Current characteristics and management of ST elevation and non-ST elevation myocardial infarction in the Tokyo metropolitan area: from the Tokyo CCU network registered cohort

Limited data exists on ST-segment elevation myocardial infarction (STEMI) and non-STEMI (NSTEMI) managed by a well-organized cardiac care network in a metropolitan area. We analyzed the Tokyo CCU network database in 2009–2010. Of 4329 acute myocardial infarction (AMI) patients including STEMI ( n =...

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Veröffentlicht in:	Heart and vessels 2016-11, Vol.31 (11), p.1740-1751
Hauptverfasser:	Miyachi, Hideki, Takagi, Atsushi, Miyauchi, Katsumi, Yamasaki, Masao, Tanaka, Hiroyuki, Yoshikawa, Masatomo, Saji, Mike, Suzuki, Makoto, Yamamoto, Takeshi, Shimizu, Wataru, Nagao, Ken, Takayama, Morimasa
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Biomedical Engineering and Bioengineering Cardiac Surgery Cardiology Chi-Square Distribution Coronary Angiography Coronary Artery Bypass - adverse effects Coronary Artery Bypass - mortality Delivery of Health Care, Integrated Dyslipidemias - drug therapy Dyslipidemias - mortality Female Heart attacks Hospital Mortality Hospitalization Humans Hydroxymethylglutaryl-CoA Reductase Inhibitors - therapeutic use Logistic Models Male Medicine Medicine & Public Health Middle Aged Mortality Multivariate Analysis Non-ST Elevated Myocardial Infarction - diagnosis Non-ST Elevated Myocardial Infarction - mortality Non-ST Elevated Myocardial Infarction - therapy Odds Ratio Original Original Article Percutaneous Coronary Intervention - adverse effects Percutaneous Coronary Intervention - mortality Prospective Studies Registries Renal Dialysis - mortality Risk Factors ST Elevation Myocardial Infarction - diagnosis ST Elevation Myocardial Infarction - mortality ST Elevation Myocardial Infarction - therapy Time Factors Time-to-Treatment Tokyo Treatment Outcome Urban Health Services Vascular Surgery
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Zusammenfassung:	Limited data exists on ST-segment elevation myocardial infarction (STEMI) and non-STEMI (NSTEMI) managed by a well-organized cardiac care network in a metropolitan area. We analyzed the Tokyo CCU network database in 2009–2010. Of 4329 acute myocardial infarction (AMI) patients including STEMI ( n = 3202) and NSTEMI ( n = 1127), percutaneous coronary intervention (PCI) was performed in 88.8 % of STEMI and 70.4 % of NSTEMI patients. Mean onset-to-door and door-to-balloon times in STEMI patients were shorter than those in NSTEMI patients (167 vs 233 and 60 vs 145 min, respectively, p
ISSN:	0910-8327 1615-2573
DOI:	10.1007/s00380-015-0791-9