Immediate and Long-Term Prognoses of Acute Myocardial infarction : Analysis of Determinants of Prognosis : PANEL DISCUSSION ON MORTALITY AND MORBIDIRY TRENDS IN ACUTE MYOCARDIAL INFARCTION IN JAPAN AND EMERGENCY CARE FOR IT : 50th Annual Scientific Sessio
スポンサーリンク
概要
- 論文の詳細を見る
In order to investigate the immediate and long-term prognoses of acute myocardial infarction, we followed up 790 consecutive patients who were admitted to the Sakurabashi Watanabe Hospital within 24 hours after the onset of infarction from January 1975 to December 1984 and evaluated early mortality, cumulative survival rate after discharge, cause of death and occurrence of recurrent myocardial infarction during follow-up. Early mortality (within 30 days after the onset) in all patients was 17.6% and declined serially in the most recent five years. Pump failure was the most common cause of death, followed by cardiac rupture and arrhythmias. Age, gender (female), presence of a previous infarct and anterior infarction were important contributing factors to the immediate prognosis. One hundred and thirty-five of the 651 patients who survived one month after the onset of infarct died during the follow-up period (mean follow-up interval: 41.0±29.9 (SD) months). cumulative survival rates calculated by the life-table method at one and 5 years after the onset were 91.0% and 76.0%, respectively, and the average annual mortality in the first 5 years was 4.8%. Age and reinfarction were the important determining factors of long-term prognosis. Recurrent myocardial infarction, pump failure and sudden caridac death were common causes of late death. One hundred and two reinfarctions in 93 patients occurred during the follow-up period. Thirty-two of 93 patients (34.4%) died due to fatal reinfarction. These results indicate that the immediate prognosis of acute myocardial infarction has improved serially, but the long-term prognosis is still poor. Thus, it is necessary to follow up a patient with acute myocardial infarction cerefully and to prevent recurrent myocardial infarction during the post-hospital period.
- 社団法人日本循環器学会の論文
- 1987-03-20
著者
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Tokuda Michiaki
Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine
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Minamino Takazo
Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine
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Katoh Osamu
The Division Of Cardiol Sakurabashi Watanabe Hospital
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Katoh O
Department Of Cellular Biology Research Institute For Radiation Biology And Medicine Hiroshima Unive
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Katoh Osamu
広島大学原爆放射能医学研究所
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Katoh Osamu
Division of Cardiovascular Medicine, Toyohashi Heart Center
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Higashino Yorihiko
Division Of Cardiology Sakurabashi Watanabe Hospital
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Minamino Takazo
Division of Cardiology, Sakurabashi Watanabe Hospital
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Fukui Sugao
National Cardiovascular Center Research Institute
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Fukui Sugao
和泉市
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Fukui Sugao
Division Of Cardiology Kashiwara General Hospital
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Fukui Sugao
Division Of Cardiology Sakurabashl Watanabe Hospital
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Higashi Yutaka
Sakurabashi Watanabe Hospital And Ist. Dept. Of Med. Osaka Univ. School Of Med.
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Tada Michihiko
First Department Of Medicine Osaka University School Of Medicine
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Hamano Yutaka
Division of Cardiology, Sakurabashi Watanabe Hospital
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Katoh Osamu
Division Of Cardiovascular Medicine Toyohashi Heart Center
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Minamino Takazo
Division Of Cardiology Sakurabashi Watanabe Hospital
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Katoh Osamu
Department Of Environment And Mutation Research Institute For Radiation Biology And Medicine Hiroshi
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Hamano Yutaka
Division Of Cardiology Sakurabashi Watanabe Hospital
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TANI AKIHIRO
First Department of Medicine, Osaka University, Medical School
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SUZUKI KEIICHIROU
Division of Cardiology, Sakurabashi Watanabe Hospital
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Hamanaka Yasuhiko
1st Dept Of Medicine Osaka Univ Med Sch
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Hamanaka Yasuhiko
Division Of Cardiology First Department Of Medicine Osaka University School Of Medicine
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Hamanaka Yasuhiko
The First Dept Of Medicine Osaka University
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Kato Osamu
Sakurabashi Watanabe Hospital And Ist. Dept. Of Med. Osaka Univ. School Of Med.
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Tani Akihiro
First Department Of Medicine Osaka University Medical School
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Suzuki Keiichiro
Division Of Cardiology Sakurabashi Watanabe Hospital
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Fukui Sugao
The Division Of Cardiology Sakurabashi Watanabe Hospital
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Higashino Yorihiko
Sakurabashi Watanabe Hospital And Ist. Dept. Of Med. Osaka Univ. School Of Med.
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Hamano Yutaka
Division Of Cardiology First Department Of Medicine Osaka University School Of Medicine
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Katoh Osamu
Division Of Cardiology Toyohashi Heart Center
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