Declining Trend in the In-Hospital Case-Fatality Rate From Acute Myocardial Infarction in Miyagi Prefecture From 1980 to 1999.

Watanabe, Jun; Iwabuchi, Kaoru; Koseki, Yoshito; Fukuchi, Mitsumasa; Shinozaki, Tsuyoshi; Miura, Makoto; Komaru, Tatsuya; Kagaya, Yutaka; Shirato, Kunio; Kitaoka, Setsuko; Ishide, Nobumasa; Takishima, Tamotsu

doi:10.1253/jcj.65.941

Cited by 22 publications

(11 citation statements)

References 25 publications

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“…1 In addition, the in-hospital case fatality rates at hospitals with cardiac care units declined by Ͼ50% between the early 1980s and the late 1990s, probably because of improvements in treatment, including thrombolytic therapy and percutaneous transluminal coronary angioplasty. 63 There is no robust evidence on long-term changes in the severity of CHD. A series of autopsy studies showed a decline in the coronary atherosclerosis score for Japanese men and women between the 1960s and the 1980s, 64 suggesting that the severity of CHD may have declined in association with major declines in blood pressure levels and the prevalence of smoking.…”

Section: Discussionmentioning

confidence: 99%

Changes in Coronary Heart Disease Risk Among Japanese

Iso

2008

Circulation

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Section: Discussionmentioning

confidence: 99%

Changes in Coronary Heart Disease Risk Among Japanese

Iso

2008

Circulation

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“…[15][16][17][18][19] Later, balloon angioplasty was accepted as a more effective reperfusion therapy in terms of prompt and secure restoration of coronary blood flow. [21][22][23][24][25][26] The GUSTO II-b substudy, 20 evaluating the influence of DM on AMI patients who underwent primary angioplasty, showed that similar procedural success was achieved in both diabetic and nondiabetic patients. In addition, the 1-year survival was not significantly different between diabetic and nondiabetic patients.…”

Section: Discussionmentioning

confidence: 99%

Influence of Diabetes Mellitus on Outcome in the Era of Primary Stenting for Acute Myocardial Infarction.

Fujiwara

Hiasa

Takahashi

et al. 2002

Circ J

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The purpose of the present study was to examine the influence of diabetes mellitus (DM) on the clinical and angiographic outcomes in 62 diabetic and 152 nondiabetic patients with acute myocardial infarction (AMI) treated with primary coronary stenting within 12 h of the onset of symptoms. The diabetic patients had a greater incidence of hyperlipidemia, prior myocardial infarction (MI) and multivessel disease. There were no statistically significant differences in other variables. Procedural success was similar in the 2 groups. At a mean followup of 2.1±0.6 years, 13% of diabetic and 11% of nondiabetic patients had died (p=0.70). The percentage of target vessel revascularization (TVR) was 37% of diabetic and 20% of nondiabetic patients (p=0.003). Rates of major adverse cardiac events (MACE: death, non-fatal MI, TVR) were 50% of diabetic and 32% of nondiabetic patients (p=0.007). On multivariate analysis, DM was not a predictor of death. Independent predictors of death were age, multivessel disease, TIMI ≤2 and cardiogenic shock. However, DM and age were independent predictors of MACE. In conclusion, DM is not an independent predictor of death in patients with AMI after stenting, but diabetic patients had a higher incidence of TVR, making DM an independent predictor of MACE. (Circ J 2002; 66: 800 -804)

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“…Primary PCI has been widely performed in the Miyagi prefecture since 1992, as reported previously. 10,13, 14 The registration form of the MIYAGI-AMI Registry includes the date and time of symptom onset, age, sex, pre-hospital management (eg, use of ambulance, time interval from the onset of symptoms to admission), infarction site, coronary risk factors (hypertension, diabetes mellitus, dyslipidemia and smoking), reperfusion therapies (eg, thrombolysis and/or PCI), and in-hospital outcome (eg, in-hospital mortality). In our MIYAGI-AMI Registry Study, we have revised the registra- The incidence of AMI (/100,000 persons/year) has significantly increased in both areas (both P<0.001) with a greater extent in the urban area over the last 20 years, accompanied with rapid aging in both areas (B).…”

Section: The Miyagi-ami Registry Studymentioning

confidence: 99%