Circulation Journal最新文献_第8页

Chain of Survival　- Important Role of General Citizens as Lay Rescuers. 生存链——普通公民作为外行救援者的重要作用。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-07-25 Epub Date: 2023-11-21 DOI: 10.1253/circj.CJ-23-0727

Yasuharu Matsunaga-Lee

引用次数: 0

Reducing Time to Optimal Treatment, Not Just Time to Hospital Arrival. 缩短最佳治疗时间，而不仅仅是到达医院的时间。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-07-25 Epub Date: 2023-10-07 DOI: 10.1253/circj.CJ-23-0660

Yasushi Matsuzawa, Kazuo Kimura, Kenichi Tsujita

引用次数: 0

Clinical Practice for Acute Heart Failure in Japan From the Nationwide Registry. 从全国登记册看日本急性心力衰竭的临床实践。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-07-25 Epub Date: 2023-12-16 DOI: 10.1253/circj.CJ-23-0815

Aya Hirata, Takumi Hirata

引用次数: 0

Who Moved the Left Ventricular Hypertrophy? Dynamic Changes Due to Fluctuation in Volume Overload. 谁动了左心室肥大？容量超载波动引起的动态变化。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-07-25 Epub Date: 2024-06-15 DOI: 10.1253/circj.CJ-24-0109

Juri Kawaguchi, Toru Kubo, Yuri Ochi, Yuichi Baba, Naohito Yamasaki, Yujiro Miura, Kohei Kawazoe, Hiroaki Kitaoka

引用次数: 0

Volume-Outcome Relationships for Intra-Aortic Balloon Pump in Acute Myocardial Infarction. 急性心肌梗死主动脉内球囊泵的容积-收入关系。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-07-25 Epub Date: 2024-06-27 DOI: 10.1253/circj.CJ-24-0286

Yuichi Saito, Kazuya Tateishi, Masato Kanda, Yuki Shiko, Yohei Kawasaki, Yoshio Kobayashi, Takahiro Inoue

{"title":"Volume-Outcome Relationships for Intra-Aortic Balloon Pump in Acute Myocardial Infarction.","authors":"Yuichi Saito, Kazuya Tateishi, Masato Kanda, Yuki Shiko, Yohei Kawasaki, Yoshio Kobayashi, Takahiro Inoue","doi":"10.1253/circj.CJ-24-0286","DOIUrl":"10.1253/circj.CJ-24-0286","url":null,"abstract":"Background: Acute myocardial infarction (AMI) is a major scenario for the use of an intra-aortic balloon pump (IABP), particularly when complicated by cardiogenic shock, although the utilization of mechanical circulatory support devices varies widely per hospital. We evaluated the relationship, at the hospital level, between the volume of IABP use and mortality in AMI.Methods and results: Using a Japanese nationwide administrative database, 26,490 patients with AMI undergoing primary percutaneous coronary intervention (PCI) from 154 hospitals were included in this study. The primary endpoint was the observed-to-predicted in-hospital mortality ratio. Predicted mortality per patient was calculated using baseline variables and averaged for each hospital. The associations among PCI volume for AMI, observed and predicted in-hospital mortality, and observed and predicted IABP use were assessed per hospital. Of 26,490 patients, 2,959 (11.2%) were treated with IABP and 1,283 (4.8%) died during hospitalization. The annualized number of uses of IABP per hospital in AMI was 4.5. In lower-volume primary PCI centers, IABP was more likely to be underused than expected, and the observed-to-predicted in-hospital mortality ratio was higher than in higher-volume centers.Conclusions: A lower annual number of IABP use was associated with an increased mortality risk at the hospital level, suggesting that IABP use can be an institutional quality indicator in the setting of AMI.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sex Differences in Process-of-Care and In-Hospital Prognosis Among Elderly Patients Hospitalized With Acute Myocardial Infarction. 老年急性心肌梗死患者在护理过程和住院预后方面的性别差异。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-07-25 Epub Date: 2023-10-05 DOI: 10.1253/circj.CJ-23-0543

Akira Shikuma, Masahiro Nishi, Satoaki Matoba

{"title":"Sex Differences in Process-of-Care and In-Hospital Prognosis Among Elderly Patients Hospitalized With Acute Myocardial Infarction.","authors":"Akira Shikuma, Masahiro Nishi, Satoaki Matoba","doi":"10.1253/circj.CJ-23-0543","DOIUrl":"10.1253/circj.CJ-23-0543","url":null,"abstract":"Background: Limited studies have demonstrated sex differences in the clinical outcomes and quality of care among elderly patients hospitalized with acute myocardial infarction (AMI).Methods and results: Using nationwide cardiovascular registry data collected in Japan between 2012 and 2019, we enrolled patients aged ≥45 years. The 30-day and all in-hospital mortality rates, as well as process-of-care measures, were assessed, and mixed-effects logistic regression analysis was performed. A total 254,608 patients were included and stratified into 3 age groups: middle-aged, old and oldest old. The 30-day mortality rates for females and males were as follows: 3.0% vs. 2.7%, with an adjusted odds ratio (OR) of 1.17 (95% confidence interval (CI): 1.01-1.36, P=0.030) in middle-aged patients; 7.2% vs. 5.8%, with an OR of 1.14 (95% CI: 1.09-1.21, P<0.001) in old patients; and 19.6% vs. 15.5% with an OR of 1.17 (95% CI: 1.09-1.26, P<0.001) in the oldest old patients. Moreover, significantly higher numbers of female AMI patients across all age groups died in hospital, as well as having fewer invasive procedures and cardiovascular prescriptions, compared with their male counterparts.Conclusions: This nationwide cohort study revealed that female middle-aged and elderly patients experienced suboptimal quality of care and poorer in-hospital outcomes following AMI, compared with their male counterparts, highlighting the need for more effective management in consideration of sex-specific factors.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41162081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Just Because the Acute Myocardial Infarction Patient Is Simply Elderly, or Is There Something Else?　- We Need to Acknowledge Sex Differences. 仅仅因为急性心肌梗死患者是老年人，还是有其他原因?——我们需要承认性别差异。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-07-25 Epub Date: 2023-11-11 DOI: 10.1253/circj.CJ-23-0755

Tomonori Itoh

引用次数: 0

Attitude of Emergency Medical Technicians Toward Electrocardiogram　- Needs of Electrocardiogram Training Courses and Other Learning Opportunities. 急诊医疗技术人员对心电图的态度--心电图培训课程和其他学习机会的需求。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-07-25 Epub Date: 2023-09-12 DOI: 10.1253/circj.CJ-23-0469

Makoto Yokoyama, Keita Iyama, Tomoharu Honda, Kenichiro Maekawa, Kensho Baba, Ryohei Akashi, Koichi Hayakawa, Koji Maemura, Osamu Tasaki

{"title":"Attitude of Emergency Medical Technicians Toward Electrocardiogram　- Needs of Electrocardiogram Training Courses and Other Learning Opportunities.","authors":"Makoto Yokoyama, Keita Iyama, Tomoharu Honda, Kenichiro Maekawa, Kensho Baba, Ryohei Akashi, Koichi Hayakawa, Koji Maemura, Osamu Tasaki","doi":"10.1253/circj.CJ-23-0469","DOIUrl":"10.1253/circj.CJ-23-0469","url":null,"abstract":"Background: Early intervention in prehospital settings is important for treating patients with acute coronary syndrome (ACS). Emergency medical technicians (EMTs) are the essential first responders who treat these patients, and their current attitudes towards electrocardiograms (ECGs) have not been identified. This study investigated the awareness of EMTs of ECGs to shorten hospital arrival time, improving patient prognosis.Methods and results: An anonymous questionnaire survey, with 27 statements about ECG and ACS response, was administered to 395 EMTs. The statements were related to interest, motivation, learning status, confidence, and norms pertaining to ECGs, a sense of perceived behavioral control, and training courses. The primary outcome was the perception of EMTs that their interpretation of an ECG affected patient prognosis (Statement [S] 1). Participants assigned scores for each statement using a scale ranging from 1 (strongly disagree) to 10 (strongly agree). The mean score for S1 was 7.09. Mean scores for statements regarding confidence and learning status were 3.96 and 3.53, respectively. The participants had a positive impression of training courses (score >5.5).Conclusions: The EMTs experience was that their interpretation of an ECG could affect the prognosis of patients with ACS. Conversely, they lacked confidence reading ECGs, but were willing to attend ECG training courses. Therefore, efficient training programs need to be established to achieve a better prognosis for ACS patients.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10229451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Usefulness of Prehospital 12-Lead Electrocardiography System in ST-Segment Elevation Myocardial Infarction Patients in Oita　- Comparison Between Urban and Rural Areas, Weekday Daytime and Weekday Nighttime/Holidays. 大分县 ST 段抬高型心肌梗死患者院前 12 导联心电图系统的实用性 - 城市与农村地区、平日白天与平日夜间/节假日的比较。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-07-25 Epub Date: 2023-08-22 DOI: 10.1253/circj.CJ-23-0365

Kunio Yufu, Tsuyoshi Shimomura, Kyoko Kawano, Hiroki Sato, Keisuke Yonezu, Shotaro Saito, Hidekazu Kondo, Akira Fukui, Hidefumi Akioka, Tetsuji Shinohara, Yasushi Teshima, Ryuzo Abe, Naohiko Takahashi

{"title":"Usefulness of Prehospital 12-Lead Electrocardiography System in ST-Segment Elevation Myocardial Infarction Patients in Oita　- Comparison Between Urban and Rural Areas, Weekday Daytime and Weekday Nighttime/Holidays.","authors":"Kunio Yufu, Tsuyoshi Shimomura, Kyoko Kawano, Hiroki Sato, Keisuke Yonezu, Shotaro Saito, Hidekazu Kondo, Akira Fukui, Hidefumi Akioka, Tetsuji Shinohara, Yasushi Teshima, Ryuzo Abe, Naohiko Takahashi","doi":"10.1253/circj.CJ-23-0365","DOIUrl":"10.1253/circj.CJ-23-0365","url":null,"abstract":"Background: We have reported that a prehospital 12-lead electrocardiography system (P-ECG) contributed to transport of suspected acute coronary syndrome (ACS) patients to appropriate institutes and in this study, we compared its usefulness between urban and rural areas, and between weekday daytime and weekday nighttime/holiday.Methods and results: Consecutive STEMI patients who underwent successful primary percutaneous coronary intervention after using P-ECG were assigned to the P-ECG group (n=123; 29 female, 70±13 years), and comparable STEMI patients without using P-ECG were assigned to the conventional group (n=117; 33 females, mean age 70±13 years). There was no significant difference in door-to-reperfusion times between the rural and urban cases (70±32 vs. 69±29 min, P=0.73). Door-to-reperfusion times in the urban P-ECG group were shorter than those in the urban conventional group for weekday nighttime/holiday (65±21 vs. 83±32 min, P=0.0005). However, there was no significance different between groups for weekday daytime. First medical contact to reperfusion time (90±22 vs. 105±37 min, P=0.0091) in the urban P-ECG group were significantly shorter than in the urban conventional groups for weekday nighttime/holiday, but were not significantly different between the groups for weekday daytime.Conclusions: P-ECG is useful even in urban areas, especially for patients who develop STEMI during weekday nighttime or while on a holiday.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10061966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management and Outcomes of Acute Heart Failure Hospitalizations in Japan. 日本急性心力衰竭住院治疗的管理和结果。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-07-25 Epub Date: 2023-10-27 DOI: 10.1253/circj.CJ-23-0350

Koshiro Kanaoka, Yoshitaka Iwanaga, Yoko Sumita, Michikazu Nakai, Yoshihiro Miyamoto

{"title":"Management and Outcomes of Acute Heart Failure Hospitalizations in Japan.","authors":"Koshiro Kanaoka, Yoshitaka Iwanaga, Yoko Sumita, Michikazu Nakai, Yoshihiro Miyamoto","doi":"10.1253/circj.CJ-23-0350","DOIUrl":"10.1253/circj.CJ-23-0350","url":null,"abstract":"Background: Heart failure (HF) is a global burden on healthcare systems, but the literature regarding nationwide trends in the care and outcomes of HF hospitalization in Japan is limited. Therefore, we aimed to investigate the trends in patient characteristics, treatment patterns, and outcomes of patients hospitalized with acute HF.Methods and results: We used data from the Japanese Registry of All Cardiac and Vascular Diseases and the Diagnosis Procedure Combination database between April 2012 and March 2021 to analyze 840,357 patients aged ≥18 years who were hospitalized with an acute HF diagnosis. Over the study period (2012-2020), the mean (±standard deviation) age increased from 78.9 (±11.9) years to 80.9 (±11.8) years (P for trend <0.001), the proportion of female patients decreased from 48.7% to 47.5% (P for trend=0.02), crude in-hospital mortality rate decreased from 11.5% to 10.9%, and 30-day HF readmissions decreased from 7.4% to 7.0% (both P for trend <0.001). The reduction in outcomes was more apparent in the older age groups. The standardized outcomes demonstrated the same trends as the crude outcomes.Conclusions: Our nationwide hospital admission analysis clarified that patients hospitalized with acute HF were getting older, but mortality and readmission rates also decreased, especially in older patients during the 2010s.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0