A lower eicosapentaenoic acid/arachidonic acid ratio is associated with in-hospital fatal arrhythmic events in patients with acute myocardial infarction: a ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-11-16

AUTHORS

Takuya Hashimoto, Junya Ako, Koichi Nakao, Yukio Ozaki, Kazuo Kimura, Teruo Noguchi, Satoshi Yasuda, Satoru Suwa, Kazuteru Fujimoto, Yasuharu Nakama, Takashi Morita, Wataru Shimizu, Yoshihiko Saito, Atsushi Hirohata, Yasuhiro Morita, Teruo Inoue, Atsunori Okamura, Masaaki Uematsu, Kazuhito Hirata, Kengo Tanabe, Yoshisato Shibata, Mafumi Owa, Kenichi Tsujita, Hiroshi Funayama, Nobuaki Kokubu, Ken Kozuma, Shirou Uemura, Tetsuya Toubaru, Keijirou Saku, Shigeru Ohshima, Michikazu Nakai, Kunihiro Nishimura, Yoshihiro Miyamoto, Hisao Ogawa, Masaharu Ishihara, on behalf of J-MINUET investigators

ABSTRACT

The ratio of serum eicosapentaenoic acid (EPA) to arachidonic acid (AA) is significantly associated with long-term clinical outcomes in patients with acute myocardial infarction (AMI). However, it has not been conclusively demonstrated that higher serum EPA/AA ratio fares better clinical outcomes in the early phase of AMI. The Japanese registry of acute Myocardial INfarction diagnosed by Universal dEfiniTion (J-MINUET) is a prospective multicenter registry conducted in 28 Japanese medical institutions between July 2012 and March 2014. We enrolled 3,283 consecutive AMI patients who were admitted to participating institutions within 48 h of symptom onset. A serum EPA/AA ratio was available for 629 of these patients. The endpoints were in-hospital mortality and major adverse cardiac events (MACE), defined as a composite of all cause death, cardiac failure, ventricular tachycardia (VT) and/or ventricular fibrillation (VF) and bleeding during hospitalization. Although similar rates of in-hospital mortality, cardiac failure, bleeding, and MACE were found in the lower serum EPA/AA group and higher serum EPA/AA group, the incidence of VT/VF during hospitalization was significantly higher in the low ratio group (p = 0.008). Receiver operating characteristic curve analysis showed that an EPA/AA ratio < 0.35 could predict the incidence of VT/VF with 100% sensitivity and 64.0% specificity. A lower serum EPA/AA ratio was associated with a higher frequency of fatal arrhythmic events in the early phase of AMI. More... »

PAGES

481-488

Journal

TITLE

Heart and Vessels

ISSUE

5

VOLUME

33

Author Affiliations

  • Department of Cardiovascular Medicine, Kitasato University School of Medicine, Sagamihara, Japan
  • Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, Kumamoto, Japan
  • Department of Cardiology, Fujita Health University, Toyoake, Japan
  • Cardiovascular Center, Yokohama City University Medical Center, Yokohama, Japan
  • Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Japan
  • Department of Cardiology, Juntendo University Shizuoka Hospital, Izunokuni, Japan
  • Department of Cardiology, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan
  • Department of Cardiology, Hiroshima City Hospital, Hiroshima, Japan
  • Division of Cardiology, Osaka General Medical Center, Osaka, Japan
  • Department of Cardiovascular Medicine, Nippon Medical School, Tokyo, Japan
  • First Department of Internal Medicine, Nara Medical University, Kashihara, Japan
  • Department of Cardiovascular Medicine, The Sakakibara Heart Institute of Okayama, Okayama, Japan
  • Department of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan
  • Department of Cardiovascular Medicine, Dokkyo Medical University, Tochigi, Japan
  • Department of Cardiology, Sakurabashi Watanabe Hospital, Osaka, Japan
  • Cardiovascular Center, Kansai Rosai Hospital, Amagasaki, Japan
  • Department of Cardiology, Okinawa Chubu Hospital, Uruma, Japan
  • Division of Cardiology, Mitsui Memorial Hospital, Tokyo, Japan
  • Department of Cardiology, Miyazaki Medical Association Hospital, Miyazaki, Japan
  • Department of Cardiovascular Medicine, Suwa Red Cross Hospital, Suwa, Japan
  • Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
  • Division of Cardiovascular Medicine, Saitama Medical Center Jichi Medical University, Saitama, Japan
  • Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University, Sapporo, Japan
  • Department of Cardiology, Teikyo University, Tokyo, Japan
  • Department of Cardiology, Kawasaki Medical School, Kurashiki, Japan
  • Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan
  • Department of Cardiology, Fukuoka University School of Medicine, Fukuoka, Japan
  • Department of Cardiology, Gunma Prefectural Cardiovascular Center, Maebashi, Japan
  • Department of Statistics and Data Analysis, Center for Cerebral and Cardiovascular Disease Information, National Cerebral and Cardiovascular Center, Suita, Japan
  • Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
  • Division of Coronary Artery Disease, Hyogo College of Medicine, 1-1 Mukogawa-cho, 663-8501, Nishinomiya, Japan
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00380-017-1084-2

    DOI

    http://dx.doi.org/10.1007/s00380-017-1084-2

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1092708281

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29147787


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