Treatment and outcomes of patients with chronic lung disease and acute myocardial infarction: Insights from the nationwide AMIS plus registry

被引:0
作者
Beckmann, C. [1 ]
Foster-Witassek, F. [1 ]
Brutsche, M. [2 ]
Maeder, M. T. [3 ]
Eberli, F. [4 ]
Roffi, M. [5 ]
Pedrazzini, G. [6 ]
Radovanovic, D. [1 ]
Rickli, H. [3 ,7 ]
机构
[1] Univ Zurich, Epidemiol Biostat & Prevent Inst, AMIS Plus Data Ctr, Zurich, Switzerland
[2] Kantonsspital St Gallen, Lung Ctr, St Gallen, Switzerland
[3] Kantonsspital St Gallen, Dept Cardiol, St Gallen, Switzerland
[4] Triemli Hosp, Div Cardiol, Zurich, Switzerland
[5] Geneva Univ Hosp, Div Cardiol, Geneva, Switzerland
[6] Cardioctr Ticino, Dept Cardiol, Lugano, Switzerland
[7] Kantonsspital St Gallen, Dept Cardiol, Rorschacher Str 95, CH-9007 St Gallen, Switzerland
关键词
acute coronary syndromes; acute myocardial infarction; antithrombotic treatment; chronic lung disease; percutaneous coronary intervention; OBSTRUCTIVE PULMONARY-DISEASE; ACUTE-CORONARY-SYNDROME; SYSTEMIC INFLAMMATION; MANAGEMENT; COMORBIDITY; SMOKING; COUGH; COPD;
D O I
10.1111/eci.14193
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Limited data are available on patients with chronic lung disease (CLD) presenting with acute myocardial infarction (AMI). We aimed to analyse baseline characteristics, treatment and outcome of those patients enrolled in the Swiss nationwide prospective AMIS Plus registry. Methods: All AMI patients enrolled between January 2002 and December 2021 with data on CLD, as defined in the Charlson Comorbidity Index, were included. The primary endpoints were in-hospital mortality and major adverse cardiac and cerebrovascular events (MACCE), defined as all-cause death, reinfarction and cerebrovascular events. Baseline characteristics, in-hospital treatments and outcomes were analysed using descriptive statistics and logistic regression. Results: Among 53,680 AMI patients enrolled during this time, 5.8% had CLD. Compared with patients without CLD, CLD patients presented more frequently with non-ST-elevation myocardial infarction (MI) and type 2 MI (12.8% vs. 6.5%, p < 0.001). With respect to treatment, CLD patients were less likely to receive P2Y12 inhibitors (p < 0.001) and less likely to undergo percutaneous coronary interventions (68.7% vs. 82.5%; p < 0.001). In-hospital mortality declined in AMI patients with CLD over time (from 12% in 2002 to 7.3% in 2021). Multivariable regression analysis showed that CLD was an independent predictor for MACCE (adjusted OR was 1.28 [95% CI 1.07-1.52], p = 0.006). Conclusion: Patients with CLD and AMI were less likely to receive evidence-based pharmacologic treatments, coronary revascularization and had a higher incidence of MACCE during their hospital stay compared to those without CLD. Over 20 years, in-hospital mortality was significantly reduced in AMI patients, especially in those with CLD.
引用
收藏
页数:12
相关论文
共 50 条
  • [31] Comparison of prasugrel and clopidogrel-treated patients with acute coronary syndrome undergoing percutaneous coronary intervention: A propensity score-matched analysis of the Acute Myocardial Infarction in Switzerland (AMIS)-Plus Registry
    Kurz, David J.
    Radovanovic, Dragana
    Seifert, Burkhardt
    Bernheim, Alain M.
    Roffi, Marco
    Pedrazzini, Giovanni
    Windecker, Stephan
    Erne, Paul
    Eberli, Franz R.
    EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE, 2016, 5 (01) : 13 - 22
  • [32] Frailty, Treatments, and Outcomes in Older Patients With Myocardial Infarction: A Nationwide Registry-Based Study
    Christensen, Daniel Molager
    Strange, Jarl Emanuel
    Falkentoft, Alexander Christian
    El-Chouli, Mohamad
    Ravn, Pauline B.
    Ruwald, Anne Christine
    Fosbol, Emil
    Kober, Lars
    Gislason, Gunnar
    Sehested, Thomas S. G.
    Schou, Morten
    JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2023, 12 (14):
  • [33] Gender differences in clinical outcomes of acute myocardial infarction undergoing percutaneous coronary intervention: insights from the KAMIR-NIH Registry
    Lee, Myunhee
    Kim, Dae-Won
    Park, Mahn-Won
    Lee, Kyusup
    Chang, Kiyuk
    Chung, Wook Sung
    Ahn, Tae Hoon
    Jeong, Myung Ho
    Rha, Seung-Woon
    Kim, Hyo-Soo
    Gwon, Hyeon Cheol
    Seong, In Whan
    Hwang, Kyung Kuk
    Chae, Shung Chull
    Kim, Kwon-Bae
    Kim, Young Jo
    Cha, Kwang Soo
    Oh, Seok Kyu
    Chae, Jei Keon
    Jung, Ji-Hoon
    JOURNAL OF GERIATRIC CARDIOLOGY, 2020, 17 (11) : 680 - 693
  • [34] Trends, management and outcomes of acute myocardial infarction in chronic liver disease
    Matetic, Andrija
    Contractor, Tahmeed
    Mohamed, Mohamed O.
    Bhardwaj, Rahul
    Aneja, Ashish
    Myint, Phyo K.
    Rakoski, Mina O.
    Zieroth, Shelley
    Paul, Timir K.
    Mamas, Mamas A.
    INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2021, 75 (04)
  • [35] Temporal Trends and Outcomes of Patients Undergoing Percutaneous Coronary Interventions for Cardiogenic Shock in the Setting of Acute Myocardial Infarction A Report From the CathPCI Registry
    Wayangankar, Siddharth A.
    Bangalore, Sripal
    McCoy, Lisa A.
    Jneid, Hani
    Latif, Faisal
    Karrowni, Wassef
    Charitakis, Konstantinos
    Feldman, Dmitriy N.
    Dakik, Habib A.
    Mauri, Laura
    Peterson, Eric D.
    Messenger, John
    Roe, Mathew
    Mukherjee, Debabrata
    Klein, Andrew
    JACC-CARDIOVASCULAR INTERVENTIONS, 2016, 9 (04) : 341 - 351
  • [36] Clinical Characteristics and Outcome of Patients With Myocardial Infarction With Nonobstructive Coronary Arteries in Japan: Insights From the Miyagi Acute Myocardial Infarction Registry Study
    Hao, Kiyotaka
    Takahashi, Jun
    Sato, Koichi
    Fukui, Kento
    Shindo, Tomohiko
    Oyama, Kazuma
    Nishimiya, Kensuke
    Godo, Shigeo
    Shiroto, Takashi
    Shimokawa, Hiroaki
    Yasuda, Satoshi
    JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2025, 14 (05):
  • [37] Acute myocardial infarction and chronic kidney disease: A nationwide cohort study on management and outcomes from 2010-2022
    Freese Ballegaard, Ellen Linnea
    Grove, Erik Lerkevang
    Kamper, Anne-Lise
    Feldt-Rasmussen, Bo
    Gislason, Gunnar
    Torp-Pedersen, Christian
    Carlson, Nicholas
    CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2024, 19 (10): : 1263 - 1274
  • [38] Frailty and Outcomes After Myocardial Infarction: Insights From the CONCORDANCE Registry
    Patel, Ashish
    Goodman, Shaun G.
    Yan, Andrew T.
    Alexander, Karen P.
    Wong, Camilla L.
    Cheema, Asim N.
    Udell, Jacob A.
    Kaul, Padma
    D'Souza, Mario
    Hyun, Karice
    Adams, Mark
    Weaver, James
    Chew, Derek P.
    Brieger, David
    Bagai, Akshay
    JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2018, 7 (18):
  • [39] Ticagrelor versus clopidogrel in acute myocardial infarction patients with multivessel disease; From Korea Acute Myocardial Infarction Registry-National Institute of Health
    Ahn, Joon Ho
    Ahn, Youngkeun
    Jeong, Myung Ho
    Kim, Ju Han
    Hong, Young Joon
    Sim, Doo Sun
    Kim, Min Chul
    Hwang, Jin Yong
    Yoon, Jung Han
    Seong, In Whan
    Hur, Seung-Ho
    Oh, Seok Kyu
    JOURNAL OF CARDIOLOGY, 2020, 75 (05) : 478 - 484
  • [40] Characteristics and Outcome in Acute Coronary Syndrome Patients with and without Established Modifiable Cardiovascular Risk Factors: Insights from the Nationwide AMIS Plus Registry 1997-2010
    Erne, Paul
    Gutzwiller, Felix
    Urban, Philip
    Maggiorini, Marco
    Keller, Pierre-Frederic
    Radovanovic, Dragana
    CARDIOLOGY, 2012, 121 (04) : 228 - 236