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KMID : 0338420220370040777
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The Korean Journal of Internal Medicine
2022 Volume.37 No. 4 p.777 ~ p.785
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Predictors of recurrent acute myocardial infarction despite successful percutaneous coronary intervention
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Lee Sang-Hun
Jeong Myung-Ho
Ahn Joon-Ho
Hyun Dae-Young
Cho Kyung-Hoon
Kim Min-Chul
Sim Doo-Sun
Hong Young-Joon
Kim Ju-Han
Ahn Young-Keun
Hwang Jin-Yong
Kim Weon
Park Jong-Seon
Yoon Chang-Hwan
Hur Seung-Ho
Lee Sang-Rok
Cha Kwang-Soo
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Abstract
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Background/Aims: Recurrent acute myocardial infarction (AMI) is an adverse cardiac event in patients with a first AMI. The predictors of recurrent AMI after the first AMI in patients who underwent successful percutaneous coronary intervention (PCI) have not been elucidated.
Methods: We analyzed the data collected from 9,869 patients (63.2 ± 12.4 years, men:women = 7,446:2,423) who were enrolled in the Korea Acute Myocardial Infarction Registry-National Institute of Health between November 2011 and October 2015, had suffered their first AMI and had received successful PCI during the index hospitalization. Multivariable logistic regression analysis was performed to identify the independent predictors of recurrent AMI following the first AMI.
Results: The cumulative incidence of recurrent AMI after successful PCI was 3.6% (359/9,869). According to the multivariable logistic regression analysis, the significant predictive factors for recurrent AMI were diabetes mellitus, renal dysfunction, atypical chest pain, and multivessel disease.
Conclusions: In this Korean prospective cohort study, the independent predictors of recurrent AMI after successful PCI for the first AMI were diabetes mellitus, renal dysfunction, atypical chest pain, and multivessel disease.
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KEYWORD
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Myocardial infarction, Percutaneous coronary intervention, Risk factors
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