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Clinical Characteristics and Long-Term Outcomes of Patients with Acute Coronary Syndrome During Travel

Nishio, Ryota ; Ogita, Manabu ; Wada, Hideki ; Nozaki, Yui ; Takahashi, Daigo ; Yasuda, Kentaro ; Takeuchi, Mitsuhiro ; Takahashi, Norihito ; Sonoda, Taketo ; Yatsu, Shoichiro ; Shitara, Jun ; Tsuboi, Shuta ; Dohi, Tomotaka ; Suwa, Satoru ; Miyauchi, Katsumi ; Daida, Hiroyuki

International Heart Journal, 2021/05/29, Vol.62(3), pp.487-492 [Periódico revisado por pares]

Japan: International Heart Journal Association

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  • Título:
    Clinical Characteristics and Long-Term Outcomes of Patients with Acute Coronary Syndrome During Travel
  • Autor: Nishio, Ryota ; Ogita, Manabu ; Wada, Hideki ; Nozaki, Yui ; Takahashi, Daigo ; Yasuda, Kentaro ; Takeuchi, Mitsuhiro ; Takahashi, Norihito ; Sonoda, Taketo ; Yatsu, Shoichiro ; Shitara, Jun ; Tsuboi, Shuta ; Dohi, Tomotaka ; Suwa, Satoru ; Miyauchi, Katsumi ; Daida, Hiroyuki
  • Assuntos: Acute coronary syndromes ; Cardiovascular diseases ; Clinical outcomes ; Death ; Heart ; Myocardial infarction ; Percutaneous coronary intervention ; Travel ; Travelers
  • É parte de: International Heart Journal, 2021/05/29, Vol.62(3), pp.487-492
  • Descrição: Cardiovascular disease is a major cause of death among travelers, but the clinical characteristics and clinical outcomes of patients who develop acute coronary syndrome (ACS) while traveling have not been assessed. We evaluated 2548 patients with ACS who underwent primary percutaneous coronary intervention (PCI) between 1999 and 2015 and compared the incidences of all-cause and cardiac death during follow-up between travelers and locals. We assessed 192 (7.5%) patients who developed ACS while traveling. These patients were younger and had a higher prevalence of ST-elevation myocardial infarction than local patients. During a median follow-up period of 5.3 years, 632 (24.8%) all-cause deaths were identified, including 310 cardiac deaths (12.2%). Kaplan-Meier analysis revealed that the cumulative incidence of all-cause death was significantly lower among the travelers than locals (P = 0.001, log-rank test). Multivariate Cox hazard analysis revealed that travel was significantly associated with a lower rate of all cause death (hazard ratio, 0.53; 95% confidence interval, 0.33-0.80; P = 0.002). Cardiac mortality did not significantly differ between travelers and locals (P = 0.29). Patients with ACS treated with primary PCI while traveling had more favorable long-term clinical outcomes than local patients. Appropriate initial treatments and secondary preventions might improve the prognosis of travelers.
  • Editor: Japan: International Heart Journal Association
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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