シガ ツヨシ   Tsuyoshi Shiga
  志賀 剛
   所属   医学部 医学科(東京女子医科大学病院)
   職種   客員教授
言語種別 英語
発表タイトル Body Mass Index and Sudden Cardiac Death in Japanese Patients with Acute Myocardial Infarction: Data from JCAD and HIJAMI II
会議名 The 81st Annual Scientific Meeting of the Japanese Circulation Society (JCS2017)
主催者 Japanese Circulation Society
学会区分 全国規模の学会
発表形式 口頭
発表者・共同発表者◎SHIGA Tsuyoshi, KOHRO Takahide, YAMASAKI Hiro, OGAWA Hiroshi, AONUMA Kazutaka, HAGIWARA Nobuhisa, YAMAZAKI Tsutomu, NAGAI Ryozo, KASANUKI Hiroshi
発表年月日 2017/03/17
開催地
(都市, 国名)
Kanazawa, JAPAN
学会抄録 PROGRAM JCS 2017 203
概要 Obesity paradox exists in patients with acute myocardial infarction (AMI). Previous reports showed that higher body mass index (BMI) is associated with lower mortality in AMI patients. However, recent communities study reported that obesity is associated with increased risk of sudden cardiac death (SCD). In the cohorts of East Asians, a U-shaped association was observed between BMI and the risk of cardiovascular death. The aim of this study was to evaluate the relation of BMI to all-cause death and SCD in Japanese AMI patients remains unknown. We examined the effect of BMI on mortality in Japanese AMI survivors from a pooled database from JCAD study and HIJAMI II registry. We hypothesised that risk of SCD would be directly and independently associated with BMI. Patients (n=6,174) were categorized into BMI groups at baseline; BMI <20.0 kg/m2 (n=784), BMI 20.0 to 27.4 kg/m2 (n=4,716), and BMI ≥ 27.5 kg/m2 (n=674). Outcomes, SCD or all-cause mortality, were stratified by baseline BMI