PMID- 18583867
OWN - NLM
STAT- MEDLINE
DCOM- 20080918
LR  - 20211020
IS  - 1011-8934 (Print)
IS  - 1598-6357 (Electronic)
IS  - 1011-8934 (Linking)
VI  - 23
IP  - 3
DP  - 2008 Jun
TI  - The impact of initial treatment delay using primary angioplasty on mortality 
      among patients with acute myocardial infarction: from the Korea acute myocardial 
      infarction registry.
PG  - 357-64
LID - 10.3346/jkms.2008.23.3.357 [doi]
AB  - The impact of treatment delays to reperfusion on patient mortality after primary 
      percutaneous coronary intervention (PCI) for ST elevation myocardial infarction 
      (STEMI) is controversial. We analyzed 5,069 patients included in the Korea Acute 
      Myocardial Infarction Registry (KAMIR) between November 2005 and January 2007. We 
      selected 1,416 patients who presented within 12 hr of symptom onset and who were 
      treated with primary PCI. The overall mortality at one month was 4.4%. The 
      medians of door-to-balloon time, symptom onset-to-balloon time, and symptom 
      onset-to-door time were 90 (interquartile range, 65-136), 274 (185-442), and 163 
      min (90-285), respectively. One-month mortality was not increased significantly 
      with any increasing delay in door-to-balloon time (4.3% for < or =90 min, 4.4% 
      for >90 min; p=0.94), symptom onset-to-balloon time (3.9% for < or =240 min, 4.8% 
      for >240 min; p=0.41), and symptom onset-to-door time (3.3% for < or =120 min, 
      5.0% for >120 min; p=0.13). These time variables had no impact on one-month 
      mortality in any subgroup. Thus, this first nationwide registry data in Korea 
      showed a good result of primary PCI, and the patient prognosis may not depend on 
      the initial treatment delay using the current protocols.
FAU - Song, Young Bin
AU  - Song YB
AD  - Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of 
      Medicine, Seoul, Korea.
FAU - Hahn, Joo-Yong
AU  - Hahn JY
FAU - Gwon, Hyeon-Cheol
AU  - Gwon HC
FAU - Kim, Jun Hyung
AU  - Kim JH
FAU - Lee, Sang Hoon
AU  - Lee SH
FAU - Jeong, Myung-Ho
AU  - Jeong MH
CN  - KAMIR investigators
LA  - eng
PT  - Journal Article
PL  - Korea (South)
TA  - J Korean Med Sci
JT  - Journal of Korean medical science
JID - 8703518
SB  - IM
MH  - Aged
MH  - Angioplasty, Balloon, Coronary/*mortality
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Kaplan-Meier Estimate
MH  - Korea/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Multivariate Analysis
MH  - Myocardial Infarction/*mortality/*therapy
MH  - Predictive Value of Tests
MH  - Registries/statistics & numerical data
MH  - Time Factors
PMC - PMC2526512
EDAT- 2008/06/28 09:00
MHDA- 2008/09/19 09:00
PMCR- 2008/06/01
CRDT- 2008/06/28 09:00
PHST- 2008/06/28 09:00 [pubmed]
PHST- 2008/09/19 09:00 [medline]
PHST- 2008/06/28 09:00 [entrez]
PHST- 2008/06/01 00:00 [pmc-release]
AID - 200806357 [pii]
AID - 10.3346/jkms.2008.23.3.357 [doi]
PST - ppublish
SO  - J Korean Med Sci. 2008 Jun;23(3):357-64. doi: 10.3346/jkms.2008.23.3.357.