Cardiovascular event rates in patients with cerebrovascular disease and atherothrombosis at other vascular locations: results from 1-year outcomes in the Japanese REACH Registry.
Uchiyama S,
Goto S,
Matsumoto M,
Nagai R,
Origasa H,
Yamazaki T,
Shigematsu H,
Shimada K,
Yamada N,
Bhatt DL,
Steg PG,
Ikeda Y;
REduction of Atherothrombosis for Continued Health Registry Investigators.
Yoshioka N, Shiiya N, Azuma N, Takeuchi T, Takenaka T, Nishimura H, Kimura T, Ogawa Y, Moriyama H, Nakagawara J, Izumi Y, Tsubokura T, Yokota H, Nakamura Y, Sato R, Taniguchi S, Ogawa A, Satoh J, Chida K, Yamaguchi K, Taguchi S, Ishihara H, Sato A, Hisanaga K, Konno H, Uenohara H, Suzuki A, Hirono O, Tobita M, Tominaga M, Sano R, Watanabe K, Ishibashi T, Watanabe T, Miyazaki Y, Takeyasu N, Taguchi S, Sonobe M, Kaneko K, Eki Y, Matsushima T, Ishibashi S, Takekawa H, Ishihara M, Nakayama S, Mori Y, Seki T, Miyakawa Y, Sawamura M, Hoshino J, Hosoi T, Inoue I, Narimiya M, Yokota H, Onodera T, Suzuki M, Shigeyama T, Maruyama T, Ishimaru Y, Iijima T, Suzuki M, Senda T, Uematsu D, Negishi T, Kobayashi Y, Bujo H, Ishige N, Yamada Z, Nakazato T, Hamamoto M, Furuya T, Sato S, Sekiya T, Tadokoro N, Higaki S, Teramoto T, Hoshino H, Nakagami T, Koyama K, Osumi K, Nakamura Y, Suzuki S, Komachi H, Segawa K, Yamagata H, Ikenouchi H, Aoyagi T, Hara K, Degawa T, Nagao T, Iwase T, Kitamura K, Yasuoka S, Tanzawa T, Ishii Y, Itakura H, Motokawa K, Murahashi M, Kihara M, Katoh H, Iikuni K, Memezawa H, Ozaki H, Yamano M, Hattori A, Fujimori H, Yamashita I, Tashiro H, Kobayashi H, Kobayashi H, Ozawa H, Takizawa S, Goto S, Takemoto Y, Ujihara M, Higashidate M, Maruyama K, Suwa T, Tsukahara K, Kato K, Yamamoto M, Imai T, Yoshioka K, Shibazaki Y, Akiyama H, Yokoyama N, Sairenji H, Mori H, Inazu T, Kawaguchi T, Nakajima T, Kubo M, Yamatani K, Masuda R, Matsubara J, Koizumi J, Endo M, Nakamura Y, Yokochi H, Doniwa K, Iwaki N, Takeda Y, Kobayashi Y, Kanemaru Y, Tsutsui H, Takei M, Nitta M, Nishigaki K, Yoshimura S, Mori N, Umemoto T, Shida M, Kuzuya M, Kobayashi M, Ohta T, Okuda S, Niinomi M, Kitano T, Yamaguchi K, Ogawa T, Nakatsuka M, Kamiya H, Miyatani K, Miyai H, Nakamura A, Matsuyama H, Kinoshita A, Adachi M, Nitta M, Araki R, Shintani U, Okamoto S, Nakamura M, Nishikawa H, Higashi Y, Ono N, Kashiwagi A, Nakamura T, Yamada T, Kawabata T, Tsukahara T, Harada Y, Makino M, Yamamoto Y, Kida Y, Oiwa K, Kitamura H, Hayashi M, Katsume H, Tatsuoka Y, Hanafusa T, Sato H, Kitagawa K, Yamazaki Y, Koretsune Y, Todo R, Fujimura H, Ueda H, Watarai T, Fukunaga R, Nakamura M, Yokotani T, Takata T, Okada K, Hirata K, Awano K, Kohara N, Sakamoto S, Handa N, Yonezawa Y, Onishi T, Wasada K, Yokoyama S, Nanjo K, Okamoto Y, Hanabusa T, Tada M, Ohagi S, Morimoto K, Hisatome I, Matsuura Y, Yamaguchi S, Kobayashi K, Okada K, Sugiura H, Tabuchi A, Fujimoto Y, Manabe Y, Hida K, Ochi Y, Sakai K, Ashiba A, Nakatou T, Morita I, Yamanari H, Fujita M, Kohriyama T, Okada K, Kawamoto T, Yamada A, Kuroki K, Kajikawa Y, Yanagihara K, Koide J, Noda K, Uchida N, Yamane K, Ishida K, Haruta S, Egusa G, Okubo M, Matsumura M, Matsubara S, Suzuki M, Fujii T, Yamashita K, Otani N, Shiraki T, Wakuta Y, Nagamitsu T, Kitagawa T, Uno M, Oishi Y, Hondo H, Hosomi N, Tomohiro A, Shinohara H, Iwamoto M, Yasugi T, Murao S, Hiratani K, Wada Y, Kitaoka H, Matsuda M, Shinno K, Jinnouchi Y, Yamasaki M, Hamada T, Fukuda Y, Yoshimura K, Ibayashi S, Onohara T, Adachi H, Tsuchihashi T, Ogo A, Okada Y, Nakane H, Mii S, Tajiri Y, Yamada T, Fukuda A, Yamasaki K, Hirano K, Hayashi Y, Kunisaki M, Shimada I, Ishida S, Suyama K, Nakahara K, Kimura H, Abe K, Yamaguchi T, Kunitomo R, Higashi K, Fujimoto K, Takita T, Yoshimura R, Ebihara K, Imamura S, Yi S, Tashima K, Tanaka K, Fujio N, Mitsuo K, Tenda K, Sugisaki K, Goto K, Abe N, Shiomi K, Date H, Matsuo T, Yokota N, Anami Y, Noda H, Toshimori H, Matsuoka T, Hamada R, Yamashita M, Imamura M, Ojiro M, Mukai T, Yutsudo T, Kaieda H, Kawahara K, Kuniyoshi Y, Nakada Y.
Source
Department of Neurology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan. suchiyam@nij.twmu.ac.jp
Abstract
The REduction of Atherothrombosis for Continued Health (REACH) Registry is a large, international, prospective cohort of patients with atherothrombosis or multiple (>or=3) risk factors (MRFs) for atherothrombosis. Japanese patients (n=5193) were enrolled into the REACH registry between August and December 2004. One-year event rate in patients with cerebrovascular disease (CVD) was compared with that of patients with symptomatic atherothrombosis at other locations. After one year (n=5021), patients with CVD (n=1962) experienced a higher rate of non-fatal strokes than patients with coronary artery disease (CAD), peripheral artery disease (PAD) or MRFs alone (2.77% vs. 1.28%, 2.07% and 1.56%, respectively), but a lower rate of non-fatal myocardial infarction (0.45% vs. 1.31%, 0.77% and 0.66%, respectively). Patients with CVD plus disease in >or=1 other vascular bed had higher rates of cardiovascular events than patients with CVD alone. Overall, event rates including non-fatal stroke, non-fatal myocardial infarction and cardiovascular death were higher for patients with CVD and PAD than for patients with CVD and CAD. Asymptomatic carotid stenosis >or=70% and ankle-brachial index <0.9 were significant predisposing factors for stroke. Patients with CVD and co-existing atherothrombotic diseases had a high risk of recurrent events, including events arising in other vascular beds than originally diagnosed.
- PMID:
- 19815240
- [PubMed - indexed for MEDLINE]
-
Publication Types
MeSH Terms
Full Text Sources
Other Literature Sources
Medical