Association between thrombolysis in myocardial infarction grade and clinical outcome after emergent percutaneous coronary intervention in patients with acute myocardial infarction who have suffered out-of-hospital cardiac arrest: the Yamagata AMI registry
Despite improvements in the survival rate of acute myocardial infarction (AMI), out-of-hospital cardiac arrest (OHCA) due to AMI is still a devastating condition. Thrombolysis in myocardial infarction (TIMI) grade is used to classify coronary reperfusion after percutaneous coronary intervention (PCI...
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| Veröffentlicht in: | Heart and vessels 2022, Vol.37 (1), p.40-49 |
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| creator | Otaki, Yoichiro Watanabe, Tetsu Goto, Jun Wanezaki, Masahiro Kato, Shigehiko Tamura, Harutoshi Nishiyama, Satoshi Arimoto, Takanori Takahashi, Hiroki Watanabe, Masafumi |
| description | Despite improvements in the survival rate of acute myocardial infarction (AMI), out-of-hospital cardiac arrest (OHCA) due to AMI is still a devastating condition. Thrombolysis in myocardial infarction (TIMI) grade is used to classify coronary reperfusion after percutaneous coronary intervention (PCI), but it remains unclear whether TIMI grade after emergent PCI is associated with short-term mortality in patients with AMI who have suffered OHCA. We analyzed data collected from 2012 to 2017 and recorded in the Yamagata AMI registry, which is a multicenter surveillance conducted in all institutions in Yamagata prefecture. Among 3332 patients with AMI, 254 had suffered OHCA. There were 564 deaths during the 30 days after the onset of AMI. The survival rate was lower in patients who had suffered OHCA than in those who had not (40% vs. 87%;
P
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| doi_str_mv | 10.1007/s00380-021-01903-1 |
| format | Article |
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P
< 0.0001). Patients with AMI who had suffered OHCA were divided into three groups based on TIMI grade (TIMI III group,
n
= 70; TIMI ≤ II group,
n
= 21; and no coronary angiography [non-CAG] group,
n
= 163). The survival rates in the TIMI III, TIMI ≤ II, and non-CAG groups were 87%, 38%, and 5%, respectively. Kaplan–Meier analysis demonstrated that the survival rate was highest in the TIMI III group. Multivariate Cox proportional hazard regression analysis demonstrated that TIMI III was closely associated with survival after adjustment for confounding factors. Achieving TIMI grade III during emergent PCI is crucial to improve survival in patients with AMI who have suffered OHCA.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-021-01903-1</identifier><identifier>PMID: 34228158</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Angiography ; Angioplasty ; Biomedical Engineering and Bioengineering ; Cardiac arrest ; Cardiac Surgery ; Cardiology ; Coronary Angiography ; Heart attacks ; Humans ; Medicine ; Medicine & Public Health ; Myocardial infarction ; Myocardial Infarction - drug therapy ; Original Article ; Out-of-Hospital Cardiac Arrest - therapy ; Patients ; Percutaneous Coronary Intervention ; Quality ; Registries ; Regression analysis ; Reperfusion ; Survival ; Thrombolysis ; Thrombolytic Therapy ; Treatment Outcome ; Trinucleotide repeats ; Vascular Surgery</subject><ispartof>Heart and vessels, 2022, Vol.37 (1), p.40-49</ispartof><rights>Springer Japan KK, part of Springer Nature 2021</rights><rights>2021. Springer Japan KK, part of Springer Nature.</rights><rights>Springer Japan KK, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-ff9109286ecd39a07d80eaa5dcaac802809d6c4ea2cea35457ac8ef205a6f3903</citedby><cites>FETCH-LOGICAL-c399t-ff9109286ecd39a07d80eaa5dcaac802809d6c4ea2cea35457ac8ef205a6f3903</cites><orcidid>0000-0002-4565-3799</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-021-01903-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-021-01903-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34228158$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Otaki, Yoichiro</creatorcontrib><creatorcontrib>Watanabe, Tetsu</creatorcontrib><creatorcontrib>Goto, Jun</creatorcontrib><creatorcontrib>Wanezaki, Masahiro</creatorcontrib><creatorcontrib>Kato, Shigehiko</creatorcontrib><creatorcontrib>Tamura, Harutoshi</creatorcontrib><creatorcontrib>Nishiyama, Satoshi</creatorcontrib><creatorcontrib>Arimoto, Takanori</creatorcontrib><creatorcontrib>Takahashi, Hiroki</creatorcontrib><creatorcontrib>Watanabe, Masafumi</creatorcontrib><title>Association between thrombolysis in myocardial infarction grade and clinical outcome after emergent percutaneous coronary intervention in patients with acute myocardial infarction who have suffered out-of-hospital cardiac arrest: the Yamagata AMI registry</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Despite improvements in the survival rate of acute myocardial infarction (AMI), out-of-hospital cardiac arrest (OHCA) due to AMI is still a devastating condition. Thrombolysis in myocardial infarction (TIMI) grade is used to classify coronary reperfusion after percutaneous coronary intervention (PCI), but it remains unclear whether TIMI grade after emergent PCI is associated with short-term mortality in patients with AMI who have suffered OHCA. We analyzed data collected from 2012 to 2017 and recorded in the Yamagata AMI registry, which is a multicenter surveillance conducted in all institutions in Yamagata prefecture. Among 3332 patients with AMI, 254 had suffered OHCA. There were 564 deaths during the 30 days after the onset of AMI. The survival rate was lower in patients who had suffered OHCA than in those who had not (40% vs. 87%;
P
< 0.0001). Patients with AMI who had suffered OHCA were divided into three groups based on TIMI grade (TIMI III group,
n
= 70; TIMI ≤ II group,
n
= 21; and no coronary angiography [non-CAG] group,
n
= 163). The survival rates in the TIMI III, TIMI ≤ II, and non-CAG groups were 87%, 38%, and 5%, respectively. Kaplan–Meier analysis demonstrated that the survival rate was highest in the TIMI III group. Multivariate Cox proportional hazard regression analysis demonstrated that TIMI III was closely associated with survival after adjustment for confounding factors. Achieving TIMI grade III during emergent PCI is crucial to improve survival in patients with AMI who have suffered OHCA.</description><subject>Angiography</subject><subject>Angioplasty</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Cardiac arrest</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Coronary Angiography</subject><subject>Heart attacks</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - drug therapy</subject><subject>Original Article</subject><subject>Out-of-Hospital Cardiac Arrest - therapy</subject><subject>Patients</subject><subject>Percutaneous Coronary Intervention</subject><subject>Quality</subject><subject>Registries</subject><subject>Regression analysis</subject><subject>Reperfusion</subject><subject>Survival</subject><subject>Thrombolysis</subject><subject>Thrombolytic Therapy</subject><subject>Treatment Outcome</subject><subject>Trinucleotide repeats</subject><subject>Vascular Surgery</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk1v1DAQhiMEotvCH-CALHHhEvDHJrG5rSoolYq4wIFTNOuMd10lcbCdrvbXw2xTQEKCkzWeZ94Zj9-ieCH4G8F58zZxrjQvuRQlF4arUjwqVqIWVSmrRj0uVtwIXmolm7PiPKVbzkVlhHlanKm1lFpUelX82KQUrIfsw8i2mA-II8v7GIZt6I_JJ-ZHNhyDhdh56ClyEO09vYvQIYOxY7b3o7eUDXO2YaBLlzEyHDDucMxswmjnDCOGOTEbYhghHkmKoDvKn8Soy0RDUJTYwec9A6rAf3Q-7APbwx2yNDuHEbtT4zK4ch_S5DPBS5FlECOm_I5ehOwbDLCDDGzz6ZpF3PmU4_FZ8cRBn_D5w3lRfP3w_svlx_Lm89X15eamtMqYXDpHqzRS12g7ZYA3neYIUHUWwGouNTddbdcI0iKoal01dI1O8gpqp-hvLorXi-4Uw_eZZmoHnyz2_bKVVlZrbTgpSUJf_YXehjmONF0ra1EbLYTSRMmFsjGkFNG1U_QD7bUVvD3Zo13s0ZI92nt7tIKKXj5Iz9sBu98lv_xAgFqARKlxh_FP7__I_gTZ_85R</recordid><startdate>2022</startdate><enddate>2022</enddate><creator>Otaki, Yoichiro</creator><creator>Watanabe, Tetsu</creator><creator>Goto, Jun</creator><creator>Wanezaki, Masahiro</creator><creator>Kato, Shigehiko</creator><creator>Tamura, Harutoshi</creator><creator>Nishiyama, Satoshi</creator><creator>Arimoto, Takanori</creator><creator>Takahashi, Hiroki</creator><creator>Watanabe, Masafumi</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4565-3799</orcidid></search><sort><creationdate>2022</creationdate><title>Association between thrombolysis in myocardial infarction grade and clinical outcome after emergent percutaneous coronary intervention in patients with acute myocardial infarction who have suffered out-of-hospital cardiac arrest: the Yamagata AMI registry</title><author>Otaki, Yoichiro ; Watanabe, Tetsu ; Goto, Jun ; Wanezaki, Masahiro ; Kato, Shigehiko ; Tamura, Harutoshi ; Nishiyama, Satoshi ; Arimoto, Takanori ; Takahashi, Hiroki ; Watanabe, Masafumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-ff9109286ecd39a07d80eaa5dcaac802809d6c4ea2cea35457ac8ef205a6f3903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Angiography</topic><topic>Angioplasty</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Cardiac arrest</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Coronary Angiography</topic><topic>Heart attacks</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - drug therapy</topic><topic>Original Article</topic><topic>Out-of-Hospital Cardiac Arrest - therapy</topic><topic>Patients</topic><topic>Percutaneous Coronary Intervention</topic><topic>Quality</topic><topic>Registries</topic><topic>Regression analysis</topic><topic>Reperfusion</topic><topic>Survival</topic><topic>Thrombolysis</topic><topic>Thrombolytic Therapy</topic><topic>Treatment Outcome</topic><topic>Trinucleotide repeats</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Otaki, Yoichiro</creatorcontrib><creatorcontrib>Watanabe, Tetsu</creatorcontrib><creatorcontrib>Goto, Jun</creatorcontrib><creatorcontrib>Wanezaki, Masahiro</creatorcontrib><creatorcontrib>Kato, Shigehiko</creatorcontrib><creatorcontrib>Tamura, Harutoshi</creatorcontrib><creatorcontrib>Nishiyama, Satoshi</creatorcontrib><creatorcontrib>Arimoto, Takanori</creatorcontrib><creatorcontrib>Takahashi, Hiroki</creatorcontrib><creatorcontrib>Watanabe, Masafumi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Heart and vessels</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Otaki, Yoichiro</au><au>Watanabe, Tetsu</au><au>Goto, Jun</au><au>Wanezaki, Masahiro</au><au>Kato, Shigehiko</au><au>Tamura, Harutoshi</au><au>Nishiyama, Satoshi</au><au>Arimoto, Takanori</au><au>Takahashi, Hiroki</au><au>Watanabe, Masafumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between thrombolysis in myocardial infarction grade and clinical outcome after emergent percutaneous coronary intervention in patients with acute myocardial infarction who have suffered out-of-hospital cardiac arrest: the Yamagata AMI registry</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2022</date><risdate>2022</risdate><volume>37</volume><issue>1</issue><spage>40</spage><epage>49</epage><pages>40-49</pages><issn>0910-8327</issn><eissn>1615-2573</eissn><abstract>Despite improvements in the survival rate of acute myocardial infarction (AMI), out-of-hospital cardiac arrest (OHCA) due to AMI is still a devastating condition. Thrombolysis in myocardial infarction (TIMI) grade is used to classify coronary reperfusion after percutaneous coronary intervention (PCI), but it remains unclear whether TIMI grade after emergent PCI is associated with short-term mortality in patients with AMI who have suffered OHCA. We analyzed data collected from 2012 to 2017 and recorded in the Yamagata AMI registry, which is a multicenter surveillance conducted in all institutions in Yamagata prefecture. Among 3332 patients with AMI, 254 had suffered OHCA. There were 564 deaths during the 30 days after the onset of AMI. The survival rate was lower in patients who had suffered OHCA than in those who had not (40% vs. 87%;
P
< 0.0001). Patients with AMI who had suffered OHCA were divided into three groups based on TIMI grade (TIMI III group,
n
= 70; TIMI ≤ II group,
n
= 21; and no coronary angiography [non-CAG] group,
n
= 163). The survival rates in the TIMI III, TIMI ≤ II, and non-CAG groups were 87%, 38%, and 5%, respectively. Kaplan–Meier analysis demonstrated that the survival rate was highest in the TIMI III group. Multivariate Cox proportional hazard regression analysis demonstrated that TIMI III was closely associated with survival after adjustment for confounding factors. Achieving TIMI grade III during emergent PCI is crucial to improve survival in patients with AMI who have suffered OHCA.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>34228158</pmid><doi>10.1007/s00380-021-01903-1</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-4565-3799</orcidid></addata></record> |
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| subjects | Angiography Angioplasty Biomedical Engineering and Bioengineering Cardiac arrest Cardiac Surgery Cardiology Coronary Angiography Heart attacks Humans Medicine Medicine & Public Health Myocardial infarction Myocardial Infarction - drug therapy Original Article Out-of-Hospital Cardiac Arrest - therapy Patients Percutaneous Coronary Intervention Quality Registries Regression analysis Reperfusion Survival Thrombolysis Thrombolytic Therapy Treatment Outcome Trinucleotide repeats Vascular Surgery |
| title | Association between thrombolysis in myocardial infarction grade and clinical outcome after emergent percutaneous coronary intervention in patients with acute myocardial infarction who have suffered out-of-hospital cardiac arrest: the Yamagata AMI registry |
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