Acute Myocardial Infarction in Young Japanese Adults : Clinical Manifestations and In-Hospital Outcome
スポンサーリンク
概要
- 論文の詳細を見る
Background The prevalence and clinical manifestations of acute myocardial infarction (AMI) in young patients in Japan have not been fully investigated. Methods and Results In the present study, 1651 AMI patients were enrolled in the AMI-Kyoto Multi-Center Risk Study between January 2000 and June 2004. Of these, the clinical background, risk factors, angiographic findings, acute results of primary percutaneous coronary intervention (PCI) and in-hospital outcomes for 27 young patients <40 (young group), and 338 non-young patients 60≤, <70 years old (non-young group) were retrospectively compared. The young AMI patients were all male. Current smoking, hypercholesterolemia and family history were the most common risk factors in young patients, while hypertension and diabetes mellitus were more prevalent in non-young patients. Young patients had a higher prevalence of single-vessel disease and a lesser incidence of left circumflex coronary artery as a culprit lesion. The young group had high acquisition rates of Thrombolysis In Myocardial Infarction 3 flow just after primary PCI (95.8%) and no in-hospital deaths, which was not significantly different from the non-young group. Conclusions These results suggest that young AMI patients have different clinical characteristics from those in non-young AMI patients, and acute results of primary PCI and in-hospital prognosis in young AMI patients are comparable to those in non-young AMI patients in Japan.
- 社団法人日本循環器学会の論文
- 2005-11-20
著者
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Sawada Takahisa
Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine
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Hadase Mitsuyoshi
Department of Cardiology, Saiseikai Shigaken Hospital
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Matsubara Hiroaki
Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine
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AZUMA Akihiro
Department of Cardiology, National Shiga Hospital
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TATSUMI Tetsuya
Department of Cardiovascular Medicine, Nantan General Hospital
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Shiraishi Jun
Department of Cardiology, Kyoto First Red Cross Hospital
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Kohno Yoshio
Department of Cardiology, Kyoto First Red Cross Hospital
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Shima Takatomo
Department of Cardiology, Kyoto First Red Cross Hospital
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Yamaguchi Shinichiro
Department of Cardiology, Kyoto Prefectual University of Medicine
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Tatsumi Tetsuya
Department Of Cardiovascular Medicine Nantan General Hospital
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Azuma A
Department Of Cardiology National Shiga Hospital
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Azuma Akihiro
康生会武田病院 循環器科
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Shiraishi Jun
Department Of Cardiology Kyoto First Red Cross Hospital
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Tatsumi Tetsuya
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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Hadase Mitsuyoshi
Kyoto First Red Cross Hospital
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Hyogo Masayuki
Kyoto First Red Cross Hospital
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Yagi Takakazu
Kyoto First Red Cross Hospital
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Hyogo Masayuki
Department Of Cardiology Kyoto Prefectural University School Of Medicine
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Hyogo Masayuki
Department Of Cardiology Kyoto First Red Cross Hospital
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Hyogo Masayuki
Department Of Cardiology Kyoto Second Red Cross Hospital
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Matsubara Hiroaki
Department Of Cardiology Kyoto Prefectural University Of Medicine
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Matsuo Akiko
Department Of Cardiology Kyoto First Red Cross Hospital
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Hadase Mitsuyoshi
Departments Of Cardiology Kyoto First Red Cross Hospital
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Hadase Mitsuyoshi
Department Of Cardiology Saiseikai Shigaken Hospital
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Hadase Mitsuyoshi
Department Of Cardiology Kyoto First Red Cross Hospital
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Arihara Masayasu
Department Of Emergency Medicine Kyoto First Red Cross Hospital
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YAGI Takakazu
Department of Cardiology, Kyoto First Red Cross Hospital
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Kohno Yoshio
Department Of Cardiology Kyoto First Red Cross Hospital
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Kohno Yoshio
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Yagi Takakazu
Department Of Cardiology Kyoto First Red Cross Hospital
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Tatsumi Tetsuya
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Azuma Akihiro
Department Of Cardiology National Sgiga Hospital
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Azuma Aklhiro
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Azuma Akihiro
The Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Yamaguchi Shinichiro
Department Of Cardiology Kyoto Prefectural University School Of Medicine
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Kohno Yoshio
Second Department Of Medicine Kyoto Prefectual University Of Medicine
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Sawada Takahisa
Department Of Pharmacology Osaka Medical College
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Hadase Mitsuyoshi
Departments Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Sawada Takahisa
Department Of Cardiovascular Medicine Heart Failure Division National Cerebral And Cardiovascular Ce
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Arihara Masayasu
Department Of Cardiology Kyoto First Red Cross Hospital
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Tatsumi Tetsuya
Department Of Cardiology Nantan General Hospital
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Shima Takatomo
Department Of Cardiology Kyoto First Red Cross Hospital
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Tanda Syuji
Division Of Hypertension And Nephrology Department Of Internal Medicine Kyoto Prefectural University
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Sawada Takahisa
Department Of Cardiology Tokyo Medical And Dental University
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Sawada Takahisa
Department Of Cardiology Kyoto First Red Cross Hospital
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Matsui Akihiro
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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Matsubara Hiroaki
Department Of Bioscience National Cardiovascular Center Research Institute
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Azuma Akihiro
Department Of Cardiology Kyoto Prefectual University Of Medicine
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Azuma Akihiro
Department of Cardiology and Vascular Regenerative Medicine, Kyoto Prefectural University School of Medicine
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Sawada Takahisa
Department of Cardiology and Vascular Regenerative Medicine, Kyoto Prefectural University School of Medicine
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Tatsumi Tetsuya
Department of Cardiology and Vascular Regenerative Medicine, Kyoto Prefectural University School of Medicine
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