Predictors of recurrent acute myocardial infarction despite successful percutaneous coronary intervention.
Myocardial infarction
Percutaneous coronary intervention
Risk factors
Journal
The Korean journal of internal medicine
ISSN: 2005-6648
Titre abrégé: Korean J Intern Med
Pays: Korea (South)
ID NLM: 8712418
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
received:
13
09
2021
accepted:
07
02
2022
entrez:
11
7
2022
pubmed:
12
7
2022
medline:
14
7
2022
Statut:
ppublish
Résumé
Recurrent acute myocardial infarction (AMI) is an adverse cardiac event in patients with a first AMI. The predictors of recurrent AMI after the first AMI in patients who underwent successful percutaneous coronary intervention (PCI) have not been elucidated. We analyzed the data collected from 9,869 patients (63.2 ± 12.4 years, men:women = 7,446:2,423) who were enrolled in the Korea Acute Myocardial Infarction Registry-National Institute of Health between November 2011 and October 2015, had suffered their first AMI and had received successful PCI during the index hospitalization. Multivariable logistic regression analysis was performed to identify the independent predictors of recurrent AMI following the first AMI. The cumulative incidence of recurrent AMI after successful PCI was 3.6% (359/9,869). According to the multivariable logistic regression analysis, the significant predictive factors for recurrent AMI were diabetes mellitus, renal dysfunction, atypical chest pain, and multivessel disease. In this Korean prospective cohort study, the independent predictors of recurrent AMI after successful PCI for the first AMI were diabetes mellitus, renal dysfunction, atypical chest pain, and multivessel disease.
Sections du résumé
BACKGROUND/AIMS
Recurrent acute myocardial infarction (AMI) is an adverse cardiac event in patients with a first AMI. The predictors of recurrent AMI after the first AMI in patients who underwent successful percutaneous coronary intervention (PCI) have not been elucidated.
METHODS
We analyzed the data collected from 9,869 patients (63.2 ± 12.4 years, men:women = 7,446:2,423) who were enrolled in the Korea Acute Myocardial Infarction Registry-National Institute of Health between November 2011 and October 2015, had suffered their first AMI and had received successful PCI during the index hospitalization. Multivariable logistic regression analysis was performed to identify the independent predictors of recurrent AMI following the first AMI.
RESULTS
The cumulative incidence of recurrent AMI after successful PCI was 3.6% (359/9,869). According to the multivariable logistic regression analysis, the significant predictive factors for recurrent AMI were diabetes mellitus, renal dysfunction, atypical chest pain, and multivessel disease.
CONCLUSION
In this Korean prospective cohort study, the independent predictors of recurrent AMI after successful PCI for the first AMI were diabetes mellitus, renal dysfunction, atypical chest pain, and multivessel disease.
Identifiants
pubmed: 35811366
pii: kjim.2021.427
doi: 10.3904/kjim.2021.427
pmc: PMC9271730
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
777-785Commentaires et corrections
Type : CommentIn
Références
J Am Coll Cardiol. 1998 May;31(6):1291-8
pubmed: 9581723
Am J Cardiol. 2007 Sep 1;100(5):777-80
pubmed: 17719319
J Am Soc Nephrol. 1998 Dec;9(12 Suppl):S16-23
pubmed: 11443763
JACC Cardiovasc Interv. 2011 Nov;4(11):1209-15
pubmed: 22115661
Catheter Cardiovasc Interv. 2018 Sep 1;92(3):E227-E234
pubmed: 29139601
J Am Coll Cardiol. 2001 Mar 15;37(4):1019-25
pubmed: 11263602
Eur Heart J. 2008 Apr;29(7):932-40
pubmed: 18334475
BMJ. 2006 Nov 25;333(7578):1091
pubmed: 17032691
Int J Cardiol. 2013 Nov 15;169(4):254-61
pubmed: 24071385
Circ J. 2016 May 25;80(6):1427-36
pubmed: 27118621
Heart. 2020 Sep 16;:
pubmed: 32938773
J Am Heart Assoc. 2019 May 7;8(9):e011793
pubmed: 31057004
Eur J Heart Fail. 2011 Feb;13(2):148-53
pubmed: 21037250
Am Heart J. 2019 Jun;212:134-143
pubmed: 31004916
Clin Cardiol. 2016 Nov;39(11):670-677
pubmed: 27588731
Arterioscler Thromb Vasc Biol. 2019 May;39(5):934-944
pubmed: 30866657
Cardiol Clin. 2014 Aug;32(3):439-55
pubmed: 25091969
Circulation. 2012 Oct 16;126(16):2020-35
pubmed: 22923432
J Am Coll Cardiol. 2018 Dec 11;72(23 Pt A):2886-2903
pubmed: 30522652
Circ J. 2013;77(2):439-46
pubmed: 23075765
J Atheroscler Thromb. 2019 Sep 1;26(9):762-774
pubmed: 30651409
Acta Med Indones. 2015 Jul;47(3):209-15
pubmed: 26586386
Nat Rev Cardiol. 2011 Sep 13;9(1):53-62
pubmed: 21912414
Circulation. 2021 Feb 23;143(8):e254-e743
pubmed: 33501848
Eur Heart J. 1985 Apr;6(4):294-302
pubmed: 4029185