- 著者
-
Taro Takeuchi
Shumpei Kosugi
Yasunori Ueda
Kuniyasu Ikeoka
Haruya Yamane
Kohtaro Takayasu
Takuya Ohashi
Takashi Fukushima
Kohei Horiuchi
Takashi Iehara
Mai Sakamoto
Kazuho Ukai
Shinya Minami
Yuuki Mizumori
Naoya Muraoka
Masayuki Nakamura
Tatsuhisa Ozaki
Tsuyoshi Mishima
Haruhiko Abe
Koichi Inoue
Yasushi Matsumura
- 出版者
- The Japanese Circulation Society
- 雑誌
- Circulation Journal (ISSN:13469843)
- 巻号頁・発行日
- pp.CJ-22-0838, (Released:2023-04-12)
- 参考文献数
- 35
- 被引用文献数
-
1
Background: It remains controversial whether a cancer history increases the risk of cardiovascular (CV) events among patients with myocardial infarction (MI) who undergo revascularization.Methods and Results: Patients who were confirmed as type 1 acute MI (AMI) by coronary angiography were retrospectively analyzed. Patients who died in hospital or those not undergoing revascularization were excluded. Patients with a cancer history were compared with those without it. A cancer history was examined in the in-hospital cancer registry. The primary outcome was a composite of cardiac death, recurrent type 1 MI, post-discharge coronary revascularization, heart failure hospitalization, and stroke. Among 551 AMI patients, 55 had a cancer history (cancer group) and 496 did not (non-cancer group). Cox proportional hazards model revealed that the risk of composite endpoint was significantly higher in the cancer group than in the non-cancer group (adjusted hazard ratio [HR]: 1.78; 95% confidence interval [CI]: 1.13–2.82). Among the cancer group, patients who were diagnosed as AMI within 6 months after the cancer diagnosis had a higher risk of the composite endpoint than those who were diagnosed as AMI 6 months or later after the cancer diagnosis (adjusted HR: 5.43; 95% CI: 1.55–19.07).Conclusions: A cancer history increased the risk of CV events after discharge among AMI patients after revascularization.