Recent Characteristics and Outcomes of Japanese Stable Angina Pectoris After Percutaneous Coronary Intervention:An Observational Cohort Study Using the Shinken Database
スポンサーリンク
概要
- 論文の詳細を見る
The mortality and morbidity of patients with stable angina pectoris (SAP) after percutaneous coronary intervention (PCI) in Japan differ from those in Western countries, although Japanese data are limited. We selected from the Shinken Database a single-hospital-based cohort of Japanese patients (<I>n</I> = 15,227) who visited The Cardiovascular Institute between 2004 and 2010 to undergo PCI. We followed-up the patients after PCI. A major adverse cardiac event (MACE) was defined as composite endpoints including all-cause death, acute myocardial infarction (AMI), and target-lesion revascularization (TLR). This study included 747 SAP patients (median follow-up period, 1,000 ± 703 days). The allcause mortality rate in SAP was 1.3% at 1 year, 2.7% at 3 years, and 6.1% at 5 years. The AMI rate was 0.5% at 1 year, 1.1% at 3 years, and 3.0% at 5 years, and the MACE rate was 14.0% at 1 year, 17.6% at 3 years, and 25.6% at 5 years. Moreover, new lesion PCI and heart failure admission continued to occur beyond 1 year after PCI without attenuation of their annual incidences up to 5 years. Multivariate analysis showed that poor left ventricular ejection fraction, chronic kidney disease (CKD), and absence of statin treatment were independent predictors of all-cause death of SAP patients after PCI. The results of the present study revealed the characteristics and long-term outcomes of Japanese SAP patients after PCI. The results of the present study suggest cardiorenal interaction and statin treatment play important roles in the long-term outcomes of Japanese CAD patients treated by PCI.
- International Heart Journal刊行会の論文
著者
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Fukamachi Daisuke
Department Of Cardiology Nihon University School Of Medicine
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Kaneko Hidehiro
Department Of Civil And Environmental Engineering Yamanashi University
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Kano Hiroto
Department Of Cardiovascular Medicine The Cardiovascular Institute Hospital
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Otsuka Takayuki
Department of Cardiology, The Cardiovasclar Institute
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Yamashita Takeshi
Department Of Cardiology The Cardiovascular Institute
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Tanaka Shingo
Department Of Biological Science And Technology Faculty Of Engineering The University Of Tokushima
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Sagara Koichi
Department Of Cardiology Toho University Of Medicine
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Koike Akira
Department Of Cardiology Cardiovascular Institute
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Aizawa Tadanori
Department Of Cardiology Cardiovascular Institute
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Suzuki Shinya
Department Of Cardiology Cardiovascular Institute
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Kirigaya Hajime
Department Of Cardiology Cardiovascular Institute
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Matsuno Shunsuke
Department Of Cardiology Cardiovascular Institute
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Uejima Tokuhisa
Department Of Cardiology Cardiovascular Institute
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Oikawa Yuji
Department Of Cardiology Cardiovascular Institute
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Nagashima Kazuyuki
Department Of Cardiology Cardiovascular Institute
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Yajima Junji
Department Of Cardiology Cardiovascular Institute
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Funada Ryuichi
Department Of Cardiology Cardiovascular Institute
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YAMASHITA Takeshi
Department of Cardiovascular Medicine, The Cardiovascular Institute
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SUZUKI Shinya
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Sawada Hitoshi
Department of Agricultural Chemistry Kyoto University
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Sawada Hitoshi
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Uejima Tokuhisa
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Nagashima Kazuyuki
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Otsuka Takayuki
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Funada Ryuichi
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Matsuno Shunsuke
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Sagara Koichi
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Koike Akira
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Yajima Junji
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Kirigaya Hajime
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Kano Hiroto
Department of Cardiovascular Medicine, The Cardiovascular Institute
-
Kaneko Hidehiro
Department of Cardiovascular Medicine, The Cardiovascular Institute
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Tanaka Shingo
Department of Cardiovascular Medicine, The Cardiovascular Institute
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