LIPOPROTEIN (A) AND CARDIOVASCULAR MORTALITY IN OLDEST OLD (≥80 YEARS) PATIENTS WITH ACUTE MYOCARDIAL INFARCTION: A OBSERVATIONAL STUDY ON 1008 CASES

Randomized controlled trials showed that soy intervention significantly improved blood lipids in people with diabetes. We sought to prospectively examine the association of soy consumption with the risk of cardiovascular death among individuals with diabetes. A total of 26,139 participants with a history of diabetes were selected from the Chinese Kadoorie Biobank study. Soy food consumption was assessed by a food frequency questionnaire. Causes of death were coded by the 10th International Classification of Diseases. The Cox proportional hazard regression was used to compute the hazard ratios. During a median follow-up of 7.8 years, a total of 1626 deaths from cardiovascular disease (CVD) were recorded. Compared with individuals who never consumed soy foods, the multivariable-adjusted risks (95% confidence intervals) of CVD mortality were 0.92 (0.78, 1.09), 0.89 (0.75, 1.05), and 0.77 (0.62, 0.96) for those who consumed soy foods monthly, 1–3 days/week, and ≥4 days/week, respectively. For cause-specific cardiovascular mortality, significant inverse associations were observed for coronary heart disease and acute myocardial infarction. Higher soy food consumption was associated with a lower risk of cardiovascular death, especially death from coronary heart disease and acute myocardial infarction, in Chinese adults with diabetes.

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Differences in late cardiovascular mortality following acute myocardial infarction in three major Asian ethnic groups

European Heart Journal Acute Cardiovascular Care ◽

10.1177/2048872614527007 ◽

2014 ◽

Vol 3 (4) ◽

pp. 354-362 ◽

Cited By ~ 16

Author(s):

Leonardo P de Carvalho ◽

Fei Gao ◽

Qifeng Chen ◽

Mikael Hartman ◽

Ling-Ling Sim ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Ethnic Groups ◽

Cardiovascular Mortality

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CLINICAL OUTCOMES OF PATIENTS WITH ACUTE MYOCARDIAL INFARCTION AFTER PERCUTANEOUS CORONARY INTERVENTION AMONG CARDIAC REHABILITATION AND NON CARDIAC REHABILITATION GROUPS-A PROSPECTIVE OBSERVATIONAL STUDY

10.36106/gjra/1900954 ◽

2021 ◽

pp. 25-27

Author(s):

Saroj Mandal ◽

Vignesh. R ◽

Sidnath Singh

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Percutaneous Coronary Intervention ◽

Observational Study ◽

Cardiac Rehabilitation ◽

Prospective Observational Study ◽

Coronary Intervention ◽

Cardiac Mortality ◽

Percutaneous Coronary ◽

All Cause Mortality

OBJECTIVES To determine clinical outcome and to nd out the association between participation of patients with acute myocardial infarction (AMI) after percutaneous coronary intervention (PCI) in cardiac rehabilitation programme. DESIGN A Prospective observational study. STUDY AREA : Department of Cardiology, Institute of Postgraduate Medical Education and Research,Kolkata. PARTICIPANTS: Patients aged ≥18 years who underwent PCI due to AMI. OUTCOME MEASURES The outcomes were subsequent myocardial infarction, revascularisation, all-cause readmission, cardiac readmission, all-cause mortality and cardiac mortality. RESULT: The data of 1107 patients were included and 60.07%% of them participated in CR program. The risks of revascularisation, all cause readmission and cardiac readmission among CR participants were compared. The results of those analysis were consistent and showed that the CR participants had lower allcause mortality ,cardiac mortality,all cause readmission, cardiac admission. However no effect was observed for subsequent myocardial infarction or revascularisation. CONCLUSIONS: It was suggested CR participation may reduce the risk of all-cause mortality ,cardiac mortality, all cause readmission and cardiac admission.

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22. Joint effect of acute myocardial infarction on lipoprotein(a), C- reactive protein and markers of haemostasis

Journal of the Saudi Heart Association ◽

10.1016/j.jsha.2015.05.203 ◽

2015 ◽

Vol 27 (4) ◽

pp. 308

Author(s):

Syed Shahid Habib ◽

Abdul Jalil Mohammad Abdul Gader ◽

Mohammad Ibrahim Kurdi ◽

Zohair Al Aseri ◽

Mona Mohamed Soliman

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Joint Effect ◽

C Reactive Protein ◽

Lipoprotein A ◽

Reactive Protein

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Early Stent Thrombosis in Patients Undergoing Primary Coronary Stenting for Acute Myocardial Infarction: Incidence, a Simple Risk Score, and Prognosis

Clinical and Applied Thrombosis/Hemostasis ◽

10.1177/1076029609342092 ◽

2009 ◽

Vol 16 (1) ◽

pp. 33-41 ◽

Cited By ~ 5

Author(s):

Mehmet Ergelen ◽

Huseyin Uyarel ◽

Damirbek Osmonov ◽

Erkan Ayhan ◽

Emre Akkaya ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Stent Thrombosis ◽

Risk Score ◽

Cardiovascular Mortality ◽

Large Population ◽

Coronary Stenting ◽

Therapy Discontinuation ◽

Clopidogrel Therapy

Background: One of the major concerns remaining in the treatment with stenting of patients with acute myocardial infarction (AMI) is the occurrence of stent thrombosis (ST). The aim of the current study is to investigate the incidence, predictors, and long-term outcomes of early ST after primary coronary stenting for AMI in a large population. Methods: We reviewed 1960 consecutive patients (mean age 56 ± 11.6 years, 1658 males) treated with primary coronary stenting for AMI between 2003 and 2008. All clinical, angiographic, and follow-up data were retrospectively collected. Early ST was defined as thrombosis that occurred in the first 30 days after primary coronary stenting. Results: Early ST was observed in 89 (4.5%) patients. Five variables, selected from the multivariate analysis, were weighted proportionally to their respective odds ratio (OR) for early ST (premature clopidogrel therapy discontinuation [10 points], stent diameter ≤3 mm [5 points], current smoker [4 points], diabetes mellitus [DM; 3 points], and age >65 years [2 points]). Three strata of risks were defined (low risk, score 0-4; intermediate risk, score 5-12; and high risk, score 13-24) and had a strong association with early ST and long-term cardiovascular mortality. Long-term cardiovascular mortality was 5-fold more in patients with early ST than that without ST (24.1% vs 4.7%, respectively, P < .001). Conclusions: Early ST after primary coronary stenting in AMI is strongly related with increased long-term cardiovascular mortality. Premature clopidogrel therapy discontinuation is the most powerful predictor of early ST.

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Cardiogenic Shock Following Acute Myocardial Infarction: A Retrospective Observational Study

International Journal of Cardiovascular Practice ◽

10.29252/ijcp-27631 ◽

2019 ◽

Vol 4 (4) ◽

pp. 105-110

Author(s):

Roxana Sadeghi ◽

Naser Kachoueian ◽

Zohreh Maghsoomi ◽

Mohammad Sistanizad ◽

Zahra Soroureddin ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Observational Study ◽

Cardiogenic Shock ◽

Retrospective Observational Study

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Abstract 343: Association Between Hospital Arrival Time and Outcomes in Patients With Out-of-Hospital Cardiac Arrest Due to Acute Myocardial Infarction: JAAM-OHCA Study Group

Circulation ◽

10.1161/circ.138.suppl_2.343 ◽

2018 ◽

Vol 138 (Suppl_2) ◽

Author(s):

Hayato Hosoda ◽

Atsushi Hirayama ◽

Yoshio Tahara ◽

Takahiro Nakashima ◽

Yu Kataoka ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Cardiac Arrest ◽

Observational Study ◽

Hospital Care ◽

Arrival Time ◽

Night Time ◽

Hospital Arrival ◽

Regular Time ◽

Neurologically Intact

Background: Whether arrival time is associated with in-hospital managements and outcomes in patients out-of-cardiac arrest (OHCA) due to acute myocardial infarction (AMI) is still unclear. Methods: We conducted a multi-institutional, observational study (JAAM-OHCA study) of OHCA from June 2014 through December 2015 in Japan. The primary exposure was hospital arrival time divided into three groups, defining weekday regular time as 8:00 AM to 4:59 PM, weekday night time as 5:00PM to 7:59AM, and weekends/holidays as Saturday, Sunday and holidays. The outcome measures were in-hospital managements (i.e., percutaneous coronary intervention [PCI], intra-aortic balloon pump [IABP], extracorporeal cardiopulmonary resuscitation [ECPR], and target temperature management [TTM]), and neurologically intact survival at 30-day. To determine the associations of hospital arrival time with these outcomes, we constructed logistic regression models adjusting for patient characteristics, out-of-hospital care and in-hospital care, with generalized estimating equations accounting for patient clustering within hospitals. Results: We recruited 13,491 patients with OHCA. Of these, 852 had return of spontaneous circulation and was diagnosed as AMI; n=299 arrived during weekday regular time; n=265 arrived during weekday night time; n=288 arrived during weekends or holidays. Finally, a total of 219 (25.7%) OHCA patients had neurologically intact survival at 30-day. The rates of in-hospital management were not different among the three groups except IABP use (P<0.01). Compared to patients arrived during weekday regular time, neurologically intact survival rate at 30-day was not significantly different in patients arrived during weekday night time and weekends/holiday (26.1% [78 of 299] in weekday regular time group, 22.6% [60 of 265] in weekday night time group, and 28.1% [81 of 288] in weekends/holidays group) with corresponding adjusted odds ratios of 0.80 (95% confidence interval [CI] 0.45-1.40; P=0.43) and 0.96 (95% CI 0.57-1.63; P=0.89). Conclusion: In this observational study of adult patients with OHCA due to AMI, in-hospital managements and outcomes were not differed across hospital arrival time groups.

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