Predictors of In-Hospital Outcome After Primary Percutaneous Coronary Intervention for Recurrent Myocardial Infarction
スポンサーリンク
概要
- 論文の詳細を見る
Background Recurrent acute myocardial infarction (AMI) is a deteriorated condition with high in-hospital morbidity and mortality, but the predictors of in-hospital outcome after primary percutaneous coronary intervention (PCI) for repeat AMI remain unclear. Methods and Results Using the AMI-Kyoto Multi-Center Risk Study database, clinical background, angiographic findings, results of primary PCI, and in-hospital prognosis were retrospectively compared between primary PCI-treated AMI patients with previous myocardial infarction (MI) (repeat-MI patients, n=235) and those without previous MI (first-MI patients, n=1,550). The repeat-MI patients had higher prevalence of Killip class ≥3 at admission, larger number of diseased vessels, and a significantly higher in-hospital mortality rate than the first-MI patients. On multivariate analysis, number of diseased vessels ≥2 or diseased left main trunk (LMT) on initial coronary angiography was the independent positive predictor of in-hospital mortality in the repeat-MI patients, not in the first-MI patients, whereas acquisition of Thrombolysis In Myocardial Infarction 3 flow in the infarct-related artery immediately after primary PCI and elapsed time <24h were the negative predictors in the first-MI patients, not in the repeat-MI patients. Conclusions Number of diseased vessels ≥2 or diseased LMT on initial coronary angiography is an independent risk factor of in-hospital death in recurrent-AMI patients undergoing primary PCI.
- 社団法人日本循環器学会の論文
- 2008-07-20
著者
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Furukawa Keizo
Department of Cardiology, Kyoto City 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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Okada Takashi
Department of Cardiology, Kyoto First Red Cross Hospital
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Furukawa Keizo
AMI-Kyoto Multi-Center Risk Study Group
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Kitamura Makoto
AMI-Kyoto Multi-Center Risk Study Group
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Katamura Maki
AMI-Kyoto Multi-Center Risk Study Group
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Shiraishi Jun
AMI-Kyoto Multi-Center Risk Study Group
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Kohno Yoshio
AMI-Kyoto Multi-Center Risk Study Group
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Yamada Hiroyuki
Ami-kyoto Multi-center Risk Study Group
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Nakamura T
Second Department Of Internal Medicine Kyoto Prefectural University Of Medicine
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Makino H
Department Of Medicine And Clinical Science Okayama University Graduate School Of Medicine And Denti
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Matsuoka Hiroaki
大阪大学 医学系研究科老年・腎臓内科学
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Yokoi Hirokazu
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Nakamura Takeshi
Department Of Cardiovascular Medicine Nantan General Hospital
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Sawada Takahisa
AMI-Kyoto Multi-Center Risk Study Group
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Takeda Mitsuo
AMI-Kyoto Multi-Center Risk Study Group
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Arihara Masayasu
AMI-Kyoto Multi-Center Risk Study Group
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Hyogo Masayuki
AMI-Kyoto Multi-Center Risk Study Group
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Yagi Takakazu
AMI-Kyoto Multi-Center Risk Study Group
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Shima Takatomo
AMI-Kyoto Multi-Center Risk Study Group
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Okada Takashi
AMI-Kyoto Multi-Center Risk Study Group
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Nakamura Takeshi
AMI-Kyoto Multi-Center Risk Study Group
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Matoba Satoaki
AMI-Kyoto Multi-Center Risk Study Group
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Shirayama Takeshi
AMI-Kyoto Multi-Center Risk Study Group
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Matsubara Hiroaki
AMI-Kyoto Multi-Center Risk Study Group
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Takai Shinji
Department Of Cardiology Kouseikai Takeda Hospital
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Katamura Maki
Department Of Cardiology Kyoto Second Red Cross Hospital
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Matsumoto Takashi
Department Of Cardiology Kyoto First Red Cross Hospital
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Shiraishi Jun
Department Of Cardiology 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
-
Hyogo Masayuki
Department Of Cardiology Kyoto Second Red Cross Hospital
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Matsuo Akiko
Department Of Cardiology Kyoto First Red Cross Hospital
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Nakata Tetsuo
Department Of Cardiovascular Medicine Nantan General Hospital
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Takeda Mitsuo
Department Of Cardiology Kyoto First Red Cross Hospital
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Matsumoto Takashi
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Takai Shinji
Department Of Pharmacology Osaka Medical College
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Takai S
Department Of Cardiology Kyoto First Red Cross Hospital
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Matsui Akihiro
Departments Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Arihara Masayasu
Department Of Emergency Medicine 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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Matoba Satoaki
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Matsuoka H
Kyoto Univ. Kyoto
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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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Sawada Takahisa
Department Of Pharmacology Osaka Medical College
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Nomura Tetsuya
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Shirayama Takeshi
The Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Matsuo Akiko
Department Of Cardiology Kyoto Second Red Cross Hospital
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Kimata Masaki
Department Of Cardiology Kyoto First Red Cross Hospital
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Hiroe Michiaki
Second Department Of Internal Medicine Tokyo Medical And Dental University
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Nakata Tetsuo
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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Nakata Tesuo
Department Of Clinical Pharmacology Kyoto Pharmaceutical University
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Shima Takatomo
Department Of Cardiology Kyoto First Red Cross Hospital
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Nakamura Takeshi
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Nomura Tetsuya
Department Of Cardiovascular Medicine Nantan General Hospital
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Yokoyama Hitoshi
Division Of Nephrology Kanazwa Medical University
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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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Shirayama Takeshi
Kyoto Prefectural University Of Medicine Department Of Cardiology
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Nakamura Takeshi
Kyoto Prefectural University Of Medicine Department Of Cardiology
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Furukawa Keizo
Department Of Cardiovascular Medicine Social Welfare Organization Imperial Gift Fundation Inc. Saise
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Matsui Akihiro
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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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
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Tanaka Shiro
The Department Of Internal Medicine Osaka City General Hospital
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Furukawa Keizo
Department Of Cardiovascular Medicine Kyoto City Hospital
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Nakamura Takashi
Department Of Cardiology Saiseikai Shigaken Hospital
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Takeda Mitsuo
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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