In-Hospital Outcomes of Primary Percutaneous Coronary Interventions Performed at Hospitals With and Without On-Site Coronary Artery Bypass Graft Surgery
スポンサーリンク
概要
- 論文の詳細を見る
Background Primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) is performed in hospitals without on-site coronary artery bypass graft surgery in the 'real world'. However, data on the in-hospital outcomes of primary PCI performed at hospitals with and without on-site cardiac surgery are still lacking in Japan. Methods and Results In the present study, 2,230 AMI patients were enrolled in the AMI-Kyoto Multi-Center Risk Study between January 2000 and December 2005. Of these, 1,817 patients underwent primary PCI. Excluding patients without adequate data, we retrospectively compared clinical background, coronary risk factors, angiographic findings, acute results of primary PCI and in-hospital prognosis between patients undergoing primary PCI in hospitals without on-site cardiac surgery (without surgery group, n=792) and those in hospitals with (with surgery group, n=993). The without surgery group had higher prevalence of previous myocardial infarction, Killip class ≥3 at admission and multivessels as a culprit lesion than the with surgery group. The without surgery group was more likely to have lower frequency of stent usage and lower thrombolysis in myocardial infarction flow grade just after PCI, whereas it was more likely to have intra-aortic balloon pumping and temporary pacing during procedures. The overall in-hospital mortality did not differ between the 2 groups. On multivariate analysis, in AMI patients undergoing primary PCI, Killip class ≥3 at admission, multivessels or left main trunk (LMT) as culprit lesions, number of diseased vessels ≥2 or diseased LMT, and age were the independent predictors of the in-hospital mortality, but the presence of on-site cardiac surgery was not. Conclusions These results suggest that in-hospital outcomes in AMI patients undergoing primary PCI at hospitals without on-site cardiac surgery are comparable to those at hospitals with on-site cardiac surgery in Japan.
- 社団法人日本循環器学会の論文
- 2007-07-20
著者
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Sawada Takahisa
Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine
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Furukawa Keizo
Department of Cardiology, Kyoto City Hospital
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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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NISHIKAWA Susumu
Department of Cardiovascular Medicine, Nantan General Hospital
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TATSUMI Tetsuya
Department of Cardiovascular Medicine, Nantan General Hospital
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Nishizawa Shinya
Department of Cardiolgy, Kyoto Prefectural University of Medicine
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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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Okada Takashi
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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Katamura Maki
AMI-Kyoto Multi-Center Risk Study Group
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Matoba Satoaki
Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine
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Nishikawa Susumu
Department Of Cardiovascular Medicine Nantan General Hospital
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YAMADA Hiroyuki
Department of Materials Engineering, Graduate school of Engineering, The University of Tokyo
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Yamada Hiroyuki
Ami-kyoto Multi-center Risk Study Group
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Tatsumi Tetsuya
Kyoto Prefectural University Of Medicine
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Tatsumi Tetsuya
Department Of Cardiovascular Medicine Nantan General Hospital
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Kitamura Makoto
Department Of Cardiology Kyoto Second Red Cross Hospital
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Yokoi Hirokazu
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Katamura Maki
Department Of Cardiology Kyoto Second Red Cross Hospital
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Shiraishi Jun
Department Of Cardiology Kyoto First Red Cross Hospital
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Tatsumi Tetsuya
京都第一赤十字病院 循環器科
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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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Takai S
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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Okada Takashi
Department Of Cardiology Kyoto First Red Cross Hospital
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Kobara Miyuki
Departments Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Kobara Miyuki
Department Of Clinical Pharmacology Kyoto Pharmaceutical University
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Kobara Miyuki
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Yagi Takakazu
Department Of Cardiology Kyoto First Red Cross Hospital
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Akihara Masayasu
Emergency Medicine, 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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Matoba Satoaki
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Matoba Satoaki
Department Of Cardiovascular Medicine Kyoto Prefactural University Of Medicine
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Furukawa Keizo
Department Of Cardiology Kyoto City Hospital
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Kohno Yoshio
Second Department Of Medicine Kyoto Prefectual University Of Medicine
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Tsutsumi Takeshi
First Department Of Medicine Nara Medical University
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Tatsumi Tetsuya
First Department Of Internal Medicine Nara Medical University
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Yamada Hiroyuki
Department Of Cardiovascular Medicine Kyoto Prefectural 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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Kimata Masaki
Department Of Cardiology Kyoto First Red Cross Hospital
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Sawada Takahisa
Department Of Cardiovascular Medicine Heart Failure Division National Cerebral And Cardiovascular Ce
-
Nishizawa Shinya
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
-
Tatsumi Tetsuya
Department Of Cardiology Nantan General Hospital
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Shima Takatomo
Department Of Cardiology Kyoto First Red Cross Hospital
-
Nishikawa Susumu
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
-
Yokoyama Hitoshi
Division Of Nephrology Kanazwa Medical University
-
Furukawa Keizo
Department Of Cardiovascular Medicine Social Welfare Organization Imperial Gift Fundation Inc. Saise
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Tanda Syuji
Division Of Hypertension And Nephrology Department Of Internal Medicine Kyoto Prefectural University
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Kitamura Makoto
Department Of Cardiology Kyoto First Red Cross Hospital
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Tatsumi T
First Department Of Medicine Nara Medical University
-
Furukawa Keizo
Department Of Cardiovascular Medicine Social Welfare Organization Imperial Gift Fundation Inc. Saise
-
Sawada Takahisa
Department Of Cardiology Tokyo Medical And Dental University
-
Sawada Takahisa
Department Of Cardiology Kyoto First Red Cross Hospital
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Yamada Hiroyuki
Department Of Anatomy School Of Dentistry Aichi-gakuin University
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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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Matoba Satoaki
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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Okada Takashi
Second Department Of Internal Medicine Kyoto Prefectural University Of Medicine
-
Furukawa Keizo
Department Of Cardiovascular Medicine Kyoto City Hospital
-
KITAMURA Makoto
Department of Applied Chemistry, Faculty of Engineering, Osaka Institute of Technology
-
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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