Evidence map›Paper›PMID 42291456›Full record

ArticleEuropean heart journal open2026

Comparative long-term prognosis of acute myocardial infarction and acute aortic dissection in a population-based registry.

Yuichi Sawayama, Akiko Harada, Naoyuki Takashima, Takashi Yamamoto, Yosuke Higo, Kensuke Takabayashi, Wataru Shioyama, Takako Fujii, Sachiko Tanaka-Mizuno, Yoshikuni Kita and 5 more

Abstract read
In one paragraph

Article in European heart journal open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Yuichi SawayamaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga 520-2192, Japan.ORCID https://orcid.org/0000-0002-9409-0056
Akiko HaradaNCD Epidemiology Research Center, Shiga University of Medical Science, Shiga 520-2192, Japan.
Naoyuki TakashimaNCD Epidemiology Research Center, Shiga University of Medical Science, Shiga 520-2192, Japan.
Takashi YamamotoDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga 520-2192, Japan.
Yosuke HigoDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga 520-2192, Japan.
Kensuke TakabayashiDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga 520-2192, Japan.
Wataru ShioyamaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga 520-2192, Japan.
Takako FujiiNCD Epidemiology Research Center, Shiga University of Medical Science, Shiga 520-2192, Japan.
Sachiko Tanaka-MizunoNCD Epidemiology Research Center, Shiga University of Medical Science, Shiga 520-2192, Japan.ORCID https://orcid.org/0000-0003-0671-5376
Yoshikuni KitaNCD Epidemiology Research Center, Shiga University of Medical Science, Shiga 520-2192, Japan.
Katsuyuki MiuraNCD Epidemiology Research Center, Shiga University of Medical Science, Shiga 520-2192, Japan.ORCID https://orcid.org/0000-0002-2646-9582
Kazumichi YoshidaDepartment of Neurosurgery, Shiga University of Medical Science, Shiga 520-2192, Japan.
Kazuhiko NozakiDepartment of Neurosurgery, Shiga University of Medical Science, Shiga 520-2192, Japan.
Tomoaki SuzukiDivision of Cardiovascular Surgery, Shiga University of Medical Science, Shiga 520-2192, Japan.ORCID https://orcid.org/0000-0001-5836-899X
Yoshihisa NakagawaDepartment of Cardiovascular Medicine, Shiga University of Medical Science, Shiga 520-2192, Japan.ORCID https://orcid.org/0000-0002-9411-9314

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Acute myocardial infarction (AMI) and acute aortic dissection (AAD) are major cardiovascular emergencies with high mortality; however, their long-term prognoses have rarely been directly compared within the same population. Understanding differences in real-world outcomes between these conditions is important for patient informing and evaluation of cardiovascular care. Methods and results: We analysed 1923 patients enrolled in the Shiga Stroke and Heart Attack Registry, a population-based registry covering an entire Shiga Prefecture in Japan, who developed AMI or AAD between 2014 and 2015. The primary outcome was all-cause death, and the secondary outcome was cardiovascular death during 5-year follow-up. Hazard ratios (HRs) were estimated using multivariable Cox models adjusted for age and sex. Landmark analyses beyond 30 days evaluated outcomes among early survivors. Of the total cohort, 1550 were AMI [ST-elevation myocardial infarction (MI): Conclusion: In this population-based study in Japan, AAD was associated with worse 5-year survival than AMI. Among acute-phase survivors, long-term cardiovascular outcomes were comparable.

Indexed as

Acute aortic dissectionAcute myocardial infarctionMortality

Identifiers

PMID42291456
PMCPMC13256082

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.