論文

査読有り
2015年

Clinical Characteristics of Patients With Acute Myocardial Infarction Who Did Not Undergo Primary Percutaneous Coronary Intervention- Report From the MIYAGI-AMI Registry Study.

Circulation journal : official journal of the Japanese Circulation Society
  • Kiyotaka Hao
  • ,
  • Jun Takahashi
  • ,
  • Kenta Ito
  • ,
  • Satoshi Miyata
  • ,
  • Taro Nihei
  • ,
  • Kensuke Nishimiya
  • ,
  • Ryuji Tsuburaya
  • ,
  • Yasuharu Matsumoto
  • ,
  • Yasuhiko Sakata
  • ,
  • Satoshi Yasuda
  • ,
  • Hiroaki Shimokawa

79
9
開始ページ
2009
終了ページ
16
記述言語
英語
掲載種別
DOI
10.1253/circj.CJ-15-0440

BACKGROUND: In the current era of primary percutaneous coronary intervention (PCI), some patients with acute myocardial infarction (AMI) still do not undergo primary PCI. METHODS AND RESULTS: To examine the clinical characteristics of AMI patients who did not undergo primary PCI, we analyzed patients enrolled between 2002 and 2010 in the MIYAGI-AMI Registry Study, in which all AMI patients in the Miyagi prefecture have been prospectively registered. Among a total of 8,640 patients, 1,879 (21.7%) did not undergo primary PCI and their in-hospital mortality was significantly worse compared with those who did (21.4% vs. 6.4%, P<0.01). Multivariate analysis demonstrated that female sex was significantly associated with non-performance of primary PCI [odds ratio (95% confidence interval): 1.40 (1.22-1.61), P<0.001], along with age [1.01 (1.01-1.02), P<0.001] and heart failure on admission [2.69 (2.29-3.16), P<0.001]. When dividing by age, the non-performance rate of primary PCI in females showed a U-shaped prevalence, whereas it simply increased with aging in males. Importantly, female patients aged <80 years had a significantly higher non-performance rate of primary PCI compared with male patients, regardless of the severity of AMI. CONCLUSIONS: These results indicate that in the current PCI era, various factors, including aging, heart failure on admission and sex differences, are associated with non-performance of primary PCI, which remain to be resolved in order to further improve critical care of AMI.

リンク情報
DOI
https://doi.org/10.1253/circj.CJ-15-0440
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/26118344
ID情報
  • DOI : 10.1253/circj.CJ-15-0440
  • ISSN : 1346-9843
  • PubMed ID : 26118344

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