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Current status of acute myocardial infarction in Korea

Yongcheol Kim1, Youngkeun Ahn1, Myeong Chan Cho2

  • 1Departemt of Cardiology, Chonnam National University Hospital, Gwangju, Korea.

The Korean Journal of Internal Medicine
|January 8, 2019
PubMed

Insights

The Korea Acute Myocardial Infarction Registry (KAMIR) tracks acute myocardial infarction (AMI) in Korea. KAMIR data aids in predicting 1-year mortality and improving patient outcomes.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Coronary artery disease, particularly acute myocardial infarction (AMI), is a major cause of mortality in the Asia-Pacific region.
  • The Korea Acute Myocardial Infarction Registry (KAMIR) is the first national prospective registry for Korean AMI patients, established in 2005.
  • KAMIR has enrolled over 70,000 patients and generated substantial data, leading to over 230 publications.

Purpose of the Study:

  • To provide a comprehensive overview of the current status of AMI in Korea.
  • To analyze trends in demographic characteristics, risk factors, medications, treatment strategies, and clinical outcomes.
  • To propose and validate the KAMIR score for predicting 1-year mortality in AMI patients.

Main Methods:

  • Prospective, multicenter data collection from Korean AMI patients via the KAMIR.
  • Analysis of demographic data, risk factors, treatment modalities (including percutaneous coronary intervention), and clinical outcomes.
  • Development and validation of a predictive score (KAMIR score) for 1-year mortality.

Main Results:

  • KAMIR data reveals distinct characteristics of AMI in Korea compared to Western registries.
  • Published KAMIR data has contributed to improved outcomes in percutaneous coronary intervention and reduced mortality rates.
  • The registry provides insights into trends in AMI patient profiles and management in Korea.

Conclusions:

  • The KAMIR is a vital resource for understanding and managing AMI in Korea.
  • The KAMIR score shows promise for predicting 1-year mortality in AMI patients.
  • Data from KAMIR has significantly advanced the understanding and treatment of AMI, leading to better patient outcomes.

Keywords:
MortalityMyocardial infarctionPercutaneous coronary interventionPrognosisRisk factors

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