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Incidence of Mid-Term Prognostic Events in Patients With Acute Coronary Syndrome During the Late 2010s in 2 Tertiary Hospitals in a Rural Area of Japan - A Temporal Comparison.
- Source :
-
Circulation reports [Circ Rep] 2023 Apr 20; Vol. 5 (5), pp. 198-209. Date of Electronic Publication: 2023 Apr 20 (Print Publication: 2023). - Publication Year :
- 2023
-
Abstract
- Background: Data on the incidence of mid-term prognostic events in patients who developed acute coronary syndrome (ACS) in the late 2010s are scarce. Methods and Results: We retrospectively included and collected data for 889 patients with ACS (ST-elevation myocardial infarction [STEMI]/non-ST-elevation ACS [NSTE-ACS]) discharged alive from 2 tertiary hospitals in Izumo City, in rural Japan, between August 2009 and July 2018. Patients were divided into 3 time groups (T1: August 2009-July 2012; T2: August 2012-July 2015; T3: August 2015-July 2018). The cumulative incidence of major adverse cardiovascular events (MACE; comprising all-cause death, recurrent ACS, and stroke), major bleeding, and heart failure hospitalization within 2 years of discharge was compared among the 3 groups. The incidence of freedom from MACE was significantly higher in the T3 group than in the T1 and T2 groups (93 [95% confidence interval {CI} 90-96%] vs. 86% [95% CI 83-90] and 89% [95% CI 90-96], respectively; P=0.03). There was a tendency for a higher incidence of STEMI among patients in T3 (P=0.057). The incidence of NSTE-ACS was comparable among the 3 groups (P=0.31), as was the incidence of major bleeding and hospitalization for heart failure. Conclusions: The incidence of mid-term MACE in patients who developed ACS during the late 2010 s (2015-2018) was lower than that in prior periods (2009-2015).<br />Competing Interests: M. Yano, K.T. are members of Circulation Reports’ Editorial Board. The remaining authors have no conflicts of interest to declare.<br /> (Copyright © 2023, THE JAPANESE CIRCULATION SOCIETY.)
Details
- Language :
- English
- ISSN :
- 2434-0790
- Volume :
- 5
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Circulation reports
- Publication Type :
- Academic Journal
- Accession number :
- 37180477
- Full Text :
- https://doi.org/10.1253/circrep.CR-23-0029