Incidence of Mid-Term Prognostic Events in Patients With Acute Coronary Syndrome During the Late 2010s in 2 Tertiary Hospitals in a Rural Area of Japan ― A Temporal Comparison ―
-
- Yasuda Yu
- Division of Cardiology, Shimane University Faculty of Medicine
-
- Ishiguchi Hironori
- Division of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine
-
- Yamaguchi Madoka
- Division of Cardiology, Shimane Prefectural Central Hospital
-
- Murakami Kei
- Division of Cardiology, Shimane Prefectural Central Hospital
-
- Kinoshita Natsu
- Division of Cardiology, Shimane Prefectural Central Hospital
-
- Kato Takayoshi
- Division of Cardiology, Shimane Prefectural Central Hospital
-
- Yoshida Masaaki
- Division of Cardiology, Shimane Prefectural Central Hospital
-
- Imoto Koji
- Division of Cardiology, Shimane Prefectural Central Hospital
-
- Sonoyama Kazuhiko
- Division of Cardiology, Shimane Prefectural Central Hospital
-
- Kawabata Tetsuya
- Division of Cardiology, Shimane Prefectural Central Hospital
-
- Okamura Takayuki
- Division of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine
-
- Endo Akihiro
- Division of Cardiology, Shimane University Faculty of Medicine
-
- Kobayashi Shigeki
- Division of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine
-
- Yano Masafumi
- Division of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine
-
- Oda Tsuyoshi
- Division of Cardiology, Shimane Prefectural Central Hospital
-
- Tanabe Kazuaki
- Division of Cardiology, Shimane University Faculty of Medicine
Abstract
<p>Background: Data on the incidence of mid-term prognostic events in patients who developed acute coronary syndrome (ACS) in the late 2010s are scarce.</p><p>Methods and Results: We retrospectively included and collected data for 889 patients with ACS (ST-elevation myocardial infarction [STEMI]/non-ST-elevation ACS [NSTE-ACS]) discharged alive from 2 tertiary hospitals in Izumo City, in rural Japan, between August 2009 and July 2018. Patients were divided into 3 time groups (T1: August 2009–July 2012; T2: August 2012–July 2015; T3: August 2015–July 2018). The cumulative incidence of major adverse cardiovascular events (MACE; comprising all-cause death, recurrent ACS, and stroke), major bleeding, and heart failure hospitalization within 2 years of discharge was compared among the 3 groups. The incidence of freedom from MACE was significantly higher in the T3 group than in the T1 and T2 groups (93 [95% confidence interval {CI} 90–96%] vs. 86% [95% CI 83–90] and 89% [95% CI 90–96], respectively; P=0.03). There was a tendency for a higher incidence of STEMI among patients in T3 (P=0.057). The incidence of NSTE-ACS was comparable among the 3 groups (P=0.31), as was the incidence of major bleeding and hospitalization for heart failure.</p><p>Conclusions: The incidence of mid-term MACE in patients who developed ACS during the late 2010 s (2015–2018) was lower than that in prior periods (2009–2015).</p>
Journal
-
- Circulation Reports
-
Circulation Reports 5 (5), 198-209, 2023-05-10
The Japanese Circulation Society
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390014569436598144
-
- ISSN
- 24340790
-
- Text Lang
- en
-
- Data Source
-
- JaLC
- Crossref
-
- Abstract License Flag
- Disallowed