predictors of long-term outcome in patients with acute coronary syndrome undergoing percutaneous coronary intervention: a single center registry (thcr)
نویسندگان
چکیده
background: this study sought to access differences in long-term (9 months) outcomes between acute coronary syndrome (acs) patients who undergo early intervention compared to percutaneous coronary intervention (pci) in stable and refractory conditions. methods: data originated from tehran heart center registry- interventional cardiology (thcr-ic) and consisted of 1267 patients divided into two categories; 227 patients had features corresponding to acute coronary syndromes (17.9%) and 1040 patients suffered from stable angina (82.1%) . they were admitted between april 3, 2003 and april 25, 2004 . results: the clinical success rate of pci was higher in acs (97% vs. 94%; p=0.037), while in-hospital complications were similar in both groups. during the follow-up period, clinical restenosis was not significantly different and the overall number of re-interventions caused by restenosis or progression was not more frequent in acs patients. also, 1.3% of acs and 0.4% of sa patients died, but the difference was not statistically significant (p=0.16). finally, major adverse cardiac events (mace) showed no significant difference (5.2% vs. 3.9%; p=0.42). multivariate analysis showed that female sex (or=25.6; p=0.003) and previous history of pci (or=8.4; p=0.016) were the only strong independent risk factors for major adverse cardiac events. analyzing acs patient outcomes using mantel-hanzel analysis showed that the female sex was the only factor which strongly increased the incidence of mace. conclusion: both acs and sa patients who underwent coronary intervention had similar in-hospital and composite major adverse cardiac events, nevertheless female gender must be considered as an independent risk factor for major adverse cardiac events especially in patients with acute coronary syndrome who undergo pci.
منابع مشابه
Dynamic changes in purine catabolism in patients with acute coronary syndrome that underwent percutaneous coronary intervention
Background: Cardiovascular diseases are global problems. They are causes of death in about 43% of people worldwide and may become the most widespread reason of death by 2020. The prognosis is directly dependent to immediate diagnosis and on time treatment. Introduction of new biochemical markers as the early diagnosis of complications after coronary revascularization is very important in this p...
متن کاملPredictors of long-term outcome of percutaneous coronary intervention in elderly patients with acute coronary syndrome – a
Master thesis, Programme in Medicine TITLE: Predictors of long-term outcome of percutaneous coronary intervention in elderly patients with acute coronary syndrome – a retrospective analysis AUTHOR, YEAR: Maria Lindh, 2012 INSTITUTION, CITY, COUNTRY: Section of Cardiology, Department of Medicine, Sahlgrenska University Hospital/Östra Hospital, Gothenburg, Sweden BACKGROUND: Elderly patients cons...
متن کاملCurrent practice of percutaneous coronary intervention on patients with acute coronary syndrome in Iran: A prospective observational study
Background: Frequent Percutaneous Coronary Intervention (PCI) procedures are being performed on a daily basis in Iran. However, no study has been reported on the current PCI practice in patients with acute coronary syndrome (ACS) in Iran. We aimed to describe the clinical characteristics and treatment patterns in Iranian ACS patients treated with PCI. Methods: Between February 2017 and July...
متن کاملEvaluation of ejection fraction in patients with acute myocardial infarction undergoing percutaneous coronary intervention
Introduction: Percutaneous coronary intervention (PCI) is a reperfusion strategy to increase life expectancy and ejection fraction (EF) in ST-segment elevation myocardial infarction (STEMI) patients. We investigated the effect of location, severity, type of lesion, number and type of vessel involved and time of angioplasty on the increase in EF in STEMI patients undergoing primary PCI (P-PCI) a...
متن کاملThe Relation of Serum Bilirubin Level with the Severity and Complexity of Coronary Artery Disease and Long-term Outcomes in the Patients Undergoing Primary Percutaneous Coronary Intervention
Background and Aims: Bilirubin has been considered an antioxidant that protects against atherosclerosis. The aim of this study was to evaluate the relationship of serum bilirubin level with the severity and complexity of coronary artery disease (CAD) and long-term outcome in the patients undergoing primary percutaneous coronary intervention (PCI). Materials and Methods: This prospective coho...
متن کاملClopidogrel Resistance and its Impact on Clinical Outcome of Iranian Patients Undergoing Percutaneous Coronary Intervention
The aim of current study was evaluating the frequency of clopidogrel resistance and its impact on clinical outcome of patients in Iranian patients. Patients undergoing percutaneous coronary intervention in Imam Hussein Medical center, Tehran, Iran, who received standard dosage of clopidogrel (Plavix®, Sanofi, France, 600 mg loading dose and 75 mg/day afterward) were recruited. Platelet aggregat...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
the journal of tehran university heart centerجلد ۱، شماره ۳، صفحات ۱۵۵-۱۶۱
کلمات کلیدی
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023