Risk Factors Indicating Recurrent Myocardial Infarction After Recovery From Acute Myocardial Infarction
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概要
- 論文の詳細を見る
Little is known of the risk factors of recurrent myocardial infarction (MI) among Japanese patients who have survived their first MI. The risk factors for the second MI were studied in 808 of 1,042 consecutive patients who recovered from an acute MI in Iwakuni National Hospital. Multivariate logistic regression analysis revealed that only 3 of 21 variables measured were closely related with the recurrence of MI during a follow-up period of 3.2±4.3 years: (1) transient atrial fibrillation (relative risk (RR) 3.16), (2) previous cerebrovascular accident (RR 3.05), and (3) dyslipidemia (RR 2.19). Of the parameters of dyslipidemia, a low ratio of high-density lipoprotein-holesterol (HDL-C) to low-density lipoprotein-cholesterol (LDL-C) alone indicated subsequent MI. None of age, gender, location of the infarction, hypertension, diabetes mellitus, pulmonary congestion (Killip's class ≥2), peak serum creatine kinase activity, serum total-cholesterol, HDL- and LDL-cholesterol levels, nor smoking habit on admission was a statistically significant predictor for the second MI. The result suggests that more intensive treatment is needed for patients with the 3 risk factors. (Circ J 2002; 66: 877-880)
- 社団法人日本循環器学会の論文
- 2002-09-20
著者
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Tsuji T
Department Of Cardiovascular Medicine Okayama University Graduate School Of Medicine And Dentistry
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Oka Takefumi
Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and
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Shiraki Teruo
Iwakuni National Hospital
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Saito Daiji
Iwakuni National Hospital
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Saito Daiji
Department Of Laboratory Medicine Okayama University Medical School
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Saito Daiji
Department Of Cardiology National Hospital Organization Iwakuni Clinic Center
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Saito Daiji
The Department Of Laboratory Medicine
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Oka Takefumi
Iwakuni National Hospital
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Saito Daiji
Department Of Cardiovascular Medicine Okayama University
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SHIRAKI TERUO
The Department of Laboratory Medicine
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Shiraki Teruo
Department of Cardiology, National Hospital Organization, Iwakuni Clinic Center
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Kajiyama Akio
Departments of Cardiology, Iwakuni National Hospital
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Kajiyama Akio
Iwakuni National Hospital
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Takamura Toshiyuki
Department of Cardiology, Iwakuni National Hospital
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Tsuji Takao
The First Depertment Of Internal Medicine Okayama University Medical School
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Shiraki Teruo
The 1st Dept.of Internal Medicine Okayama University Medical School
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Shiraki Teruo
Department Of Cardiology National Hospital Organization Iwakuni Clinic Center
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Saito Daiji
1st Dept. Intern. Med. Okayama Univ. School Of Med.
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Oka Takefumi
Department Of Cardiology Okayama University
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Saitio Daiji
岡山大学 循環器内科
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Taguchi Takehito
Department Of Radiological Technology Faculty Of Health Sciences Okayama University School Of Medici
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Oka Takefumi
Department of Applied Physics, Tokyo Institute of Technology
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