| アブストラクト | Background: Coronavirus disease 2019 (COVID-19) has impacted on cardiovascular disease. However, it remains unclear whether the COVID-19 pandemic has impacted on disease severity and patients' prognosis of acute myocardial infarction (AMI) in Japan. Methods and Results: We retrospectively accumulated data from the Japanese Registry of All Cardiac and Vascular Diseases-Diagnosis Procedure Combination (JROAD-DPC) study (April 2019 to March 2021). Patients were divided into a before COVID-19 pandemic group or a during COVID-19 pandemic group. The proportion of patients who presented with cardiogenic shock (Killip class IV) was compared between groups, in association with 30-day mortality as the primary outcome. Killip class IV AMI significantly increased in the during COVID-19 pandemic group (15.7% vs. 14.5% in the before pandemic group, P<0.0001). The 30-day mortality was higher in the during COVID-19 pandemic group (9.6% vs. 9.2% in the before COVID-19 pandemic group, P=0.049). However, there was no significant difference in the adjusted 30-day mortality in each Killip class between the before and during COVID-19 pandemic groups. Conclusions: During the early stage of the COVID-19 pandemic in Japan, 30-day mortality of AMI increased, mainly because of the increase of Killip class IV AMI patients. However, irrespective of the COVID-19 pandemic, the adjusted 30-day mortality of each Killip classification group was unchanged. |
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| ジャーナル名 | Circulation reports |
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| 投稿日 | 2024/6/11 |
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| 投稿者 | Kimura, Mitsukuni; Matoba, Tetsuya; Nakano, Yasuhiro; Katsuki, Shunsuke; Sakamoto, Kazuo; Nishihara, Masaaki; Nagata, Takuya; Tahara, Yoshio; Nagao, Ken; Okura, Hiroyuki; Ikeda, Takanori; Nakai, Michikazu; Tsutsui, Hiroyuki |
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| 組織名 | Department of Cardiovascular Medicine, Kyushu University Faculty of Medicine;Fukuoka Japan.;National Cerebral and Cardiovascular Center Suita Japan.;Cardiovascular Center, Nihon University Hospital Tokyo Japan.;Department of Cardiology, Gifu University Gifu Japan.;Department of Cardiovascular Medicine, Toho University Tokyo Japan.;Clinical Research Support Center, University of Miyazaki Hospital Miyazaki Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/38860181/ |
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