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Predictors of Six-Month Major Adverse Cardiac Events in 30-Day Survivors After Acute Myocardial Infarction (from the Korea Acute Myocardial Infarction Registry)

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Affiliated Author(s)
허승호
Alternative Author(s)
Hur, Seung Ho
Journal Title
American Journal of Cardiology
ISSN
0002-9149
Issued Date
2009
Abstract
Little is known about risk factors for 6-month major adverse cardiac events (MACEs) in
30-day survivors after acute myocardial infarction (AMI). We investigated predictors of
6-month MACE in 30-day survivors after MI from the Korea Acute Myocardial Infarction
Registry (KAMIR). From November 2005 to January 2008, 9,706 patients (6,983 men,
mean age 64.0 12.4 years) who survived >30 days after AMI were analyzed. The primary
end point was 6-month MACEs including death, MI, and revascularization. During
6-month follow-up, 317 patients (3.2%) had MACEs including 66 (0.6%) deaths, 23 (0.2%)
recurrent MIs, and 218 (2.2%) revascularizations. In multivariate logistic regression analysis,
factors reflecting demographics (body mass index), severity of left ventricular systolic
dysfunction (Killip class >I, in-hospital cardiogenic shock, use of intra-aortic balloon
pump), residual myocardial ischemia (previous coronary heart disease, multivessel disease),
and electrical instability (ventricular tachycardia/ventricular fibrillation on admission)
were independent predictors of 6-month MACEs after adjustment for clinical, angiographic,
and procedural data. Plasma level of N-terminal pro–B-type natriuretic peptide
provided an additional prognostic value predicting 6-month MACEs. In conclusion, this study
provides useful prognostic information for clinicians to advise patients who have survived the
acute phase of MI. More intensive management is needed in survivors after MI with these
high-risk features. © 2009 Elsevier Inc. (Am J Cardiol 2009;104:182–189)
Department
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
Jang Hoon Lee et al. (2009). Predictors of Six-Month Major Adverse Cardiac Events in 30-Day Survivors After Acute Myocardial Infarction (from the Korea Acute Myocardial Infarction Registry). American Journal of Cardiology, 104(2), 182–189. doi: 10.1016/j.amjcard.2009.03.010
Type
Article
ISSN
0002-9149
DOI
10.1016/j.amjcard.2009.03.010
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34923
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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