JCS 2018 Guideline on Diagnosis and Treatment of Acute Coronary Syndrome

Kimura, Kazuo; Kimura, Takeshi; Ishihara, Masaharu; Nakagawa, Yoshihisa; Nakao, Kōichi; Miyauchi, Katsumi; Sakamoto, Tomohiro; Tsujita, Kenichi; Hagiwara, Nobuhisa; Miyazaki, Shunichi; Ako, Junya; Arai, Hirokuni; Ishii, Hideki; Otsuka, Hideki; Shimizu, Wataru; Takemura, Hirofumi; Terada, Yoshio; Morino, Yoshihiro; Iino, Kenji; Itoh, Tomonori; Iwanaga, Yoshitaka; Uchida, Keiji; Endo, Hirohisa; Kongoji, Ken; Sakamoto, Kenji; Shiomi, Hiroki; Shimohama, Takao; Suzuki, Atsushi; Takahashi, Jun; Takeuchi, Ichiro; Tanaka, Akihito; Tamura, Toshihiro; Nakashima, Takahiro; Noguchi, Teruo; Fukamachi, Daisuke; Mizuno, Tomohiro; Yamaguchi, Junichi; Yodogawa, Kenji; Kosuge, Masami; Kohsaka, Shun; Yoshino, Hideaki; Yasuda, Satoshi; Shimokawa, Hiroaki; Hirayama, Atsushi; Akasaka, Takashi; Haze, Kazuo; Ogawa, Hisao; Tsutsui, Hiroyuki; Yamazaki, Tsutomu

doi:10.1253/circj.cj-19-0133

Cited by 335 publications

(249 citation statements)

References 87 publications

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“…Thus, 387 patients were included in the final analysis ( Fig. 1) and were enrolled in the cardiac rehabilitation (CR) program during hospitalization according to the Japanese Circulation Society guidelines for rehabilitation in patients with acute coronary syndrome 9) . The CR during hospitalization were performed under the supervision of a physical therapist.…”

Section: Study Populationmentioning

confidence: 99%

Decreased Appendicular Skeletal Muscle Mass is Associated with Poor Outcomes after ST-Segment Elevation Myocardial Infarction

Sato

Akiyama

Konishi

et al. 2020

JAT

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The importance of sarcopenia in cardiovascular diseases has been recently demonstrated. This study aims to examine whether skeletal muscle mass (SMM), an important component of sarcopenia, is associated with an increased risk of poor outcome in patients after ST-segment elevation myocardial infarction (STEMI). Methods: We measured SMM in 387 patients with STEMI using dual-energy X-ray absorptiometry. Patients were divided into low-and high-appendicular skeletal mass index (ASMI: appendicular SMM divided by height squared (kg/m 2)) groups using the first quartile of ASMI (≤ 6.64 kg/m 2 for men and ≤ 5.06 kg/m 2 for women). All patients were followed up for the primary composite outcome of all-cause death, nonfatal myocardial infarction, nonfatal ischemic stroke, hospitalization for congestive heart failure, and unplanned revascularization. Results: Low-ASMI group was older and had a more complex coronary lesion, a lower left ventricular ejection fraction, and a higher prevalence of Killip classification ≥ 2 than high-ASMI group. During a median follow-up of 33 months, the event rate was significantly higher in low-ASMI group than in high-ASMI group (24.7% vs 13.4%, log-rank p 0.001). Even after adjustment for patients' background, low ASMI was independently associated with the high risk of primary composite events (adjusted hazard ratio 2.06, 95% confidence interval 1.01-4.19, p 0.04). In the subgroup analyses of male patients (n 315), the optimal cutoff point of ASMI for predicting primary composite outcome was 6.75 kg/m 2 , which was close to its first quartile value. Conclusions: Low ASMI is independently associated with poor outcome in patients with STEMI.

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Section: Study Populationmentioning

confidence: 99%

Decreased Appendicular Skeletal Muscle Mass is Associated with Poor Outcomes after ST-Segment Elevation Myocardial Infarction

Sato

Akiyama

Konishi

et al. 2020

JAT

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“…Table summarizes the characteristics of the included guidelines, with COI and the average AGREE II scores. Five guidelines were from European continent, two from the United Kingdom, six from the United States, one from Canada, one from Australia and New Zealand, two from Japan, and one from Taiwan …”

Section: Resultsmentioning

confidence: 99%

Critical appraisal of guidelines for coronary artery disease on dual antiplatelet therapy: More consensus than controversies

Zhang

Zhou

Zhuang

et al. 2019

Clinical Cardiology

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Background Dual antiplatelet therapy (DAPT) in the form of aspirin plus a P2Y12 inhibitor, when indicated, is one of the key treatments in coronary artery disease (CAD). Many recommendations on DAPT in patients with CAD based on current guidelines are largely inconsistent. In our current study, we aimed at systematically reviewing DAPT‐relevant clinical practice guidelines, and highlighting their commonalities and differences for better informed decision‐making. Methods Contemporary guidelines in English were searched in MEDLINE, Embase and websites of guideline organizations and professional societies. Guidelines with recommendations on DAPT for CAD patients were included. Guideline quality was appraised with the 6‐domain Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. The reporting of conflicts of interest (COI) was assessed individually with supplementary items from the RIGHT (Reporting Item for Practice Guidelines in Healthcare) checklist. Meanwhile, extraction of recommendations was performed. Results A total of 18 guidelines fulfilled our inclusion criteria. Most of them were graded with relatively good scores averaging from 42% to 74%. Domains for lower scores were in “stakeholder involvement” and “application.” The reporting of COI was satisfactory. For the recommendations on DAPT, most guidelines with high AGREE II scores included consistent recommendations on the timing and P2Y12 inhibitor selection. Nonetheless, conflicts still exist on the duration of DAPT. Conclusions Quality of guidelines for DAPT in CAD was relatively high, though defects existed in “Applicability” and “Stakeholder Involvement.” As these guidelines developed, DAPT recommendations gradually converged on a consensus. Clinical decision should be made on an individual basis.

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“…ACS was diagnosed according to the appearance of the electrocardiogram (ECG) ST elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (NSTEMI), and unstable angina. Detailed diagnosis of ACS was based on ACS guideline of the Japanese Circulation Society 6) . All the patients were Japanese (Mongolian ancestry).…”

Section: Methodsmentioning

confidence: 99%

Single Men Have a Higher Morbidity Risk of Acute Coronary Syndrome at a Younger Age than Married Men

Watanabe

Kimura

Taguchi

et al. 2019

Journal of Coronary Artery Disease

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JCS 2018 Guideline on Diagnosis and Treatment of Acute Coronary Syndrome

Cited by 335 publications

References 87 publications

Decreased Appendicular Skeletal Muscle Mass is Associated with Poor Outcomes after ST-Segment Elevation Myocardial Infarction

Decreased Appendicular Skeletal Muscle Mass is Associated with Poor Outcomes after ST-Segment Elevation Myocardial Infarction

Critical appraisal of guidelines for coronary artery disease on dual antiplatelet therapy: More consensus than controversies

Single Men Have a Higher Morbidity Risk of Acute Coronary Syndrome at a Younger Age than Married Men

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