Prognostic Significance of Central Pulse Pressure for Mortality in Patients With Coronary Artery Disease Receiving Repeated Percutaneous Coronary Intervention
| Autor: | Mao-Jen Lin, Chung-Sheng Lin, Chun Yu Chen, Han-Ping Wu, Hau-De Lin |
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| Rok vydání: | 2016 |
| Předmět: |
Blood Glucose
Male medicine.medical_specialty medicine.medical_treatment Myocardial Infarction Observational Study Blood Pressure Coronary Artery Disease Kaplan-Meier Estimate 030204 cardiovascular system & hematology Severity of Illness Index Coronary artery disease 03 medical and health sciences 0302 clinical medicine Percutaneous Coronary Intervention Sex Factors Risk Factors Severity of illness medicine Humans 030212 general & internal medicine cardiovascular diseases Prospective Studies Prospective cohort study Aged business.industry Percutaneous coronary intervention Cardiovascular Agents General Medicine Middle Aged medicine.disease Prognosis Lipids Pulse pressure Surgery Blood pressure medicine.anatomical_structure surgical procedures operative Logistic Models Conventional PCI Female business Artery Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Coronary artery disease (CAD) is a life-threatening medical emergency which needs urgent medical attention. Percutaneous coronary intervention (PCI) is common and necessary for patients with CAD, but it has not completely evaluated in cases with repeated PCI. Therefore, the aim of this study was to examine the risk factors and prognosis in patients with CAD requiring repeated PCI. This is a prospective observational study. A total of 1126 patients with CAD requiring PCI took part in this study. Clinical parameters including baseline characteristics, hemodynamic data, location of vascular lesions, SYNTAX score, left ventricular ejection fraction, central pulse pressure (CPP), central aortic systolic pressure (CSP), risk factors, and invasive strategies were analyzed to identify the risk factors for patients requiring repeated PCI. We further analyzed the prognosis, including risk for myocardial infarction (MI), cardiovascular (CV) mortality, and all-cause mortality, in patients with repeated PCI. Among patients with PCI, 276 received repeated PCI. Patients in the repeated PCI group had a higher CPP (66.7 vs 62.5 mm Hg; P = 0.006), CSP (139.9 vs 135.9 mm Hg; P = 0.017), and male preponderance (P = 0.012). Drugs including diuretics, beta-blockers (BBs), angiotensin-converting enzyme inhibitors (ACEIs), and aspirin were all used more frequently in the repeated PCI group (all P |
| Databáze: | OpenAIRE |
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