TCT-35 The Length of Stay in Hospital after Primary Percutaneous Coronary Intervention for ST-elevation Myocardial Infarction: a data from KAMIR registry

Lee, Shin Eun; Rhew, Jay Young; Jeong, Myung Ho; Lee, Dong-Yob; Park, Jong Pil; Kim, Young Jo; Park, Seung‐Jung

doi:10.1016/j.jacc.2014.07.060

Cited by 2 publications

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“…Many studies have compared the clinical characteristics and outcomes of patients with AMI based on sex differences over the last several decades ( 5 - 12 ). Although there is a paucity of data, numerous studies have reported sex differences in clinical, angiographic, and procedural factors, and clinical outcomes among patients with AMI ( 15 - 17 ).…”

Section: Discussionmentioning

confidence: 99%

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Impact of sex difference on clinical outcomes in acute myocardial infarction patients with single-vessel and multi-vessel disease: based on Korea Acute Myocardial Infarction Registry-National Institute of Health

Yim,

Ahn,

Jeong

et al. 2023

Cardiovasc Diagn Ther

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Background Several studies have compared clinical outcomes according to sex in patients with acute myocardial infarction (AMI). However, studies evaluating sex differences in clinical outcomes of single-vessel disease (SVD) and multi-vessel disease (MVD) in Korean patients with AMI are lacking. Therefore, this study aimed to analyze sex differences in the clinical characteristics of patients with AMI with SVD and MVD and to evaluate the impact of sex differences on the clinical outcomes in patients with AMI with SVD and MVD. Methods A total of 11,002 AMI patients from November 2011 to June 2015 in the Korea AMI Registry, National Institute of Health, were enrolled. The current study was retrospective observational study. Patients were divided into SVD (n=5,644) and MVD (n=5,358) groups, and clinical impact of sex difference were analyzed by propensity score matching analysis and Cox proportional hazard regression model. Results Women were older and had poor baseline clinical characteristics than men. Propensity score-matched analysis of men and women with SVD and MVD revealed that the adjusted 3-year risk of major adverse cardiac event (MACE) (15.0% vs. 9.4%; hazard ratio, 1.86; 95% confidence interval, 1.10–3.13; P=0.020) was higher in women with SVD aged <65 years. However, the incidence and risk of MACE were similar for men and women with MVD, and those with SVD aged ≥65 years. Conclusions In the present study of Korean patients with AMI, women were older and exhibited a higher prevalence of comorbidities than men. Women with SVD aged <65 years had a significantly higher risk of MACE.

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Section: Discussionmentioning

confidence: 99%

“…The clinical impact of sex differences in patients with AMI with MVD has been evaluated in the Western population ( 9 ). Although there have been studies evaluating sex differences among Korean patients with AMI, studies evaluating sex differences in SVD and MVD in Korean patients with AMI are lacking ( 10 - 12 ).…”

Section: Introductionmentioning

confidence: 99%

Impact of sex difference on clinical outcomes in acute myocardial infarction patients with single-vessel and multi-vessel disease: based on Korea Acute Myocardial Infarction Registry-National Institute of Health

Yim,

Ahn,

Jeong

et al. 2023

Cardiovasc Diagn Ther

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“…The lesion characteristics within the infarct-related artery were stratified using the American College of Cardiology/American Heart Association lesion classification [ 12 ]. The definitions of all these parameters were determined by the steering committee board of the KAMIR-NIH registry [ 7 , 13 ].…”

Section: Methodsmentioning

confidence: 99%

Time to presentation and mortality outcomes among patients with diabetes and acute myocardial infarction

Shin,

Oh,

Kim

et al. 2024

Korean J Intern Med

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Background/Aims: Due to limited real-world evidence on the association between time to presentation (T2P) and outcomes following acute myocardial infarction and diabetes (AMI-DM), we investigated the characteristics of patients with AMI-DM and their outcomes based on their T2P.Methods: 4,455 patients with AMI-DM from a Korean nationwide observational cohort (2011–2015) were divided into early and late presenters according to symptom-to-door time. The effects of T2P on three-year all-cause mortality were estimated using inverse probability of treatment weighting (IPTW) and survival analysis.Results: The incidence of all-cause mortality was consistently higher in late presenters than in early presenters (11.4 vs. 17.2%; p < 0.001). In the IPTW-adjusted dataset, the incidence of all-cause mortality was numerically higher in late presenters than in early presenters (9.1 vs. 12.4%; p = 0.072). In the survival analysis, the cumulative incidence of all-cause mortality was significantly higher in late presenters than in early presenters before and after IPTW. In the subgroup with ST-elevation myocardial infarction, late presenters had a higher incidence of cardiac death than early presenters before (4.8 vs. 10.5%; p < 0.001) and after IPTW (4.2 vs. 9.7%; p = 0.034). In the initial glycated hemoglobin (HbA1c)-stratified analysis, these effects were attenuated in patients with HbA1c ≥ 9.0% before (adjusted hazard ratio [HR]: 1.45, 95% confidence interval [CI]: 0.80-2.64) and after IPTW (adjusted HR: 0.82, 95% CI: 0.40-1.67).Conclusions: Late presentation was associated with higher mortality in patients with AMI-DM; therefore, multifaceted and systematic interventions are needed to decrease pre-hospital delays.

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TCT-35 The Length of Stay in Hospital after Primary Percutaneous Coronary Intervention for ST-elevation Myocardial Infarction: a data from KAMIR registry

Cited by 2 publications

References 0 publications

Impact of sex difference on clinical outcomes in acute myocardial infarction patients with single-vessel and multi-vessel disease: based on Korea Acute Myocardial Infarction Registry-National Institute of Health

Impact of sex difference on clinical outcomes in acute myocardial infarction patients with single-vessel and multi-vessel disease: based on Korea Acute Myocardial Infarction Registry-National Institute of Health

Time to presentation and mortality outcomes among patients with diabetes and acute myocardial infarction

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