Clinical characteristics and mid-term outcomes of acute myocardial infarction patients with prior cerebrovascular disease in an Asian population: Lessons from the Korea Acute Myocardial Infarction Registry.

摘要: Summary 1. The aim of the present study was to evaluated impact prior cerebrovascular disease (CVD) on clinical characteristics and mid-term outcomes patients with acute myocardial infarction (AMI) in era drug-eluting stents. 2. Data from 12 914 who were enrolled Korea Acute Myocardial Infarction Registry analysed retrospectively November 2005 December 2007. Prior CVD defined as having had one or more events ischaemic haemorrhagic stroke a transient attack. 3. Of reviewed, 906 (7.0%) found have CVD. Patients older, likely be women hypertension diabetes than those without presented often non-ST-segment elevation higher Killip class Furthermore, received less percutaneous coronary intervention (PCI) thrombolysis compared Although intensive medical therapy equal both groups, at 8 months showed that incidence cardiac death (adjusted odds ratio (OR) 1.42; 95% confidence interval (CI) 1.14–1.76; P = 0.002) total OR 1.50; CI 1.25–1.81; P < 0.001) CVD. 4. In conclusion, worse admission receive PCI Given poorer outcomes, aggressive management shouldis recommended for improve their long-term outcome.