{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:46:41Z","timestamp":1790063201060,"version":"4.0.1"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T00:00:00Z","timestamp":1667174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Kawasaki disease (KD) induces coronary arteritis, which causes subsequent coronary aneurysms, and contributes to acute myocardial infarction (AMI). However, the differences regarding real\u2010world treatment selection and mortality between AMI\u2010complicated KD and AMI due to typical atherosclerosis (AMI\u2010non KD) are unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of the present study was to examine the current treatment strategy and prognosis of AMI\u2010complicated KD compared with AMI due to typical atherosclerosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We used data from 2012 to 2019 from a nationwide claim database, the Japanese Registry of All Cardiac and Vascular Diseases\u2014Diagnosis Procedure Combination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared to the AMI\u2010non KD patients (<jats:italic>n<\/jats:italic>\u2009=\u200970,227), the AMI\u2010complicated KD patients (<jats:italic>n<\/jats:italic>\u2009=\u200973): (1) underwent percutaneous coronary intervention (PCI) less often and more coronary artery bypass grafting, intracoronary thrombolysis or intravenous coronary thrombolysis more often; (2) underwent stentless PCI using old balloon angioplasty or rotablator, when they underwent PCI; and (3) needed in\u2010hospital cardiopulmonary resuscitation and intensive mechanical therapy such as intra\u2010aortic balloon pump, percutaneous cardiopulmonary support or a respirator. Both the AMI\u2010non KD and AMI\u2010complicated KD patients had similar in\u2010hospital mortality rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compared with AMI\u2010non KD patients, AMI\u2010complicated KD patients underwent non\u2010PCI strategies such as bypass surgery or thrombolysis, and required intensive therapy with mechanical supports more often, but presented similar in\u2010hospital mortality. When the AMI\u2010complicated KD patients underwent PCI, stentless PCI using balloon angioplasty or rotablator was performed more often compared with the AMI\u2010non KD patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30457","type":"journal-article","created":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T04:44:02Z","timestamp":1667277842000},"page":"1173-1181","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Acute myocardial infarction caused by Kawasaki disease requires more intensive therapy: Insights from the Japanese registry of All Cardiac and Vascular Diseases\u2014Diagnosis Procedure combination"],"prefix":"10.1002","volume":"100","author":[{"given":"Fumiya","family":"Anzai","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Fukushima Medical University  Fukushima 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