http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Woo Jin Kim,정명호,강동구,이승욱,조상기,안영근,김영조,Chong Jin Kim,조명찬,KAMIR (Korea Acute Myocardial Infarction Registry) Investigators 전남대학교 의과학연구소 2018 전남의대학술지 Vol.54 No.1
The aim of this study is to investigate the clinical outcomes of the elderly patients withNon ST-segment elevation myocardial infarction (NSTEMI) undergoing coronary arterybypass surgery (CABG) compared to non-elderly patients. Patients with NSTEMIand undergoing CABG (n=451) who were registered in the Korea Acute MyocardialInfarction Registry between December 2003 and August 2012 were divided into twogroups.; the non-elderly group (<75 years, n=327) and the elderly group (≥75 years,n=124). In-hospital mortality was higher in the elderly group (4.9% vs. 11.3%, p=0.015),but cardiac death, myocardial infarction, and major adverse cardiovascular events(MACE) including cardiac death, myocardial infarction, percutaneous revascularization,and redo-CABG after a one-year follow up were not different between the twogroups. Predictors of in-hospital mortality in patients with NSTEMI undergoing CABGwere left ventricular (LV) dysfunction (ejection fraction ≤40%) [hazard ratio (HR):2.76, 95% confidence interval (CI): 1.16-6.57, p=0.022] and age (HR: 1.05, 95% CI:1.01-1.10, p=0.047). So elderly NSTEMI patients should be considered for CABG if appropriate,but careful consideration for surgery is required, especially if the patientshave severe LV systolic dysfunction.
이기홍,안영근,김성수,류시현,정영욱,장수영,조재영,정해창,박근호,윤남식,심두선,윤현주,김계훈,홍영준,박형욱,김주한,조정관,박종춘,정명호,조명찬,김종진,김영조,KAMIR (Korea Acute Myocardial Infarction Registry) Investigators 대한의학회 2014 Journal of Korean medical science Vol.29 No.4
We compared clinical characteristics, management, and clinical outcomes of nonagenarianacute myocardial infarction (AMI) patients (n = 270, 92.3 ± 2.3 yr old) with octogenarianAMI patients (n = 2,145, 83.5 ± 2.7 yr old) enrolled in Korean AMI Registry (KAMIR). Nonagenarians were less likely to have hypertension, diabetes and less likely to beprescribed with beta-blockers, statins, and glycoprotein IIb/IIIa inhibitors compared withoctogenarians. Although percutaneous coronary intervention (PCI) was preferred inoctogenarians than nonagenarians, the success rate of PCI between the two groups wascomparable. In-hospital mortality, the composite of in-hospital adverse outcomes and oneyear mortality were higher in nonagenarians than in octogenarians. However, thecomposite of the one year major adverse cardiac events (MACEs) was comparable betweenthe two groups without differences in MI or re-PCI rate. PCI improved 1-yr mortality(adjusted hazard ratio [HR], 0.50; 95% confidence interval [CI], 0.36-0.69, P < 0.001)and MACEs (adjusted HR, 0.47; 95% CI, 0.37-0.61, P < 0.001) without significantcomplications both in nonagenarians and octogenarians. In conclusion, nonagenarianshad similar 1-yr MACEs rates despite of higher in-hospital and 1-yr mortality comparedwith octogenarian AMI patients. PCI in nonagenarian AMI patients was associated tobetter 1-yr clinical outcomes.