10-Year Temporal Trends of In-Hospital Mortality and Emergency Percutaneous Coronary Intervention for Acute Myocardial Infarction

Figures

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  Figure 1. Age and Killip Class Distribution of AMI Patients (A, B) The temporal trend of age distribution in male and female patients with acute myocardial infarction (AMI), respectively. (C, D) The temporal trend of Killip class distribution in males and females, respectively.

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  Figure 2. Temporal Trends of Emergency PCI, Emergency CAG, and CABG (A to C) The temporal trend of emergency percutaneous coronary intervention (PCI), emergency coronary angiography (CAG), and coronary artery bypass grafting (CABG), respectively. (D) The temporal trends of emergency PCI rates classified by 4 age groups. (E) The temporal trends of emergency PCI rates according to Killip classification. y.o. = years old.

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  Figure 3. Temporal Trends of In-Hospital Mortality (A) The temporal trends of crude and age-adjusted in-hospital mortality (A-1, all; A-2, male; A-3, female). The crude in-hospital mortality showed decreasing trends in the overall, male, and female (all; P < 0.001). The age-adjusted in-hospital mortality also showed decreasing trends in the overall (black), male (blue), and female (red) (all; P < 0.001). (B) The temporal trends of age-specific in-hospital mortality in all (B-1), male (B-2), and female (B-3). (C) The temporal trends of in-hospital mortality classified by Killip class in all (C-1), male (C-2), and female (C-3).

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  Figure 4. Temporal Trends of Time to Treatment in Patients With STEMI (A) The temporal trends of onset-to-first medical contact (FMC) (green line), FMC-to-door (yellow line), door to balloon (D2B) (red line), and FMC-to-balloon time (blue line) in all patients with ST-segment elevation myocardial infarction (STEMI). (B) The time course of treatment in all years. (C, D) The time to treatment and time course according to the Killip classification, respectively. (E to H) The association of in-hospital mortality with D2B and FMC-to-balloon times according to four Killip classes and 4 age groups.

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  Central Illustration. Temporal Trends in In-Hospital Mortality and Emergency Percutaneous Coronary Intervention Rate The crude and age-adjusted in-hospital mortality of acute myocardial infarction (AMI) tended to decrease during the last decade in both sexes. The in-hospital mortality of AMI to high-risk patients such as older and Killip IV significantly decreased over time with the increase of emergency percutaneous coronary intervention (PCI) rate.