Higher non-cardiac mortality and lesser impact of early revascularization in patients with type 2 compared to type 1 acute myocardial infarction: results from the Tokyo CCU Network registry

Higher non-cardiac mortality and lesser impact of early revascularization in patients with type 2 compared to type 1 acute myocardial infarction: results from the Tokyo CCU Network registry

As the definition of type 2 acute myocardial infarction (AMI) is obscure, the characteristics of this disease vary among studies. The clinical significance of type 2 AMI is unclear. We surveyed the Tokyo Cardiovascular Care Unit (CCU) Network registry between 2010 and 2014. The difference in clinica...

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Veröffentlicht in:Heart and vessels 2019-07, Vol.34 (7), p.1140-1147
Hauptverfasser: Higuchi, Satoshi, Suzuki, Makoto, Horiuchi, Yu, Tanaka, Hiroyuki, Saji, Mike, Yoshino, Hideaki, Nagao, Ken, Yamamoto, Takeshi, Takayama, Morimasa
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Aged, 80 and over
Angiography
Biomedical Engineering and Bioengineering
Cardiac Surgery
Cardiology
Confidence intervals
Coronary Angiography
Electrocardiography
Female
Heart attacks
Heart rate
Hospital Mortality
Humans
Logistic Models
Male
Medicine
Medicine & Public Health
Middle Aged
Mortality
Multivariate Analysis
Myocardial infarction
Myocardial Infarction - classification
Myocardial Infarction - diagnosis
Myocardial Infarction - mortality
Myocardial Infarction - therapy
Original Article
Patients
Percutaneous Coronary Intervention
Prospective Studies
Registries
Regression analysis
Statistical analysis
Time Factors
Tokyo - epidemiology
Treatment Outcome
Vascular Surgery
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Zusammenfassung:As the definition of type 2 acute myocardial infarction (AMI) is obscure, the characteristics of this disease vary among studies. The clinical significance of type 2 AMI is unclear. We surveyed the Tokyo Cardiovascular Care Unit (CCU) Network registry between 2010 and 2014. The difference in clinical characteristics and the impact of revascularization in patients with type 1 and type 2 AMI were evaluated. The cohort study included 12514 patients admitted to CCU (type 1 AMI, 12023; type 2 AMI, 491; mean age, 68 ± 15 years; 75% male). Coronary angiography was performed in 11402 patients (95%) with type 1 AMI and 427 (87%) with type 2 AMI ( p  
ISSN:0910-8327
1615-2573
DOI:10.1007/s00380-019-01350-z