Interventional Treatment for Very Young Adults With Acute Myocardial Infarction : Clinical Manifestations and Outcome
スポンサーリンク
概要
- 論文の詳細を見る
Direct percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) is now established as a standard therapy for older patients. However, experience with PCI in very young adults with AMI has been limited. In this report we retrospectively evaluated the effectiveness of PCI for very young adults with AMI and estimated their clinical characteristics and outcome. Of the 502 patients with AMI, 5 were 35 years old or younger (1.0%) during a period of 4 years (2000-2004). We assessed the utility of PCI in these five consecutive patients under the age of 35 presenting with a first AMI. Five AMI patients, ranging in age from 20 to 34 years (median, 27 ± 5 years) underwent direct PCI for the culprit lesions. The lesions targeted for PCI were located in the left anterior descending artery in 3 patients and in the right coronary artery in 2 patients. One patient had a past history of Kawasaki disease (KD). In all of the patients, PCI were angiographically effective at the acute phase without complication. In hospital course, a subacute stent thrombosis occurred in one patient. Follow-up angiograms performed 6 months after the procedure revealed no restenosis, but identified a new coronary aneurysm in one patient with a past history of KD and a regressed giant coronary aneurysm probably due to atypical KD in another patient, which were confirmed by intravascular ultrasound. There was one death ascribed to heart failure 8 months after the initial PCI. The findings of this report suggest that PCI for very young adults with AMI can be safe and effective in the short-term.
- インターナショナル・ハート・ジャーナル刊行会の論文
著者
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Sawada Takahisa
Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine
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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 Hirokazu
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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Hayashi Hironori
京都府立医科大学 循環器内科
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Hayashi Hironori
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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Matsubara Hiroaki
公立南丹病院 循環器内科
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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 Cardiology Nantan General Hospital
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Hayashi Hironori
Department Of Breast Oncology Aichi Cancer Center Hospital
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Matsubara Hiroaki
Department Of Bioscience National Cardiovascular Center Research Institute
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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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Hayashi Hironori
Department of Cardiology, Kyoto First Red Cross Hospital
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Matsubara Hiroaki
Department of Cardiology and Vascular Regenerative Medicine, Kyoto Prefectural University School of Medicine
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