Abstract 12677: Current Trend of Acute Myocardial Infarction in Korea: From Korea Acute Myocardial Infarction Registry Between 2006 and 2013
Background: Although the incidence of acute myocardial infarction (AMI) in Korea has been rapidly changed due to westernization of diet, life style and aging of the population, the recent trend of the myocardial infarction have not reported by classification. We investigated recent trends in the incidence and mortality associated with the 2 major types of acute myocardial infarction (AMI)
Methods: We reviewed 36,525 patients registered in Korea Acute Myocardial Infarction Registry (KAMIR) for either ST-segment elevation acute myocardial infarction (STEMI) or non ST-segment elevation acute myocardial infarction (NSTEMI) between 2006 and 2012.
Results: When the rate for AMI were investigated according to year, the incidence rates of STEMI declined markedly from 60.5% in 2006 to 49.7% in 2012 (p<0.001). In contrast to, a gradual increase in the incidence rates of NSTEMI was observed from 39.5% in 2006 to 50.3% in 2012 (p<0.001). As risk factors, diabetes mellitus (24.9%, 32.2% p<0.001), hypertension (46.7%, 55.5% p<0.001) and dyslipidemia (9.9%, 12.9% p<0.001) were much more in NSTEMI. Among medical prescription, the use of beta blocker, angiotensin receptor blocker and statin were increased from 2006 to 2012 in NSTEMI and STEMI. Patients with AMI were more inclined to be increasingly treated by invasive treatments with percutaneous coronary intervention (96.2%, 82.7% p<0.001).
Conclusion: This study demonstrated that trend of myocardial infarction has been changed rapidly in the aspect of risk factors, ratio of STEMI vs. NSTEMI, and therapeutic strategies during recent 7 years in Korea.
Author Disclosures: M. Jeong: None. H. Kook: None. Y. Ahn: None. C. Kim: None. M. Cho: None. Y. Kim: None.
- © 2014 by American Heart Association, Inc.