Tsuyoshi Shiga    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Visiting Professor
Language	English
Title	Body Mass Index and Sudden Cardiac Death in Japanese Patients with Acute Myocardial Infarction: Data from JCAD and HIJAMI II
Conference	The 81st Annual Scientific Meeting of the Japanese Circulation Society (JCS2017)
Promoters	Japanese Circulation Society
Conference Type	Nationwide Conferences
Presentation Type	Speech
Publisher and common publisher	◎SHIGA Tsuyoshi, KOHRO Takahide, YAMASAKI Hiro, OGAWA Hiroshi, AONUMA Kazutaka, HAGIWARA Nobuhisa, YAMAZAKI Tsutomu, NAGAI Ryozo, KASANUKI Hiroshi
Date	2017/03/17
Venue (city and name of the country)	Kanazawa, JAPAN
Society abstract	PROGRAM JCS 2017 203
Summary	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