10-Year Temporal Trends of In-Hospital Mortality and Emergency Percutaneous Coronary Intervention for Acute Myocardial Infarction.
AMI, acute myocardial infarction
CABG, coronary artery bypass grafting
CAG, coronary angiography
CCU, cardiovascular care unit
D2B, door to balloon
ECMO, extracorporeal membrane oxygenation
FMC, first medical contact
PCI, percutaneous coronary intervention
STEMI, ST-segment elevation myocardial infarction
in-hospital mortality
older patients
percutaneous coronary intervention
sex
temporal trends
Journal
JACC. Asia
ISSN: 2772-3747
Titre abrégé: JACC Asia
Pays: United States
ID NLM: 9918452380106676
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
received:
08
11
2021
revised:
13
06
2022
accepted:
23
06
2022
entrez:
29
11
2022
pubmed:
30
11
2022
medline:
30
11
2022
Statut:
epublish
Résumé
The mortality rate of acute myocardial infarction (AMI) has improved dramatically because of reperfusion therapy during the last 40 years; however, recent temporal trends for AMI have not been fully clarified in Japan. The purpose of this study was to elucidate the temporary trend in in-hospital mortality and treatment of AMI for the last decade in the Tokyo Metropolitan area. We enrolled 30,553 patients from the Tokyo Cardiovascular Care Unit Network Registry, diagnosed with AMI from 2007 to 2016, as part of an ongoing, multicenter, cohort study. We analyzed the temporal trends in basic characteristics, treatment, and in-hospital mortality of AMI. The overall emergency percutaneous coronary intervention (PCI) rate significantly increased ( This large cohort study from Tokyo revealed that in-hospital mortality of AMI significantly decreased with the increase in emergency percutaneous coronary intervention rate over the decade, particularly for high-risk patients such as older patients and those with cardiogenic shock.
Sections du résumé
Background
UNASSIGNED
The mortality rate of acute myocardial infarction (AMI) has improved dramatically because of reperfusion therapy during the last 40 years; however, recent temporal trends for AMI have not been fully clarified in Japan.
Objectives
UNASSIGNED
The purpose of this study was to elucidate the temporary trend in in-hospital mortality and treatment of AMI for the last decade in the Tokyo Metropolitan area.
Methods
UNASSIGNED
We enrolled 30,553 patients from the Tokyo Cardiovascular Care Unit Network Registry, diagnosed with AMI from 2007 to 2016, as part of an ongoing, multicenter, cohort study. We analyzed the temporal trends in basic characteristics, treatment, and in-hospital mortality of AMI.
Results
UNASSIGNED
The overall emergency percutaneous coronary intervention (PCI) rate significantly increased (
Conclusions
UNASSIGNED
This large cohort study from Tokyo revealed that in-hospital mortality of AMI significantly decreased with the increase in emergency percutaneous coronary intervention rate over the decade, particularly for high-risk patients such as older patients and those with cardiogenic shock.
Identifiants
pubmed: 36444314
doi: 10.1016/j.jacasi.2022.06.005
pii: S2772-3747(22)00165-X
pmc: PMC9700040
doi:
Types de publication
Journal Article
Langues
eng
Pagination
677-688Informations de copyright
© 2022 The Authors.
Déclaration de conflit d'intérêts
The Tokyo CCU network database for this study was financially supported by the Tokyo Metropolitan Government. The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
Références
Eur Heart J. 2010 Aug;31(15):1828-35
pubmed: 20610640
Eur Heart J. 2018 Jan 7;39(2):119-177
pubmed: 28886621
JACC Cardiovasc Interv. 2018 Sep 24;11(18):1824-1833
pubmed: 30236355
J Am Heart Assoc. 2016 Jun 27;5(6):
pubmed: 27353606
Eur Heart J. 2003 May;24(9):828-37
pubmed: 12727150
Circ J. 2019 Apr 25;83(5):1085-1196
pubmed: 30930428
J Am Coll Cardiol. 2018 Oct 30;72(18):2231-2264
pubmed: 30153967
Jpn Circ J. 1981 May;45(5):623-35
pubmed: 7230513
J Am Coll Cardiol. 2013 Jan 29;61(4):e78-e140
pubmed: 23256914
Eur Heart J. 2016 Apr 21;37(16):1304-11
pubmed: 26757786
Eur Heart J. 2017 Nov 01;38(41):3056-3065
pubmed: 29020314
Circ J. 2019 May 24;83(6):1405-1409
pubmed: 31006733
J Am Coll Cardiol. 2016 Mar 15;67(10):1235-1250
pubmed: 26498666
BMJ Open. 2012 Feb 16;2(1):e000540
pubmed: 22344538
Int J Cardiol Heart Vasc. 2018 Jun 14;20:1-6
pubmed: 29928687
Circ J. 2013;77(11):2841-3
pubmed: 24067325
J Cardiol. 2021 Sep;78(3):177-182
pubmed: 33934931
Heart Vessels. 2019 Jul;34(7):1140-1147
pubmed: 30684029
Circulation. 1994 Jul;90(1):583-612
pubmed: 8026046
JAMA. 2006 Jun 7;295(21):2511-5
pubmed: 16757723
Circ J. 2017 Mar 24;81(4):520-528
pubmed: 28154296
Am Heart J. 2014 May;167(5):666-73
pubmed: 24766976
Resuscitation. 2021 Oct;167:345-354
pubmed: 34314778
Korean J Intern Med. 2015 Nov;30(6):821-8
pubmed: 26552457
Circulation. 2021 Feb 23;143(8):e254-e743
pubmed: 33501848
Heart Vessels. 2016 Nov;31(11):1740-1751
pubmed: 26758733
Am J Cardiol. 2019 Jan 1;123(1):25-32
pubmed: 30360891