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

• 資料種別: 記事
• タイトル: Clinical Characteristics of Patients With Acute Myocardial Infarction Who Did Not Undergo Primary Percutaneous Coronary Intervention : Report From the MIYAGI-AMI Registry Study
• 著者・編者: Kiyotaka Hao; Jun Takahashi; Kenta Ito 他
• 著者標目: Kiyotaka Hao; Jun Takahashi; Kenta Ito
• タイトル（掲載誌）: Circulation journal : official journal of the Japanese Circulation Society
• 巻号年月日等（掲載誌）: 79(9):2015.9
• 掲載巻: 79
• 掲載号: 9
• 掲載ページ: 2009-2016
• 掲載年月日（W3CDTF）: 2015-09
• ISSN（掲載誌）: 1346-9843
• ISSN-L（掲載誌）: 1346-9843
• 出版事項（掲載誌）: Kyoto : Japanese Circulation Society
• 出版地（国名コード）: JP
• 本文の言語コード: eng
• 件名標目: Acute myocardial infarction; Percutaneous coronary intervention; Sex differences
• NDLC: ZS21
• 対象利用者: 一般
• 所蔵機関: 国立国会図書館
• 請求記号: Z54-B860
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館雑誌記事索引; https://ndlsearch.ndl.go.jp
• 書誌ID（NDLBibID）: 026690523; http://id.ndl.go.jp/bib/026690523
• 整理区分コード: 632

• 要約等: <b><i>Background:</i></b>In the current era of primary percutaneous coronary intervention (PCI), some patients with acute myocardial infarction (AMI) still do not undergo primary PCI.<b><i>Methods and Results:</i></b>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.<b><i>Conclusions:</i></b>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. (<i>Circ J</i> 2015; <b>79:</b> 2009–2016)
• DOI: 10.1253/circj.cj-15-0440; https://doi.org/10.1253/circj.cj-15-0440
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（URI）: http://id.ndl.go.jp/bib/026690523; https://ndlsearch.ndl.go.jp/books/R000000004-I026690523; https://www.jstage.jst.go.jp/article/circj/79/9/79_CJ-15-0440/_pdf; https://teikyo-u.repo.nii.ac.jp/records/2014539; https://search.jamas.or.jp/link/ui/2016111225
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• 連携機関・データベース: 国立情報学研究所 : CiNii Research; https://cir.nii.ac.jp/
• 提供元機関・データベース: Japan Link Center; https://japanlinkcenter.org/top; 雑誌記事索引データベース; https://ndlsearch.ndl.go.jp; Crossref; https://www.crossref.org; PubMed; https://pubmed.ncbi.nlm.nih.gov; CiNii Articles; 学術機関リポジトリデータベース; https://irdb.nii.ac.jp
• 書誌ID（NDLBibID）: 026690523; http://id.ndl.go.jp/bib/026690523
• NII論文ID: 130005095297