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  1. 0 資料タイプ別
  2. 03 紀要論文
  1. 250 大学院医歯学総合研究科(医)
  2. 20 紀要
  3. 02 新潟医学会雑誌
  4. 第110巻第10号

急性心筋梗塞の院内予後に及ぼす循環器診療体制の役割 : 早期再灌流療法の有効性

http://hdl.handle.net/10191/43372
http://hdl.handle.net/10191/43372
9af98ad0-9dc1-48b6-8848-d1e35a6e6ba3
名前 / ファイル ライセンス アクション
110(10)_429-437.pdf 110(10)_429-437.pdf (1.6 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2016-08-26
タイトル
タイトル 急性心筋梗塞の院内予後に及ぼす循環器診療体制の役割 : 早期再灌流療法の有効性
タイトル
言語 en
タイトル 急性心筋梗塞の院内予後に及ぼす循環器診療体制の役割 : 早期再灌流療法の有効性
言語
言語 jpn
キーワード
主題Scheme Other
主題 Acute myocardial infarction
キーワード
主題Scheme Other
主題 In-hospital Mortality
キーワード
主題Scheme Other
主題 Reperfusion Therapy
キーワード
主題Scheme Other
主題 急性心筋梗塞
キーワード
主題Scheme Other
主題 院内予後
キーワード
主題Scheme Other
主題 再灌流療法
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
その他のタイトル
その他のタイトル Influence of Therapeutic Modalities on In-hospital Mortality in Acute Myocardial Infarction : Role of Reperfusion Therapy
著者 山浦, 正幸

× 山浦, 正幸

WEKO 112102

山浦, 正幸

Search repository
五十嵐, 裕

× 五十嵐, 裕

WEKO 112103

五十嵐, 裕

Search repository
伊藤, 正洋

× 伊藤, 正洋

WEKO 112104

伊藤, 正洋

Search repository
渡辺, 裕哉

× 渡辺, 裕哉

WEKO 112105

渡辺, 裕哉

Search repository
犬塚, 博

× 犬塚, 博

WEKO 112106

犬塚, 博

Search repository
小島, 研司

× 小島, 研司

WEKO 112107

小島, 研司

Search repository
古島, 博司

× 古島, 博司

WEKO 112108

古島, 博司

Search repository
地主, 雅臣

× 地主, 雅臣

WEKO 112109

地主, 雅臣

Search repository
著者別名
識別子 112110
識別子Scheme WEKO
姓名 Yamaura, Masayuki
著者別名
識別子 112111
識別子Scheme WEKO
姓名 Igarashi, Yutaka
著者別名
識別子 112112
識別子Scheme WEKO
姓名 Ito, Masahiro
著者別名
識別子 112113
識別子Scheme WEKO
姓名 Watanabe, Hiroya
著者別名
識別子 112114
識別子Scheme WEKO
姓名 Inuzuka, Hiroshi
著者別名
識別子 112115
識別子Scheme WEKO
姓名 Ojima, Kenji
著者別名
識別子 112116
識別子Scheme WEKO
姓名 Furushima, Hiroshi
著者別名
識別子 112117
識別子Scheme WEKO
姓名 Chinushi, Masaomi
抄録
内容記述タイプ Abstract
内容記述 The aim of our study was to determine whether therapeutic modalities have influences on the in-hospital prognosis in patients with acute myocardial infarction (AMI). The study population consisted of consecutive 275 patients from November 1988 to August 1995. After cardiac catheterization and cardiac surgery became available in our hospital on July 1992, we actively performed reperfusion therapy (intracoronary thrombolysis and/or coronary angioplasty) for treatment of AMI if indicated. The patients were divided into two groups according to therapeutic modalities:group A (conservative therapy era between November 1988 and June 1992, n=134) and group B (reperfusion therapy era after July 1992, n=141). The in-hospital mortality was compared between the two groups and the clinical variables related to in-hospital mortality were examined. None in group A were treated with reperfusion therapy, and 57 patients (40%) in group B were treated with reperfusion therapy. The overall in-hospital death developed in 65 patients (24%). The mortality in group A was significantly higher than in group B (29% vs. 18%, p<0.05). In subgroup with age<76 years old and ongoing chest pain of≦6h in duration, 46 (73%) of 63 group B patients received reperfusion therapy. In this subgroup, a significant reduction of in-hospital mortality was found in group B compared with group A (34% vs. 11%, p<0.0001). By multivariate analysis, reperfusion therapy was an only independent negative predictor for in-hospital mortality (p=0.025). In conclusion, reperfusion therapy improves in-hospital prognosis in patients with AMI. Equipment of medical circumstances by which reperfusion therapy makes possible may contribute to local medical service.
書誌情報 新潟医学会雑誌
en : 新潟医学会雑誌

巻 110, 号 10, p. 429-437, 発行日 1996-10
出版者
出版者 新潟医学会
ISSN
収録物識別子タイプ ISSN
収録物識別子 00290440
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AN00182415
著者版フラグ
値 publisher
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