The Impact of the Coronary Artery Calcium Score on the Clinical Outcomes in Patients with Acute Myocardial Infarction DOI Open Access
Hisashi Sato, Kenichi Sakakura, Hiroyuki Jinnouchi

et al.

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(23), P. 7136 - 7136

Published: Nov. 25, 2024

Background: It is essential to identify the risk factors for poor clinical outcomes in patients with acute myocardial infarction (AMI). The coronary artery calcium score (CACS) gathering attention as a predictor future cardiovascular events. This study aimed (1) measure CACSs AMI by non-ECG-gated computed tomography (CT), (2) compare between high CACS and low–intermediate (3) elucidate association outcomes. Methods: We defined group highest quantile of (Q4) other quantiles (Q1–Q3). primary endpoint was major adverse events (MACE), which were composite all-cause death, re-admission heart failure, non-fatal MI target vessel revascularization. included 548 who underwent CT divided them into (CACS ≥ 5346.5, n = 137) ≤ 5329.3, 411). Results: During median follow-up duration 535 days, 150 MACE observed. Kaplan–Meier curves showed that occurred more frequently than (p < 0.001). Multivariable Cox hazard analysis revealed significantly associated (hazard ratio 1.597, 95% confidence interval 1.081–2.358, p 0.019) after controlling multiple confounding factors. Conclusions: Clinical worse those CACS. A multivariate analysis.

Language: Английский

Association between albumin changes and prognosis in older patients with acute myocardial infarction DOI Creative Commons
Zhicheng Yang, Lei Zhang,

Ying‐Bin Xi

et al.

Frontiers in Medicine, Journal Year: 2025, Volume and Issue: 11

Published: Jan. 20, 2025

Background and aims Acute myocardial infarction (AMI) is the leading cause of death in world. Therefore, early identification prognosis older patients with AMI are particularly urgent, better to improve treatment. This study aimed explore association between albumin changes AMI. Methods Outcomes included all-cause during hospitalization, cardiac death, gastrointestinal hemorrhage, nonfatal infarction, acute heart failure, severe arrhythmia. Multivariable-adjusted Cox regression analysis curve fitting were used assess relationship Results Our 288 A S-shaped mortality was found. For we found two inflection points − 3.27 0.92 g/L. On left side −3.27 g/L, OR 0.41 (OR: 0.41, 95%CI: 0.32–0.64, p &lt; 0.05). right 0.58 0.58, 0.34–0.86, The 2.12 g/L 2.12, 1.16–6.24, 3.19 1.17 −3.19 0.45 0.45, 0.28–0.79, 0.63 0.63, 0.38–0.86, 4.53 4.53, 0.90–12.52, &gt; After adjusting for all potential covariates, negatively associated hemorrhage 0.87; 0.81–0.94, 0.001). failure 0.86; 0.75–0.99, = 0.046). Conclusion Out findings showed that a patients, roughly 0.92/L. And levels correlated bleeding failure. These helpful clinical

Language: Английский

Citations

0
Endeavor of exploring mechanisms of myocardial infarction in patients with no standard modifiable cardiovascular risk factors DOI
Yuichi Saito, Yoshio Kobayashi

International Journal of Cardiology, Journal Year: 2025, Volume and Issue: 429, P. 133155 - 133155

Published: March 12, 2025

Language: Английский

Citations

0
Advances in the Management of out-of-Hospital Cardiac Arrest: a clinical review DOI
Kazuya Tateishi, Yuichi Saito, Yoshio Kobayashi

et al.

Journal of Cardiology, Journal Year: 2025, Volume and Issue: unknown

Published: May 1, 2025

Language: Английский

Citations

0
Predicting cardiac infarctions with reinforcement algorithms through wavelet transform applications in healthcare DOI

M. Pradeep,

Debnath Bhattacharyya, Dinesh Kumar Anguraj

et al.

Information Sciences, Journal Year: 2024, Volume and Issue: 691, P. 121513 - 121513

Published: Nov. 5, 2024

Language: Английский

Citations

0
The Impact of the Coronary Artery Calcium Score on the Clinical Outcomes in Patients with Acute Myocardial Infarction DOI Open Access
Hisashi Sato, Kenichi Sakakura, Hiroyuki Jinnouchi

et al.

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(23), P. 7136 - 7136

Published: Nov. 25, 2024

Background: It is essential to identify the risk factors for poor clinical outcomes in patients with acute myocardial infarction (AMI). The coronary artery calcium score (CACS) gathering attention as a predictor future cardiovascular events. This study aimed (1) measure CACSs AMI by non-ECG-gated computed tomography (CT), (2) compare between high CACS and low–intermediate (3) elucidate association outcomes. Methods: We defined group highest quantile of (Q4) other quantiles (Q1–Q3). primary endpoint was major adverse events (MACE), which were composite all-cause death, re-admission heart failure, non-fatal MI target vessel revascularization. included 548 who underwent CT divided them into (CACS ≥ 5346.5, n = 137) ≤ 5329.3, 411). Results: During median follow-up duration 535 days, 150 MACE observed. Kaplan–Meier curves showed that occurred more frequently than (p < 0.001). Multivariable Cox hazard analysis revealed significantly associated (hazard ratio 1.597, 95% confidence interval 1.081–2.358, p 0.019) after controlling multiple confounding factors. Conclusions: Clinical worse those CACS. A multivariate analysis.

Language: Английский

Citations

0