カミシマ　カズホ   神島　一帆    所属   医学部 医学科（東京女子医科大学病院）    職種   助教
言語種別	日本語
発表タイトル	Prognostic impact of cut-off point of age in patients with acute myocardial infarction undergoing primary PCI
会議名	第66回日本心臓病学会学術集会
主催者	日本心臓病学会
学会区分	全国規模の学会
発表形式	口頭
講演区分	一般
発表者・共同発表者	◎重城健太郎, 北川奨悟, 石田一世, 秦武弘, 神島一帆, 嶋崎健介, 野村秀仁, 塩﨑奈津子, 南雄一郎, 鈴木和仁, 齊藤克己, 藤井真也, 萩原誠久
発表年月日	2018/09/07
開催地 （都市, 国名）	大阪市
概要	*一般演題（口演） 09 ／ 虚血性心疾患　１ BACKGROUND:In the recent drug-eluting stent era, young patients suffering acute myocardial infarction (AMI) has been increasing. However, the impact of age on clinical outcomes are still unclear. METHODS: This study included AMI patients undergoing primary PCI in 5 cardiovascular centers between 2011 and 2016. Patients were divided into 5 groups by age increments at 10-year. The primary endpoint was all-cause mortality. RESULTS: During 662 days of median follow-up, over 70-year groups showed significantly higher mortality than younger 3 groups up to 1 year after AMI (Log-rank: p<0.001, Figure). Multivariate analysis revealed that age classification was an independent predictor of all-cause mortality (adjusted HR: 1.83 (95%CI: 1.06-3.15)). CONCLUSIONS:There was an obvious difference of clinical outcomes between under and over 70 years old in AMI patients undergoing primary PCI.