Predictors of In-Hospital Prognosis After Primary Percutaneous Coronary Intervention for Acute Myocardial Infarction Requiring Mechanical Support Devices
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- Shiraishi Jun
- Department of Cardiology, Kyoto First Red Cross Hospital
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- Kohno Yoshio
- Department of Cardiology, Kyoto First Red Cross Hospital
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- Sawada Takahisa
- Department of Cardiovascular Medicine, Kyoto Prefectural University School of Medicine
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- Kimura Masayoshi
- Department of Cardiology, Kyoto First Red Cross Hospital
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- Ariyoshi Makoto
- Department of Cardiology, Kyoto First Red Cross Hospital
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- Matsui Akihiro
- Department of Cardiology, Kyoto First Red Cross Hospital
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- Takeda Mitsuo
- Department of Cardiology, Kyoto First Red Cross Hospital
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- Arihara Masayasu
- Department of Emergency Medicine, Kyoto First Red Cross Hospital
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- Hyogo Masayuki
- Department of Cardiology, Kyoto First Red Cross Hospital
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- Shima Takatomo
- Department of Cardiology, Kyoto First Red Cross Hospital
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- Okada Takashi
- Department of Cardiology, Kyoto First Red Cross Hospital
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- Nakamura Takeshi
- Department of Cardiovascular Medicine, Kyoto Prefectural University School of Medicine
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- Matoba Satoaki
- Department of Cardiovascular Medicine, Kyoto Prefectural University School of Medicine
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- Yamada Hiroyuki
- Department of Cardiovascular Medicine, Kyoto Prefectural University School of Medicine
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- Matsumuro Akiyoshi
- Emergency Medicine, Kyoto Prefectural University School of Medicine
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- Kitamura Makoto
- Department of Cardiology, Kyoto Second Red Cross Hospital
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- Furukawa Keizo
- Department of Cardiology, Kyoto City Hospital
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- Matsubara Hiroaki
- Department of Cardiovascular Medicine, Kyoto Prefectural University School of Medicine
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Background: Predictors of in-hospital outcome after primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) requiring mechanical support devices such as intra-aortic balloon pumping (IABP) and/or percutaneous cardiopulmonary support (PCPS) remain unclear. Methods and Results: Using the AMI-Kyoto Multi-Center Risk Study database, clinical background, angiographic findings, results of primary PCI, and in-hospital prognosis were retrospectively compared between primary PCI-treated AMI patients requiring mechanical assist devices (with-IABP/PCPS patients, n=275) and those without (without-IABP/PCPS patients, n=1,510). The with-IABP/PCPS patients were more likely to have a larger number of diseased vessels, lower Thrombolysis In Myocardial Infarction (TIMI) grade in the infarct-related artery (IRA) before/after primary PCI, and a significantly higher in-hospital mortality rate than the without-IABP/PCPS patients. On multivariate analysis, the number of diseased vessels ≥2 or diseased left main trunk (LMT) at initial coronary angiography (CAG) was the independent positive predictor of the in-hospital mortality in the with-IABP/PCPS patients, not in the without-IABP/PCPS patients, whereas acquisition of TIMI 3 flow in the IRA immediately after primary PCI was the negative predictor in the without-IABP/PCPS patients, not in the with-IABP/PCPS patients. Conclusions: The number of diseased vessels ≥2 or diseased LMT at initial CAG is an independent risk factor of in-hospital death in primary PCI-treated AMI patients requiring mechanical support devices. (Circ J 2010; 74: 1152 - 1157)<br>
収録刊行物
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- Circulation Journal
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Circulation Journal 74 (6), 1152-1157, 2010
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390282680082361728
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- NII論文ID
- 10026474723
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- NII書誌ID
- AA11591968
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- ISSN
- 13474820
- 13469843
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- 本文言語コード
- en
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- JaLC
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