Risk Factors for the Complication of Cerebral Infarction in Japanese Patients with Acute Myocardial Infarction

• Published in: Japanese Heart Journal Vol. 30; no. 5; pp. 635 - 643
• Main Authors: NAKAOKA, Takashi, SADA, Toshikatsu, KIRA, Yuji, OKABE, Fujiko, SEKINE, Imao, TAWARA, Ineko, ITO, Takashi
• Format: Journal Article
• Language: English
• Published: Tokyo International Heart Journal Association 1989; Japanese Heart Journal Association
• Subjects: Aged; Aged, 80 and over; Anterior myocardial infarction; Anticoagulants - therapeutic use; Biological and medical sciences; Cardiac pacing; Cardiology. Vascular system; Cerebral Infarction - complications; Cerebral Infarction - epidemiology; Cerebral Infarction - prevention & control; Cerebrovascular Disorders - complications; Chi-Square Distribution; Coronary heart disease; Extensive infarction size; Female; Fibrinolytic Agents - therapeutic use; Heart; Humans; Incidence; Japan - epidemiology; Male; Medical sciences; Middle Aged; Myocardial Infarction - complications; Myocardial Infarction - drug therapy; Myocardial Infarction - pathology; Platelet Aggregation Inhibitors - therapeutic use; Previous cerebrovascular disease; Risk Factors; Thrombolytic Therapy; Warfarin; Japan; Human; Cerebral infarction; Nervous system diseases; Infarct; Asia; Japan; Risk factor; Myocardium; Cardiovascular disease; Coronary heart disease; Epidemiology; Incidence
• ISSN: 0021-4868; 1348-673X
• DOI: 10.1536/ihj.30.635

The incidence and risk factors for cerebral infarction in Japanese patients with acute myocardial infarction were evaluated. Seven (5.0%) of 140 patients with acute myocardial infarction suffered from cerebral infarction during their initial hospitalization. The incidence was slightly higher than those reported in Western countries. Anterior wall myocardial infarction and a past history of cerebrovascular disease were considered to be probable risk factors for the complication. A beneficial effect of anticoagulant therapy in preventing cerebral infarction in cases of acute myocardial infarction with those risk factors is suggested.