Incidence Rate of Acute Coronary Syndrome Including Acute Myocardial Infarction, Unstable Angina, and Sudden Cardiac Death in Nobeoka City for the Super-Aged Society of Japan

Ogata, Soshiro; Marume, Kyohei; Nakai, Michikazu; Kaichi, Ryota; Ishii, Masanobu; Ikebe, Sou; Mōri, Takayuki; Komaki, Soichi; Kurihara, Hiroaki; Toida, Reiko; Kurogi, Kazumasa; Iwanaga, Yoshitaka; Yano, Takao; Yamamoto, Nobuyasu; Miyamoto, Yoshihiro

doi:10.1253/circj.cj-20-1207

Cited by 11 publications

(6 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 4 In a super-ageing society, such as that of Japan, the incidence rate of AMI has increased significantly with ageing. 7 Therefore, as the incidence rate of older patients with AMI complicated by CS increases in countries with an ageing population, measures must be taken to improve the survival rate of those patients.…”

Section: Introductionmentioning

confidence: 99%

Resources for cardiovascular healthcare associated with 30-day mortality in acute myocardial infarction with cardiogenic shock

Ishii

Tsujita

Okamoto

et al. 2021

European Heart Journal Open

Self Cite

View full text Add to dashboard Cite

Background Although primary percutaneous coronary intervention (PCI) and mechanical circulatory support (MCS), such as extracorporeal membrane oxygenation (ECMO) or intra-aortic balloon pumping (IABP), have been widely used for acute myocardial infarction patients with cardiogenic shock (AMICS), their in-hospital mortality remains high. This study aimed to investigate the association of cardiovascular healthcare resources with 30-day mortality in AMICS. Methods This was an observational study using a Japanese nationwide administrative data (JROAD-DPC) of 260,543 AMI patients between April 2012 and March 2018. Of these, 45,836 AMICS patients were divided into three categories based on MCS use: with MCS (ECMO with/without IABP), IABP only, or without MCS. Certified hospital density and number of board-certified cardiologists were used as a metric of cardiovascular care supply. We estimated the association of MCS use, cardiovascular care supply, and 30-day mortality. Results The 30-day mortality was 71.2% for the MCS, 23.9% for IABP only, and 37.8% for the group without MCS. The propensity score-matched and inverse probability-weighted Cox frailty models showed that primary PCI was associated with a low risk for mortality. Higher hospital density and larger number of cardiologists in the responsible hospitals were associated with a lower risk for mortality. Conclusions Although the 30-day mortality remained extremely high in AMICS, indication of primary PCI and improvement in providing cardiovascular healthcare resources associated with the short-term prognosis of AMICS.

show abstract

Section: Introductionmentioning

confidence: 99%

Resources for cardiovascular healthcare associated with 30-day mortality in acute myocardial infarction with cardiogenic shock

Ishii

Tsujita

Okamoto

et al. 2021

European Heart Journal Open

Self Cite

View full text Add to dashboard Cite

show abstract

“…Miyazaki Prefectural Nobeoka Hospital is the only regional high-quality resuscitation hospital designated by the municipal government. 14 , 15 , 16 , 17 It provides most of the medical care for this population. In the city, emergency medical services transfer all patients without a pre-existing terminal disease who have experienced OHCA to this hospital.…”

Section: Methodsmentioning

confidence: 99%

Prediction of intracerebral hemorrhage in patients with out-of-hospital cardiac arrest using post-resuscitation electrocardiogram: An observational cohort study

Kaichi¹,

Ishii²,

Marume³

et al. 2022

Resuscitation Plus

Self Cite

View full text Add to dashboard Cite

“…In approximately 5% of CHD cases, a myocardial infarction causes cardiac arrest [ 4 ]. CHD is characterized by acute myocardial infarction (AMI), the main reason for SCA occurrence and disability worldwide [ 5 ]. AMI is divided into three subgroups, namely ST-segment elevation myocardial infarction (STEMI), non–ST-segment elevation myocardial infarction (NSTEMI), and unstable angina.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for sudden cardiac arrest in patients with ST-segment elevation myocardial infarction: a retrospective cohort study

Chu

Shih

et al. 2022

BMC Emerg Med

View full text Add to dashboard Cite

Background Sudden cardiac arrest (SCA) is a critical complication of acute myocardial infarction, especially ST-segment elevation myocardial infarction (STEMI). This study identified the risk factors for SCA in patients with STEMI before receiving catheterization. Methods We retrospectively analyzed the data of patients with STEMI and cardiac arrest who presented to a tertiary care center in Taiwan between January 1, 2016, and December 31, 2019. Only patients with coronary artery disease (CAD) confirmed by coronary angiography were included in this study. We collected the patients’ demographic and clinical data, such as age, sex, medical history, estimated glomerular filtration rate (eGFR), and coronary angiographic findings. The primary outcome of this study was SCA in patients with STEMI. Continuous and nominal variables were compared using the two-sample Student's t-test and chi-squared test, respectively. The results of logistic regression were subjected to multivariate analysis with adjustment for possible confounders. Results A total of 920 patients with STEMI and coronary angiography–documented CAD and 108 patients with SCA who presented between January 1, 2016, and December 31, 2019, were included. The bivariate logistic regression analysis of patients’ demographic data revealed that patients with STEMI and SCA were slightly younger, were more likely to have diabetes mellitus, and had a lower eGFR than did the patients without SCA. The coronary angiographic findings indicated a higher prevalence of left main CAD and three-vessel disease in patients with SCA than in patients without SCA. Multivariate logistic regression revealed that left main CAD (odds ratio [OR]: 3.77; 95% confidence interval [CI], 1.84 to 7.72), a lower eGFR (OR: 0.97; 95% CI, 0.96 to 0.98), and younger age (OR: 0.98; 95% CI, 0.96 to 0.99) were the risk factors for SCA in patients with STEMI. Conclusions Left main CAD, lower eGFR, and younger age are the risk factors for cardiac arrest in patients with acute myocardial infarction.

show abstract

Incidence Rate of Acute Coronary Syndrome Including Acute Myocardial Infarction, Unstable Angina, and Sudden Cardiac Death in Nobeoka City for the Super-Aged Society of Japan

Cited by 11 publications

References 21 publications

Resources for cardiovascular healthcare associated with 30-day mortality in acute myocardial infarction with cardiogenic shock

Resources for cardiovascular healthcare associated with 30-day mortality in acute myocardial infarction with cardiogenic shock

Prediction of intracerebral hemorrhage in patients with out-of-hospital cardiac arrest using post-resuscitation electrocardiogram: An observational cohort study

Risk factors for sudden cardiac arrest in patients with ST-segment elevation myocardial infarction: a retrospective cohort study

Contact Info

Product

Resources

About