Medium-Term Prognosis of Young Japanese Adults Having Acute Myocardial Infarction(CLINICAL INVESTIGATION)
スポンサーリンク
概要
- 論文の詳細を見る
Background Data on the medium- and long-term prognosis of young Japanese patients with acute myocardial infarction (AMI) are still lacking. Methods and Results In the present study, 1,458 AMI patients were enrolled in the AMI-Kyoto Multi-Center Risk Study between January 2000 and December 2003. Of these, clinical characteristics and medium-term prognosis were retrospectively compared in 21 young patients <40 years (young group), and 190 non-young patients 60-70 years old (non-young group) who could be followed after hospital discharge. The young group was all male and had higher prevalence of current smoking and greater body mass index, but previous myocardial infarction (MI) and hypertension were more prevalent in the non-young group. The young group had a higher prevalence of single-vessel disease and a lesser incidence of left circumflex coronary artery as the culprit lesion. The acquisition rates of Thrombolysis In Myocardial Infarction 3 flow after primary percutaneous coronary intervention did not differ between the 2 groups, but the data of maximal creatine kinase was significantly higher in the young group. During the follow-up period (average 2.42 years for young, 2.37 years for non-young), survival and event-free survival rates and incidence of major adverse cardiac events (MACE) did not differ between the 2 groups. The predictor of MACE during follow-up period was the presence of multivessel disease in the young group, whereas the presence of multivessel disease, history of previous MI and longer hospitalization were the predictors of MACE in the non-young group. Conclusions These results suggest that the medium-term prognosis in young AMI patients is comparable to that of non-young AMI patients in Japan.
- 社団法人日本循環器学会の論文
- 2006-04-20
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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Azuma Akihiro
松下電器健康保険組合松下記念病院
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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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Tatsumi T
Kyoto Prefectural University Of Medicine
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Takai S
Department Of Pharmacology Osaka Medical College
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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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Arihara Masayasu
Emergency Medicine, Kyoto First Red Cross Hospital
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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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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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