Clinical characteristics and mid-term outcomes of acute myocardial infarction patients with prior cerebrovascular disease in an Asian population: Lessons from the Korea Acute Myocardial Infarction Registry

Clinical and Experimental Pharmacology & Physiology
Yong-Jian LiKorea Acute Myocardial Infarction Registry Investigators

Abstract

1. The aim of the present study was to evaluated the impact of prior cerebrovascular disease (CVD) on the clinical characteristics and mid-term clinical outcomes of patients with acute myocardial infarction (AMI) in the era of drug-eluting stents. 2. Data from 12 914 patients with acute myocardial infarction who were enrolled in the Korea Acute Myocardial Infarction Registry were analysed retrospectively from November 2005 to December 2007. Prior CVD was defined as having had one or more events of ischaemic or haemorrhagic stroke or a transient ischaemic attack. 3. Of the 12 914 patients reviewed, 906 (7.0%) were found to have had prior CVD. Patients with CVD were older, were more likely to be women and were more likely to have hypertension and diabetes than those without CVD. Patients with prior CVD presented more often with non-ST-segment elevation myocardial infarction and higher Killip class than those without CVD. Furthermore, patients with CVD received less percutaneous coronary intervention (PCI) or thrombolysis compared with those without CVD. Although intensive medical therapy was equal in both groups, clinical outcomes at 8 months showed that patients with CVD had a higher incidence of cardiac death (adjusted odds rat...Continue Reading

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Citations

May 4, 2012·Clinical and Experimental Pharmacology & Physiology·Kang-Yin ChenUNKNOWN Korea Acute Myocardial Infarction Registry Investigators
Dec 14, 2011·Arteriosclerosis, Thrombosis, and Vascular Biology·Sang Jin HaKwon Sam Kim
Nov 14, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jing-Jing XuJin-Qing Yuan
Nov 8, 2014·The Korean Journal of Internal Medicine·Hyun Kuk KimYoung Jo Kim
May 21, 2019·International Heart Journal·Kwang Sun RyuUNKNOWN and other Korea Acute Myocardial Infarction Registry Investigators

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