal Medicine Tohoku University School Of Medicine
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Ishida Nobumasa
The First Department Of Internal Medicine Tohoku University School Of Medicine
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Ishide Nobumasa
東北大学
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Takahashi Takanori
東北大学 院循環器病態学
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Miura Masaetsu
Department Of Internal Medicine Furukawa City Hospital
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Matsuzaki Masunori
Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University
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Miura Masanobu
Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University
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Koseki Yoshito
Medical Information Center Tohoku University Hospital
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Kato Ichiro
Department Of Biochemistry Scool Of Medicine Toyama Medical And Pharmaceutical University
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