The Cause of Death, Risk Factors and Long-Term Prognosis of Acute Myocardial infarction : PANEL DISCUSSION ON MORTALITY AND MORBIDIRY TRENDS IN ACUTE MYOCARDIAL INFARCTION IN JAPAN AND EMERGENCY CARE FOR IT : 50th Annual Scientific Session of the Japanese
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概要
- 論文の詳細を見る
Three hundred and eighty-six patients with acute myocardial infarction in the past 11 years between 1975 and 1985 were investigated retrospectively to clarify fatality, cause of death and long-term prognosis in relation to their risk factors and age. The average number of patients admitted in each year was 24.4 for the first 5 years and 44.0 cases per year in the last 5 years. the fatality decreased from 20.3% in the first 5 years to 15.7% in the last 5 years. A major cause of hospital death was cardiogenic shock and congestive heart failure. One hundred and thirty-six patients had coronary arteriography within 2 months after admission. They were divided into three groups; the young (⩽40 years old)- middle (41-50 year old)-, and old (⩾51-year old)-aged groups. Among the young-aged group, serum cholesterol levels at admission were significantly higher in patients with multi-vessel lesions than those in patients without multi-vessel lesions, while there were many heavy smokers who did not show a significant lesions of the coronary artery. These observations suggest that hypercholesterolemia may act as an important risk factor for coronary arteriosclerosis in young patients, and also that a heavy smoking may promote an initiation of myocardial infarction in young patients without severe coronary artery stenosis. The cumulative 5 and 10 year survival rate for all groups was 84% and 61% respectively. Fifty-seven patients had reinfarctions, and thirty patients died. The survivors were younger and had a good tolerance to treadmill exercise test at discharge.
- 社団法人日本循環器学会の論文
- 1987-03-20
著者
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Arita Mikio
Division Of Cardiology Department Of Medicine Wakayama Medical College
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Arita Mikio
和歌山県立医科大学 保健看護学部
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Arita Mikio
Nursing College Wakayama Medical University
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Arita Mikio
The Division Of Cardiology Wakayama National Hospital
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Arita Mikio
Division Of Cardiology Wakayama Medical College
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Nishio Ichiro
Division Of Cardiology Department Of Medicine Wakayama Medical College
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Ishii Noriko
Division Of Cardiology Department Of Medicine Wakayama Medical University
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Nishio Ichiro
Division Of Cardiology Department Of Internal Medicine Wakayama Medical College
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Masuyama Yoshiaki
Division of Cardiology, Department of Medicine. Wakayama Medical College, Japan
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MOHARA OSAMU
Division of Cardiology, Department of Medicine, Wakayama Medical College
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Ueno Yuji
Division of Cardiology, Department of Medicine, Wakayama Medical College.
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Tomobuchi Yoshiaki
Division of Cardiology, Department of Medicine, National Cardiovascular Center
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Masuyama Yoshiaki
Division Of Cardiology Social Insurance Kinan Hospital
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Nakamura Hideya
Division of Cardiology Department of Medicine, Wakayama Medical College
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Yamamoto Katsuhiro
Div. of Cardiology, Dept. of Medicine, Wakayama Medical College
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YAMAMOTO KATSUHIRO
Division of Cardiology, Department of Medicine, Wakayama Medical College
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Tomobuchi Yoshiaki
Division Of Cardiology Department Of Medicine National Cardiovascular Center
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Yamamoto Katsuhiro
Div. Of Cardiology Dept. Of Medicine Wakayama Medical College
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Mohara Osamu
Department of Medicine, Wakayama Medical College
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Ueno Yuji
Department Of Medicine Wakayama Medical College
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Ueno Yuji
Division Of Cardiology Department Of Medicine Wakayama Medical College
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Mohara Osamu
Department Of Medicine Wakayama Medical College
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Nakamura Hideya
Division Of Cardiology Department Of Medicine Wakayama Medical College
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Masuyama Yoshiaki
Division Of Cardiology Department Of Medicine Wakayama Medical College
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Mohara Osamu
Division Of Cardiology Department Of Medicine Wakayama Medical College
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