Impact of a Cancer History on Cardiovascular Events Among Patients With Myocardial Infarction Who Received Revascularization

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  • Takeuchi Taro
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Kosugi Shumpei
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Ueda Yasunori
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Ikeoka Kuniyasu
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Yamane Haruya
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Takayasu Kohtaro
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Ohashi Takuya
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Fukushima Takashi
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Horiuchi Kohei
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Iehara Takashi
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Sakamoto Mai
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Ukai Kazuho
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Minami Shinya
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Mizumori Yuuki
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Muraoka Naoya
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Nakamura Masayuki
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Ozaki Tatsuhisa
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Mishima Tsuyoshi
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Abe Haruhiko
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Inoue Koichi
    Cardiovascular Division, National Hospital Organization Osaka National Hospital
  • Matsumura Yasushi
    Cardiovascular Division, National Hospital Organization Osaka National Hospital

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Abstract

<p>Background: It remains controversial whether a cancer history increases the risk of cardiovascular (CV) events among patients with myocardial infarction (MI) who undergo revascularization.</p><p>Methods and Results: Patients who were confirmed as type 1 acute MI (AMI) by coronary angiography were retrospectively analyzed. Patients who died in hospital or those not undergoing revascularization were excluded. Patients with a cancer history were compared with those without it. A cancer history was examined in the in-hospital cancer registry. The primary outcome was a composite of cardiac death, recurrent type 1 MI, post-discharge coronary revascularization, heart failure hospitalization, and stroke. Among 551 AMI patients, 55 had a cancer history (cancer group) and 496 did not (non-cancer group). Cox proportional hazards model revealed that the risk of composite endpoint was significantly higher in the cancer group than in the non-cancer group (adjusted hazard ratio [HR]: 1.78; 95% confidence interval [CI]: 1.13–2.82). Among the cancer group, patients who were diagnosed as AMI within 6 months after the cancer diagnosis had a higher risk of the composite endpoint than those who were diagnosed as AMI 6 months or later after the cancer diagnosis (adjusted HR: 5.43; 95% CI: 1.55–19.07).</p><p>Conclusions: A cancer history increased the risk of CV events after discharge among AMI patients after revascularization.</p>

Journal

  • Circulation Journal

    Circulation Journal 88 (2), 207-214, 2024-01-25

    The Japanese Circulation Society

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