Impact of Chronic Kidney Disease on In-Hospital and 3-Year Clinical Outcomes in Patients With Acute Myocardial Infarction Treated by Contemporary Percutaneous Coronary Intervention and Optimal Medical Therapy　― Insights From the J-MINUET Study

Impact of Chronic Kidney Disease on In-Hospital and 3-Year Clinical Outcomes in Patients With Acute Myocardial Infarction Treated by Contemporary Percutaneous Coronary Intervention and Optimal Medical Therapy　― Insights From the J-MINUET Study

Background:The impact of chronic kidney disease (CKD) on long-term outcomes following acute myocardial infarction (AMI) in the era of modern primary PCI with optimal medical therapy is still in debate.Methods and Results:A total of 3,281 patients with AMI were enrolled in the J-MINUET registry, with...

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Veröffentlicht in:Circulation Journal 2021/09/24, Vol.85(10), pp.1710-1718
Hauptverfasser: Hashimoto, Yousuke, Ozaki, Yukio, Kan, Shino, Nakao, Koichi, Kimura, Kazuo, Ako, Junya, Noguchi, Teruo, Suwa, Satoru, Fujimoto, Kazuteru, Dai, Kazuoki, Morita, Takashi, Shimizu, Wataru, Saito, Yoshihiko, Hirohata, Atsushi, Morita, Yasuhiro, Inoue, Teruo, Okamura, Atsunori, Mano, Toshiaki, Wake, Minoru, Tanabe, Kengo, Shibata, Yoshisato, Owa, Mafumi, Tsujita, Kenichi, Funayama, Hiroshi, Kokubu, Nobuaki, Kozuma, Ken, Uemura, Shiro, Tobaru, Tetsuya, Saku, Keijiro, Oshima, Shigeru, Yasuda, Satoshi, Ismail, Tevfik F, Muramatsu, Takashi, Izawa, Hideo, Takahashi, Hiroshi, Nishimura, Kunihiro, Miyamoto, Yoshihiko, Ogawa, Hisao, Ishihara, Masaharu, on behalf of J-MINUET Investigators
Format: Artikel
Sprache:eng
Schlagworte:
Acute myocardial infarction
Chronic kidney disease
Hospitals
Humans
Major adverse cardiac events
Myocardial Infarction
Percutaneous coronary intervention
Percutaneous Coronary Intervention - adverse effects
Renal Insufficiency, Chronic
Risk Factors
Treatment Outcome
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Zusammenfassung:Background:The impact of chronic kidney disease (CKD) on long-term outcomes following acute myocardial infarction (AMI) in the era of modern primary PCI with optimal medical therapy is still in debate.Methods and Results:A total of 3,281 patients with AMI were enrolled in the J-MINUET registry, with primary PCI of 93.1% in STEMI. CKD stage on admission was classified into: no CKD (eGFR ≥60 mL/min/1.73 m2); moderate CKD (60>eGFR≥30 mL/min/1.73 m2); and severe CKD (eGFR
ISSN:1346-9843
1347-4820
1347-4820
DOI:10.1253/circj.CJ-20-1115