The Role of Intravenous Coronary Thrombolysis for Patients with Acute Myocardial Infarction in Different Treatment Strategies
スポンサーリンク
概要
- 論文の詳細を見る
Objective: To examine acute-phase outcomes in acute myocardial infarction (AMI) according to different initial treatments. Patients and Methods: This retrospective study involved 405 patients with AMI who had undergone coronary angiography during the acute phase. The patients were retrospectively examined by dividing into groups according to treatment received: intravenous coronary thrombolysis (IVCT) (n=83), intracoronary thrombolysis (ICT) (n=62), and percutaneous coronary intervention (PCI) (n=221). Results: TIMI 3 flow at the initial angiography was higher in the IVCT group (P<0.05) at 32.5% in the IVCT group and 21.7% in the non-IVCT group. The time from onset to initiation of treatment was shorter in the IVCT group (P<0.001) at 227 min in the IVCT group, 337 min in the ICT group, and 479 min in the PCI group. The acute-phase mortality was lower in the IVCT group (P<0.05) at 2.4% in the IVCT group, 3.2% in the ICT group, and 11.8% in the PCI group. According to sub-analysis, the restenosis rate during the chronic phase after PCI did not differ with or without antecedent administration of a thrombolytic agent. Conclusion: IVCT as an initial treatment for AMI enabled the fastest reperfusion at TIMI ≥2 flow, resulting in a good acute-phase outcome.
- 社団法人 日本内科学会の論文
著者
-
Aizawa Akira
Department of Cardiology, Tokyo Medical University Hachioji Medical Center
-
Takazawa Kenji
Department Of Cardiology And Medicine Jichi Medical School
-
Yamashina Akira
Second Department Of Internal Medicine Tokyo Medical University
-
Matsumoto Chisa
Department of Cardiology, Tokyo Medical University
-
Aizawa Akira
Department Of Cardiology Tokyo Medical University Hachioji Medical Center
-
Kinou Mineko
Department of Cardiology, Tokyo Medical University Hachioji Medical Center
-
Kinou Mineko
Department Of Cardiology Tokyo Medical University Hachioji Medical Center
-
Nagata Takuya
Department Of Immunology Faculty Of Medicine Toyama Medical And Pharmaceutical University
-
Yoshida Masanobu
Department Of Cardiology Tokyo Medical University
-
Takahashi Eiji
Department Of Biology Faculty Of Science Kobe University
-
Kobayashi Hiroshi
Department Of Applied Physics School Of Science And Engineering Waseda University
-
Yoshida Masanobu
Department of Cardiology, Tokyo Medical University Hachioji Medical Center
-
Ooi Kuniomi
Department of Cardiology, Tokyo Medical University Hachioji Medical Center
-
Katou Kouta
Department of Cardiology, Tokyo Medical University Hachioji Medical Center
-
Aiga Mamoru
Department of Cardiology, Tokyo Medical University Hachioji Medical Center
-
Namatame Yasuhide
Department of Cardiology, Tokyo Medical University Hachioji Medical Center
-
Nagata Takuya
Department of Cardiology, Tokyo Medical University Hachioji Medical Center
関連論文
- Comparative Impact of Scintigraphic Parameters and B-Type Natriuretic Peptide for the Prediction of Major Cardiac Events in the QGS-Prognostic Value in the Elderly (Q-PROVE) Study
- Significance of the second peak of systolic blood pressure for identifying both high and low cardiovascular risk states
- Two Patients With Bepridil-Induced Interstitial Pneumonia
- FRS-066 When and How should We Use Central BP in Clinical Hypertension? : Report from ABC-J Study(FRS14,New Aspects for Hypertension (H),Featured Research Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- OE-145 Multi-center Cross-sectional Study to Characterize Antihypertensive Treatments in terms of Central Blood Pressure Evaluated by Radial Artery Pulse Waveform(Hypertension, clinical(01)(H),Oral Presentation(English),The 72nd Annual Scientific Meeting
- Prognostic value of myocardial perfusion and ventricular function in a Japanese multicenter cohort study (J-ACCESS): the first-year total events and hard events
- PE-364 Preliminary Report of a Multicenter Cohort Study of Myocardial Viability Assessment by Gated^Tc-Sestamibi SPECT at Rest(Nuclear cardiology-5, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Surveillance study for creating the national clinical database related to ECG-gated myocardial perfusion SPECT of ischemic heart disease : J-ACCESS study design
- Postpartum Complete Atrioventricular Block Due to Cardiac Sarcoidosis : Steroid Therapy Without Permanent Pacemaker
- Qualitative and Quantitative Changes in Coronary Plaque Associated With Atorvastatin Therapy
- PE-404 Resistance to Plaque Stabillzation in Patients With Diabetes Mellitus After Atorvastatin Treatment : Results From TWINS Study(Diabetes/Obesity/Metabolic syndrome(07)(H),Poster Session(English),The 72nd Annual Scientific Meeting of the Japanese Circ
- PE-270 Plaque Stabilization and Regression by Lipid Lowering Therapy in Patients With Coronary Heart Disease(Atherosclerosis, clinical(06)(IHD),Poster Session(English),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Metabolic Syndrome Predicts 10-Year Mortality in Non-Diabetic Patients Following Coronary Artery Bypass Surgery
- Prognostic Value of Post-Ischemic Stunning as Assessed by Gated Myocardial Perfusion Single-Photon Emission Computed Tomography : A Subanalysis of the J-ACCESS Study
- Prognostic value of myocardial perfusion SPECT images in combination with the maximal heart rate at exercise testing in Japanese patients with suspected ischemic heart disease: A sub-analysis of J-ACCESS
- Clinical Application of Photodynamic Therapy to Prevent Coronary Artery Stenting following Restenosis
- Enhanced expression of TNF-related-apoptosis-inducing ligand(TRAIL) and Tumor necrosis factor-α (TNF-α) in mononuclear cells after acute myocardial infarction
- Enhanced Expression of the Apoptosis Inducing Ligand TRAIL in Mononuclear Cells After Myocardial Infarction
- Anti-Atherosclerotic Effects of Tamoxifen in Cholesterol-fed Ovariectomized Rabbits
- PJ-268 Quantitative analysis of the coronary artery stent's inside diameter in 16 Slice MDCT(X-ray/CT/MRI/DSA4 (I) : PJ45)(Poster Session (Japanese))
- OJ-253 Prognostic Value of the Double Product of Exercise Testing in Combination with Myocardial Perfusion Images : A Sub-Analysis of J-ACCESS(OJ43,Nuclear Cardiology (Coronary, Myocardium) (I),Oral Presentation (Japanese),The 73rd Annual Scientific Meeti
- OJ-172 Prognostic Value of the Heart Rate of Exercise Testing in Combination with Myocardial Perfusion SPECT Images : A Sub-Analysis of J-ACCESS(Nuclear cardiology(02)(I),Oral Presentation (Japanese),The 72nd Annual Scientific Meeting of the Japanese Circ
- -296- THE DICROTIC NOTCH POSITION ON THE PRESSURE WAVE FORM AT THE BASE OF ASCENDING AORTA : Echo Cardiography : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 51th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Synergistic effect of smoking and blood pressure on augmentation index in men, but not in women
- Venous Coronary Artery Bypass Grafting : Late Results of a 15-Year Actuarial Follow-Up in 486 Patients
- Long-Term Clinical Outcome in Percutaneous Coronary Intervention Versus Coronary Artery Bypass Graft Surgery for Diabetic Patients with Multivessel Disease
- Is Diabetes Mellitus A Major Risk Factor in Coronary Artery Bypass Grafting? The Influence of Internal Thoracic Artery Grafting on Late Survival in Diabetic Patients
- Coronary Artery Bypass Grafting : Late Result of Actual 10-Years Follow-up in 376 Patients
- SIMULTANEOUS RECORDING OF AORTIC AND PULMONARY VASCULAR IMPEDANCE : Valvular Heart Disease, Pulmonary Circulation : FREE COMMUNICATIONS (VI) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- EFFECTS OF COUGHING ON AORTIC AND PULMONARY INPUT IMPEDANCE : Cardiac Function (III) : FREE COMMUNICATIONS (V) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- THE ANALYSIS OF LEFT VENTRICULAR FLOW VELOCITY PATTERN IN ISCHEMIC HEART DISEASE : Cardiac Function (I) : FREE COMMUNICATIONS (I) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- SERIAL CHANGES IN REGIONAL LEFT VENTRICULAR WALL MOTION DURING ERGOMETER EXERCISE IN PATIENTS WITH ISCHEMIC HEART DISEASE : COMPARATIVE STUDY WITH ECG CHANGES (2nd REPORT) : Exercise Test (II) : FREE COMMUNICATIONS (VI) : PROCEEDINGS OF THE 49th ANNUAL SC
- Interaction of Left Ventricular Contraction and Aortic Input Impedance in Experimental and Clinical Studies : SYMPOSIUM ON THE INTERACTION BETWEEN THE HEART AND THE VESSELS
- CLINICAL SIGNIFICANCE OF ARTERIAL REFLECTION WAVE DURING SYSTOLE IN HYPERTENSION : Hemodynamics, Cardiac Function (IV) : IV : 48 Annual Scientific Meeting, Japanese Circulation Society
- AORTIC PULSE WAVE VELOCITY AND AORTIC INPUT IMPEDANCE : Hemodynamics, Cardiac Function (IV) : IV : 48 Annual Scientific Meeting, Japanese Circulation Society
- COMPARISON OF Δ"max dp/dt"ΔEDP AFTER LEFT VENTRICULAR ANGIOGRAPHY AND EXERCISE TOLERANCE CAPACITY IN ISCHEMIC HEART DISEASE : Hemodynamics, Cardiac Function (IV) : IV : 48 Annual Scientific Meeting, Japanese Circulation Society
- TWO-DIMENSIONAL ECHOCARDIOGRAPHIC EVALUATION OF DIFFERENCE OF REGIONAL WALL MOTION BETWEEN HYPERTROPHIC CARDIOMYOPATHY AND HYPERTENSIVE HEART DISEASE : Hemodynamics, Cardiac Function (IV) : IV : 48 Annual Scientific Meeting, Japanese Circulation Society
- EXERCISE TWO-DIMENSIONAL ECHOCARDIOGRAPHY : COMPARATIVE STUDY OF WALL MOTION AND ECG DURING ERGOMETER EXERCISE : Excercise Test : IV : 48 Annual Scientific Meeting, Japanese Circulation Society
- CLINICAL SIGNIFICANCE OF CHANGES IN SIZE OF INFERIOR VENA CAVA AND ITS RESPIRATORY COLLAPSE : 2-D ECHO STUDY : Heart Failure, Cardiovascular Drugs (I) : IV : 48 Annual Scientific Meeting, Japanese Circulation Society
- A STUDY OF BLOOD FLOW VELOCITY PATTERN IN ATRIAL SYSTOLE BY PULSED DOPPLER ECHOCARDIOGRAPHY : PROCEEDINGS OF THE 47th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY : Echocardiography (I)
- SERIAL CHANGES IN LEFT VENTRICULAR WALL MOTION SUBSEQUENT TO ACUTE MYOCARDIAL INFARCTION AND THEIR PROGNOSTIC SIGNIFICANCE : A 2-D ECHO STUDY : PROCEEDINGS OF THE 47th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY : Ischemic Heart Disease
- Decrease of Fractional Flow Reserve Shortly After Percutaneous Coronary Intervention
- PJ-493 The Correlation between the Duke CAD Prognostic Index and Stress Myocardial SPECT(PJ083,Nuclear Cardiology (Coronary, Myocardium) 3 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- Identification of multi-vessel coronary artery disease by quantitative SPECT with the measurements of absolute
- PJ-490 Prognostic Value of Myocardial Perfusion Imaging in the Asymptomatic Elderly Patients with Known or Suspected Coronary Artery Disease(PJ083,Nuclear Cardiology (Coronary, Myocardium) 3 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting
- PJ-216 Diagnostic Strategy to Detect a High-risk Subset of Coronary Artery Disease in Asymptomatic Diabetic Patients(PJ037,Nuclear Cardiology (Coronary, Myocardium) 1 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circula
- PE-118 Clinical Characteristics in Patients Showing Ischemic Electrocardiographic Changes during Adenosine Triphosphate Loading Single-photon Emission Computed Tomography(PE020,Nuclear Cardiology (Coronary, Myocardium) (I),Poster Session (English),The 73r
- PE-260 Combination of neurohumoral factors and left atrial appendage function can predict outcome of electrical cardioversion of atrial fibrillation(Neurohumoral Factors 2 (H) : PE44)(Poster Session (English))
- Coronary arterial spasm during adenosine myocardial perfusion imaging
- Do Eicosapentaenoic Acid Supplements Attenuate Age-Related Increases in Arterial Stiffness in Patients with Dyslipidemia? : A Preliminary Study
- PE-217 Obstructive Sleep Apnea Increases Independently Plasma Aldosterone Concentration in Middle Aged Obese Patients with Poorly Controlled Hypertension(PE037,Obesity/SAS 1 (H),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese C
- Is Stress Myocardial Scintigraphy More Effective Than Fractional Flow Reserve Using Pressure Wire for Deciding Indication for Percutaneous Coronary Intervention?
- 1 Diagnostic Imaging of Vulnerable Plaque on IVUS with Pressure Wire(Imaging of Vulnerable Plaque,Meet the Expert 8 (ME8) (I),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- CAVI vs. pressure and stiffness gradients in the arterial tree
- Non-Invasive Vascular Function Tests : Their Pathophysiological Background and Clinical Application
- PJ-804 Diagnostic Performance of Contrast Enhanced Cardiac MRI in Patients with Severe Systolic Dysfunction(MRI/MRA-3 (I) PJ142,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- Significance of the Chromatin Structure in Expression of the Rat Prolactin Gene^1
- The Influence of the Peripheral Reflection Wave on Left Ventricular Hypertrophy in Patients with Essential Hypertension
- -132-THE SECOND COMPONENT OF LEFT VENTRICULAR SYSTOLIC PRESSURE
- PJ-618 The Expediency of Cardiac MRI for Resuscitated Patients(PJ104,CT/MRI (Myocardium) 3 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PJ-615 The Evaluation of Salvaged Area at Risk in Acute Myocardial Infarction with Successful Early Revascularization by Cardiovascular Magnetic Resonance(PJ103,CT/MRI (Myocardium) 2 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The
- Comparative Study of BMIPP Scintigraphy and Contrast MRI in Detecting the Abnormality in Myocardium of Hypertrophic Cardiomyopathy(X-ray/CT/MRI/DSA 2 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Comparative Study of the Occurrence and Extent of Delayed Contrast Enhancement of MRI between HCM with ASH and APH(X-ray/CT/MRI/DSA 10 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- The New Method for Color Distribution Imaging of Stent with MDCT(X-ray/CT/MRI/DSA 6 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-167 The Relationship Between the Occurrence and extent of Delayed Contrast Enhancement on Contrast MRI and Q wave in Antero-Septal OMI(X-ray/CT/MRI/DSA2 (I) : OJ19)(Oral Presentation (Japanese))
- 7 Evaluation in stent restenosis by MDCT : Dose MDCT play sufficient role for follow up after PCI?(Plenary Session 6 (PL6) (I) : Role of Diagnostic Imaging in the Management of Coronary Artery Disease and Its Cost Effectiveness)(Special Program)
- OJ-243 Medical Cost Effectiveness : Non-invasive Test Guided Versus FFR Guided PCI(Cost-health care system (H),Oral Presentation (Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- OE-403 The 3-years Follow up of Patients with Coronary Artery Disease Treated by Fractional Flow Reserve (FFR) Based Intervention.(Coronary revascularization, PCI(04)(IHD),Oral Presentation(English),The 72nd Annual Scientific Meeting of the Japanese Circu
- Relationship between Radial and Central Arterial Pulse Wave and Evaluation of Central Aortic Pressure Using the Radial Arterial Pulse Wave
- Importance of Pull-back Intracoronary Pressure Recording After Successful Stenting in Patients with Diffuse Coronary Stenoses(Coronary Revascularization, PTCA/Stent/DCA/Rotablator/New Device 3 (IHD), The 69th Annual Scientific Meeting of the Japanese Circ
- Cut-Off Value of the Ankle-Brachial Pressure Index at Which the Accuracy of Brachial-Ankle Pulse Wave Velocity Measurement is Diminished
- The Age-Related Increase in Arterial Stiffness Is Augmented in Phases According to the Severity of Hypertension
- PJ-614 Brachial-ankle Pulse Wave Velocity is a Marker of the Atherosclerotic Changes in Carotid Artery in Hypertension(Hypertension, Basic and Clinical (H) : PJ103)(Poster Session (Japanese))
- PJ-306 The Cut-off Value of Ankle-brachial Pressure Index to Warrant the Accuracy of Brachial-ankle Pulse Wave Velocity Measurement(Atherosclerosis, Clinical 5 (IHD) : PJ51)(Poster Session (Japanese))
- PJ-291 The Evaluation of the Accuracy of Newly Derived Oscillometric Device to Determine Ankle-Brachial Pressure Index : Its Clinical Application(Atherosclerosis, Clinical 4 (IHD) : PJ49)(Poster Session (Japanese))
- OJ-503 Menopause augments age-related increase in Arterial Stiffness : Its association with the Prevalence of hypertension(Atherosclerosis, Clinical 8 (IHD) : OJ61)(Oral Presentation (Japanese))
- Nomogram of the Relation of Brachial-Ankle Pulse Wave Velocity with Blood Pressure
- Brachial-Ankle Pulse Wave Velocity as a Marker of Atherosclerotic Vascular Damage and Cardiovascular Risk
- Graphical Comparison of Coronary Arterial Culprit Lesions in Acute Myocardial Infarction and Unstable Angina Pectoris
- PE-192 High Prevalence of Obstructive Sleep Apnea in Patients with Aortic Disease(PE032,Peripheral Circulation/Vascular Disease (Pathophysiology, Basic) (H),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- Correlation Between Thallium-201 Myocardial Perfusion Defects and the Functional Severity of Coronary Artery Stenosis as Assessed by Pressure-Derived Myocardial Fractional Flow Reserve
- Reliability of pressure-derived myocardial fractional flow reserve in assessing the functional severity of coronary-artery stenosis in patients with myocardial infarction
- PE-437 Quantification of Serial Changes in Microvascular Function after Coronary Intervention Using Index of Microcirculatory Resistance(PE073,Myocardial Ischemia-reperfusion (Basic) (IHD),Poster Session (English),The 73rd Annual Scientific Meeting of the
- Close Relationship Between Sympathetic Activation and Coronary Microvascular Dysfunction During Acute Hyperglycemia in Subjects With Atherosclerotic Risk Factors
- PJ-384 Latent Cardiac Dysfunction in Patients with Obstructive Sleep Apnea Syndrome (OSAS)(Echo/Doppler-11 (I) PJ65,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- Brachial-Ankle Pulse Wave Velocity is a Simple and Independent Predictor of Prognosis in Patients With Acute Coronary Syndrome
- Stress Hyperglycemia Attenuates Coronary Flow Reserve on Non-Culprit Coronary Artery in Patients with Acute Myocardial Infarction(Echo/Doppler 8 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Application of Pressure-Derived Myocardial Fractional Flow Reserve in Assessing the Functional Severity of Coronary Artery Stenosis in Patients With Diabetes Mellitus
- Laparoscopic Cholecystectomy After Coronary Artery Bypass Grafting Using the Right Gastroepiploic Artery : Report of a Case
- Metal allergy to stainless steel wire after coronary artery bypass grafting
- Off-Pump Coronary Artery Bypass Grafting in a Patient With Liver Cirrhosis
- Application of Pressure-Derived Myocardial Fractional Flow Reserve in Assessing the Functional Severity of Coronary-Artery Stenosis in Patients with Diabetes Mellitus
- Safflower seed polyphenols (N-(p-coumaroyl)serotonin and N-feruloylserotonin) ameliorate atherosclerosis and distensibility of the aortic wall in Kurosawa and Kusanagi-hypercholesterolemic (KHC) rabbits
- Changes in Serum Myosin Light Chain I Following Aortocoronary Bypass Operations
- Plaque-Stabilizing Effect of Atorvastatin Is Stronger for Plaques Evaluated as More Unstable by Angioscopy and Intravenous Ultrasound
- Influence of Achieved Low-Density Lipoprotein Cholesterol Level With Atorvastatin Therapy on Stabilization of Coronary Plaques : Sub-Analysis of the TWINS Study
- Correlation Between the Brachial Blood Pressure Values Obtained Using the Cuff Method and the Central Blood Pressure Values Obtained Invasively
- Synergistic Effect of Triptolide and Tacrolimus on Rat Cardiac Allotransplantation
- Coronary Artery Bypass Grafting with Cardiopulmonary Bypass is Safe and Contributes to Favorable Long-term Results.
- The Role of Intravenous Coronary Thrombolysis for Patients with Acute Myocardial Infarction in Different Treatment Strategies