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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.54 (2008) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/222
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| タイトル: | Acute myocardial infarction in Fukushima area of Japan |
| その他のタイトル: | AMI in Fukushima |
| 著者: | Mitsugi, Minoru
Kijima, Mikihiro
Seino, Yoshitane
Abe, Yukihiko
Fujino, Akihisa
Hirosaka, Akira
Hisa, Shinichi
Kubo, Takaaki
Maeyama, Tadami
Ohara, Naoto
Ono, Masahiro
Owada, Takayuki
Saito, Tomiyoshi
Igarashi, Morio
Sato, Masahiko
Suzuki, Shigefumi
Tamagawa, Kazuaki
Tsuda, Tatsunori
Tsuda, Akihiro
Watanabe, Masayuki
Yui, Mitsuru
Komatsu, Nobuo
Nakazato, Kazuhiko
Maruyama, Yukio |
| 学内所属: | 内科学第一講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 54 |
| 号: | 1 |
| 開始ページ: | 25 |
| 終了ページ: | 37 |
| 発行日: | 2008年6月 |
| 抄録: | Although acute myocardial infarction (AMI) is the most serious coronary disease, the background of its onset and the mortality are not fully understood, especially in Japan. From June 1999 to May 2005, we mailed an annual questionnaire to eighteen hospitals in which emergency cardiac catheterization and percutaneous coronary intervention (PCI) were available in the Fukushima area of Japan. A total of 1,590 patients were included. The onset time of AMI had two peaks, i.e., from 9:00 AM to 10:00 AM and 9:00 PM to 10:00 PM. As for reperfusion therapy, four groups were analyzed, the non-reperfusion therapy group (Group N, n = 233), thrombolysis alone group (Group T, n = 80), PCI without thrombolysis group (Group P, n = 1106), and PCI with thrombolysis group (Group TP, n = 151). The in-hospital mortality rate was significantly reduced in Group P (8.4%) compared with that in Group N (33.0%, p < 0.01) and Group T (18.8%, p < 0.01). However, the in-hospital mortality in Group P did not differ from that in Group TP (9.9%). The in-hospital mortality was analyzed by the logistic regression analysis among age, arrival time after onset, peak creatine kinase (CK) values, coronary risk factors, reperfusion therapy, PCI, and thrombolysis. There were significant differences in age (P < 0.01), peak CK values (p < 0.01), hypertension (p < 0.05), and diabetes mellitus (p < 0.01). These results suggest that the onset of AMI may be partly related to human biorhythms, and that PCI would be effective in reducing the in-hospital mortality. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/222 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/222/1/FksmJMedSci_54_p25.pdf |
| ISSN: | 0016-2590 |
| DOI: | 10.5387/fms.54.25 |
| PubMed番号: | 18924550 |
| 関連ページ: | https://doi.org/10.5387/fms.54.25 |
| 権利情報: | © 2008 The Fukushima Society of Medical Science |
| 出現コレクション: | Vol.54 (2008)
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