1.Current status of acute myocardial infarction in Korea.
Yongcheol KIM ; Youngkeun AHN ; Myeong Chan CHO ; Chong Jin KIM ; Young Jo KIM ; Myung Ho JEONG
The Korean Journal of Internal Medicine 2019;34(1):1-10
Coronary artery disease, especially acute myocardial infarction (AMI), is a leading cause of death in the Asia-Pacific region. The Korea Acute Myocardial Infarction Registry (KAMIR) is the first nationwide, prospective, multicenter registry of Korean patients with AMI. Since the KAMIR first began in November 2005, more than 70,000 patients have been enrolled, and 230 papers have been published (as of October 2018). Moreover, published data from the KAMIR have revealed different characteristics from those of Western AMI registries regarding risk factors, interventional strategies, and clinical outcomes. As a result, the KAMIR study has improved the outcomes of percutaneous coronary intervention and reduced mortality. We propose the use of the KAMIR score in the prediction of 1-year mortality. Using data from the KAMIR, we provide an overview of the current status of AMI in Korea, including trends in demographic characteristics, risk factors, medications, treatment strategies, and clinical outcomes.
Cause of Death
;
Coronary Artery Disease
;
Humans
;
Korea*
;
Mortality
;
Myocardial Infarction*
;
Percutaneous Coronary Intervention
;
Prognosis
;
Prospective Studies
;
Registries
;
Risk Factors
2.Potent P2Y₁₂ Receptor Inhibition in Korean Patients with Acute Myocardial Infarction
Yongcheol KIM ; Thomas W JOHNSON ; Myung Ho JEONG
Korean Circulation Journal 2019;49(12):1199-1200
No abstract available.
Humans
;
Myocardial Infarction
5.Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach
Yongcheol KIM ; Youngkeun AHN ; Inna KIM ; Doo Hwan LEE ; Min Chul KIM ; Doo Sun SIM ; Young Joon HONG ; Ju Han KIM ; Myung Ho JEONG
Korean Circulation Journal 2018;48(12):1120-1130
BACKGROUND AND OBJECTIVES: Feasibility of coronary angiography (CAG) and percutaneous coronary intervention (PCI) via left snuffbox approach is still concerned. We aimed to investigate efficacy and safety of the left snuffbox approach for CAG and PCI. METHODS: Left snuffbox approach was tried in 150 patients who planned to perform CAG or PCI for suspected myocardial ischemia between 1 November 2017 and 31 March 2018. RESULTS: Success rate of radial artery (RA) cannulation via snuffbox approach was 88.0% (n=132). Among 132 individuals, 58 (43.9%) acute coronary syndrome (ACS) patients were included. The diameter of snuffbox RA was significantly smaller than conventional RA (2.57 mm vs. 2.72 mm, p < 0.001) from quantitative computed angiography of 101 patients. However, CAG via snuffbox approach by 6 French sheath was successfully performed in all 132 patients. In addition, there was significant correlation between the snuffbox and conventional RA diameter (r=0.856, p < 0.001). In 42 PCI cases, including 25 patients with acute myocardial infarction (AMI), the success rate of PCI via snuffbox approach was 97.6% (n=41). Intravascular imaging-guided PCI was performed in 8 (19.5%) patients and multi-vessel PCI in 4 (9.8%) cases. Regarding vascular complication, forearm swelling with bruising, not requiring surgery or transfusion, occurred in 2 (4.9%) PCI cases. CONCLUSIONS: Left snuffbox approach is suitable for CAG and PCI compared with the conventional radial approach.
Acute Coronary Syndrome
;
Angiography
;
Catheterization
;
Coronary Angiography
;
Forearm
;
Humans
;
Myocardial Infarction
;
Myocardial Ischemia
;
Percutaneous Coronary Intervention
;
Radial Artery
6.Intravascular Ultrasound-Guided Percutaneous Coronary Intervention with Drug-eluting Stent for Unprotected Left Main Disease via Left Snuffbox Approach
Yongcheol KIM ; Myung Ho JEONG ; Inna KIM ; Min Chul KIM ; Doo Sun SIM ; Young Joon HONG ; Ju Han KIM ; Youngkeun AHN
Korean Circulation Journal 2018;48(6):532-533
No abstract available.
Drug-Eluting Stents
;
Percutaneous Coronary Intervention
7.Feasibility of Coronary Angiography and Percutaneous Coronary Intervention via Left Snuffbox Approach
Yongcheol KIM ; Youngkeun AHN ; Inna KIM ; Doo Hwan LEE ; Min Chul KIM ; Doo Sun SIM ; Young Joon HONG ; Ju Han KIM ; Myung Ho JEONG
Korean Circulation Journal 2018;48(12):1120-1130
BACKGROUND AND OBJECTIVES:
Feasibility of coronary angiography (CAG) and percutaneous coronary intervention (PCI) via left snuffbox approach is still concerned. We aimed to investigate efficacy and safety of the left snuffbox approach for CAG and PCI.
METHODS:
Left snuffbox approach was tried in 150 patients who planned to perform CAG or PCI for suspected myocardial ischemia between 1 November 2017 and 31 March 2018.
RESULTS:
Success rate of radial artery (RA) cannulation via snuffbox approach was 88.0% (n=132). Among 132 individuals, 58 (43.9%) acute coronary syndrome (ACS) patients were included. The diameter of snuffbox RA was significantly smaller than conventional RA (2.57 mm vs. 2.72 mm, p < 0.001) from quantitative computed angiography of 101 patients. However, CAG via snuffbox approach by 6 French sheath was successfully performed in all 132 patients. In addition, there was significant correlation between the snuffbox and conventional RA diameter (r=0.856, p < 0.001). In 42 PCI cases, including 25 patients with acute myocardial infarction (AMI), the success rate of PCI via snuffbox approach was 97.6% (n=41). Intravascular imaging-guided PCI was performed in 8 (19.5%) patients and multi-vessel PCI in 4 (9.8%) cases. Regarding vascular complication, forearm swelling with bruising, not requiring surgery or transfusion, occurred in 2 (4.9%) PCI cases.
CONCLUSIONS
Left snuffbox approach is suitable for CAG and PCI compared with the conventional radial approach.
8.Intravascular Ultrasound-Guided Percutaneous Coronary Intervention with Drug-eluting Stent for Unprotected Left Main Disease via Left Snuffbox Approach
Yongcheol KIM ; Myung Ho JEONG ; Inna KIM ; Min Chul KIM ; Doo Sun SIM ; Young Joon HONG ; Ju Han KIM ; Youngkeun AHN
Korean Circulation Journal 2018;48(6):532-533