Longitudinal Study of Acute Myocardial Infarction in the Southeast Osaka District From 1988 to 2002
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概要
- 論文の詳細を見る
Background Data on clinical characteristics, long-term mortality rates, and factors influencing outcome of acute myocardial infarction (AMI) based on an unselected cohort in the percutaneous coronary intervention (PCI) era are still limited in Japan. Methods and Results In the present study 415 consecutive patients with AMI who were admitted to hospital within 24h of symptom onset between January 1988 and December 2002 were studied. There was a marked seasonal variation of AMI with a minimum in summer and a maximum in winter, as well as a marked circadian variation with a significant morning peak. Overall, 45.8% of patients were treated with primary PCI. Increased age and female sex were negatively associated with the probability of undergoing PCI. During the follow-up period (mean duration, 4.01±3.41 years), the unadjusted long-term all-cause mortality rate was 21.4%. Multivariate Cox regression analysis showed that age, prior cerebrovascular disease, renal failure, Killip≥2, and ventricular tachycardia/fibrillation were independent predictors of worse long-term mortality after AMI. Furthermore, the use of PCI was independently associated with favorable long-term survival after AMI. Conclusions Although PCI was associated with a favorable long-term mortality, it remains underused in subsets of patients and increased use may further reduce the long-term mortality rate in Japanese AMI patients.
- 社団法人日本循環器学会の論文
- 2005-09-20
著者
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Imai Katsuji
Cardiovascular Center Sakurabashi Watanabe Hospital
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Kinjo Kunihiro
Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine
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Kinjo Kunihiro
Department Of Cardiovascular Medicine Osaka University Graduate School Of Medicine
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Kinjo Kunihiro
Department Of Internal Medicine And Therapeutics Graduate School Of Medicine Osaka University
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Naka Masashi
Department Of Cardiology Hanwa Memorial Hospital
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Naka Masashi
Department Of Internal Medicine Kashiwara Municipal Hospital
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Naka Masashi
Department Of Cardiology Hanwa Hospital
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Kinoshita Naokazu
Cardiac Division, Department of Medicine, National Cardiovascular Center Hospital
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Imai Katsuji
Cardiovascular Division Osaka Minami Medical Center
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Kinoshita Naokazu
Cardiovascular Division Osaka Minami Medical Center
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