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Rationale, Design, and Baseline Characteristics of the Prospective Japan Acute Myocardial Infarction Registry (JAMIR)

Authors :
Morimasa Takayama
Yasuhiko Sakata
Sunao Kojima
Masami Kosuge
Satoshi Honda
Jun Takahashi
Yasuhide Asaumi
Misa Takegami
Satoshi Yasuda
Kazuo Kimura
Jamir Investigators
Kensaku Nishihira
Tetsuya Sumiyoshi
Makoto Suzuki
Hisao Ogawa
Source :
Cardiovascular Drugs and Therapy
Publication Year :
2018
Publisher :
Springer Science and Business Media LLC, 2018.

Abstract

Background Antiplatelet therapy is a cornerstone of treatment following acute myocardial infarction (AMI). Recently, prasugrel, a new and potent antiplatelet agent, has been introduced in clinical practice. To date, however, real-world in-hospital and follow-up data in Japanese patients with AMI remain limited. Objectives To examine ischemic and bleeding events in Japanese patients with AMI and the association between these events and antiplatelet therapy. Methods The Japan AMI Registry (JAMIR) is a multicenter, nationwide, prospective registry enrolling patients with AMI from 50 institutions. The inclusion criterion is spontaneous onset of AMI diagnosed based on either the universal definition or Monitoring Trends and Determinants in Cardiovascular disease (MONICA) criteria. The major exclusion criteria are hospital admission ≥ 24 h after onset, no return of spontaneous circulation on admission following out-of-hospital cardiopulmonary arrest, and AMI as a complication of percutaneous coronary intervention or coronary artery bypass grafting. The primary end point of the study is the composite of cardiovascular death, non-fatal myocardial infarction, and non-fatal stroke. Major safety end points include major bleeding based on Thrombolysis in Myocardial Infarction (TIMI) criteria and type 3 or type 5 bleeding based on Bleeding Academic Research Consortium (BARC) criteria. Between December 2015 and May 2017, a total of 3411 patients (mean age 68.1 ± 13.2 years, 23.4% female) were enrolled in the study. Patients will be followed for 1 year. Conclusions JAMIR will provide important information regarding contemporary practice patterns in the management of Japanese patients with AMI, their demographic and clinical characteristics, in-hospital and post-discharge outcomes, and how they are related to antiplatelet therapy. Electronic supplementary material The online version of this article (10.1007/s10557-018-6839-1) contains supplementary material, which is available to authorized users.

Details

ISSN :
15737241 and 09203206
Volume :
33
Database :
OpenAIRE
Journal :
Cardiovascular Drugs and Therapy
Accession number :
edsair.doi.dedup.....1363803fb56b83f5ffba5bf8d2141528
Full Text :
https://doi.org/10.1007/s10557-018-6839-1