Emergency Care of Acute Myocardial Infarction and the Great East Japan Earthquake Disaster - Report From the Miyagi AMI Registry Study

被引:15
作者
Hao, Kiyotaka [1 ]
Takahashi, Jun [1 ]
Ito, Kenta [1 ]
Miyata, Satoshi [1 ]
Sakata, Yasuhiko [1 ]
Nihei, Taro [1 ]
Tsuburaya, Ryuji [1 ]
Shiroto, Takashi [1 ]
Ito, Yoshitaka [1 ]
Matsumoto, Yasuharu [1 ]
Nakayama, Masaharu [1 ]
Yasuda, Satoshi [2 ]
Shimokawa, Hiroaki [1 ]
机构
[1] Tohoku Univ, Grad Sch Med, Dept Cardiovasc Med, Sendai, Miyagi 9808574, Japan
[2] Natl Cerebral & Cardiovasc Ctr, Dept Cardiovasc Med, Suita, Osaka, Japan
关键词
Disaster management; Earthquakes; Emergency care; Myocardial infarction; HEART-DISEASE; REPERFUSION THERAPY; PRIMARY ANGIOPLASTY; SOCIAL NORMS; SYSTEM DELAY; MORTALITY; INTERVENTION; TRENDS; SENSITIZATION; COUNTRIES;
D O I
10.1253/circj.CJ-13-1286
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Although emergency care of acute myocardial infarction (AMI) could theoretically be improved through improved patient delay, this notion remains to be confirmed. Additionally, the influence of large earthquakes on the emergency care of AMI cases remains to be elucidated. The Great East Japan Earthquake (March 11, 2011) has enabled us to address these issues. Methods and Results: We analyzed the data from 2008 to 2011 (n=3,937) in the Miyagi AMI Registry Study. Inhospital mortality was significantly lower in 2011 as compared with the previous 3 years (7.3% vs. 10.5%, P<0.05). This improvement was noted especially during the first 2 months after the Earthquake, associated with shorter elapsing time from onset to admission (120 vs. 240 min, P<0.001) and higher performance rate of primary percutaneous coronary intervention (PCI) (86.8% vs. 76.2%, P<0.01). Importantly, after the Earthquake, patients with early admission (<= 3h from onset) was significantly increased (59.1% vs. 47.0%, P<0.05) and their prognosis became better (7.9% vs. 11.4%, P=0.02), associated with a lower prevalence of heart failure on admission (6.9% vs. 16.2%, P=0.02) and higher performance rate of primary PCI (89.1% vs. 76.4%, P<0.01). Conclusions: Emergency care of AMI improved soon after the Great East Japan Earthquake compared with ordinary times by the contribution of earlier admission from onset and higher performance rate of primary PCI.
引用
收藏
页码:634 / 643
页数:10
相关论文
共 44 条
[1]   Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast experience [TIME-NE]) [J].
Adams, George L. ;
Campbell, Paul T. ;
Adams, John M. ;
Strauss, David G. ;
Wall, Karen ;
Patterson, Janet ;
Shuping, Kathy B. ;
Maynard, Charles ;
Young, Dwayne ;
Corey, Craig ;
Thompson, Alan ;
Lee, Benjamin A. ;
Wagner, Galen S. .
AMERICAN JOURNAL OF CARDIOLOGY, 2006, 98 (09) :1160-1164
[2]   INTERCHANGEABILITY OF STRESS AND AMPHETAMINE IN SENSITIZATION [J].
ANTELMAN, SM ;
EICHLER, AJ ;
BLACK, CA ;
KOCAN, D .
SCIENCE, 1980, 207 (4428) :329-331
[3]   Effect of the Great East Japan Earthquake on Cardiovascular Diseases [J].
Aoki, Tatsuo ;
Takahashi, Jun ;
Fukumoto, Yoshihiro ;
Yasuda, Satoshi ;
Ito, Kenta ;
Miyata, Satoshi ;
Shinozaki, Tsuyoshi ;
Inoue, Kanichi ;
Yagi, Tetsuo ;
Komaru, Tatsuya ;
Katahira, Yoshiaki ;
Obata, Atsushi ;
Hiramoto, Tetsuya ;
Sukegawa, Hiroyasu ;
Ogata, Kazunori ;
Shimokawa, Hiroaki .
CIRCULATION JOURNAL, 2013, 77 (02) :490-493
[4]   The Great East Japan Earthquake Disaster and cardiovascular diseases [J].
Aoki, Tatsuo ;
Fukumoto, Yoshihiro ;
Yasuda, Satoshi ;
Sakata, Yasuhiko ;
Ito, Kenta ;
Takahashi, Jun ;
Miyata, Satoshi ;
Tsuji, Ichiro ;
Shimokawa, Hiroaki .
EUROPEAN HEART JOURNAL, 2012, 33 (22) :2796-2803
[5]   Use of reperfusion therapy for acute myocardial infarction in the United States - Data from the National Registry of Myocardial Infarction 2 [J].
Barron, HV ;
Bowlby, LJ ;
Breen, T ;
Rogers, WJ ;
Canto, JG ;
Zhang, YA ;
Tiefenbrunn, AJ ;
Weaver, WD .
CIRCULATION, 1998, 97 (12) :1150-1156
[6]   American College of Cardiology/American Heart Association/European Society of Cardiology/World Heart Federation Universal Definition of Myocardial Infarction Classification System and the Risk of Cardiovascular Death Observations From the TRITON-TIMI 38 Trial (Trial to Assess Improvement in Therapeutic Outcomes by Optimizing Platelet Inhibition With Prasugrel-Thrombolysis in Myocardial Infarction 38) [J].
Bonaca, Marc P. ;
Wiviott, Stephen D. ;
Braunwald, Eugene ;
Murphy, Sabina A. ;
Ruff, Christian T. ;
Antman, Elliott M. ;
Morrow, David A. .
CIRCULATION, 2012, 125 (04) :577-U90
[7]   Longer pre-hospital delay in acute myocardial infarction in women because of longer doctor decision time [J].
Bouma, J ;
Broer, J ;
Bleeker, J ;
van Sonderen, E ;
Meyboom-de Jong, B ;
DeJongste, MJL .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 1999, 53 (08) :459-464
[8]   Does "Fight or flight" need updating? [J].
Bracha, HS ;
Ralston, TC ;
Matsukawa, JM ;
Williams, AE ;
Bracha, AS .
PSYCHOSOMATICS, 2004, 45 (05) :448-449
[9]   Disparate effects of the 1989 Loma Prieta and 1994 Northridge earthquakes on hospital admissions for acute myocardial infarction: Importance of superimposition of triggers [J].
Brown, DL .
AMERICAN HEART JOURNAL, 1999, 137 (05) :830-836
[10]   Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction - Every minute of delay counts [J].
De Luca, G ;
Suryapranata, H ;
Ottervanger, JP ;
Antman, EM .
CIRCULATION, 2004, 109 (10) :1223-1225