Changes in the Population Profile and Outcomes of Percutaneous Coronary Intervention in the Angiocardio Registry
| Autor: | João Batista de Freitas Guimarães, Thomas Borges Conforti, Fabio Peixoto Ganassin, Marcelo José de Carvalho Cantarelli, Higo Cunha Noronha, Evandro Karlo Pracchia Ribeiro, Hélio José Castello, Leonardo Cao Cambra de Almeida, Rosaly Gonçalves, Ednelson Cunha Navarro, Silvio Gioppato, Julio Cesar Francisco Vardi, Marcelo Mendes Farinazzo |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Population Doença da artéria coronariana Coronary artery disease Percutaneous coronary intervention Internal medicine medicine Resultado de tratamento Registros Myocardial infarction cardiovascular diseases Registries Treatment outcome Adverse effect education Stroke education.field_of_study Intervenção coronária percutânea business.industry Infarto do miocárdio General Medicine Odds ratio medicine.disease Confidence interval Conventional PCI Cardiology Health profile Cardiology and Cardiovascular Medicine business Perfil de saúde |
| Zdroj: | Revista Brasileira de Cardiologia Invasiva (English Edition). (3):258-264 |
| ISSN: | 2214-1235 |
| DOI: | 10.1016/S2214-1235(15)30141-1 |
| Popis: | BackgroundTechnological developments have enabled the expansion of percutaneous coronary intervention (PCI) indications for more challenging clinical and angiographic scenarios. Our objective was to evaluate the results of PCI in two different periods in the past 6 years.MethodsThis was a multicenter registry including 6,288 consecutive patients treated by PCI, who were divided according to different treatment periods: 2006 to 2008 (P1; n=1,779) and 2009 to 2012 (P2; n=4,509). We intended to compare the rates of in-hospital major adverse cardiac and cerebrovascular events (MACCE) and identify their predictors.ResultsP2 patients were younger and had a higher prevalence of smoking and diabetes. These patients had a greater rate of multivessel, thrombotic and bifurcation lesions. The number of diseased vessels per patient was higher in the P2 Group, as well as the number of stents per patient, and the use of drug-eluting stents. MACCE was more frequent in P2 patients (2.5% vs. 3.5%; P=0.04), due to periprocedural myocardial infarction (1.7% vs. 2.6%; P=0.05), and there were no differences in terms of death (1.0% vs. 1.0%; P=0.87), stroke (0.2% vs. 0.1%; P=0.47) or emergency coronary artery bypass grafting (0.1% vs. 0; P=0.68). Age (odds ratio – OR – 1.02; 95% confidence interval – CI 95% – 1.00-1.05; P=0.04) and Killip III/IV (OR=6.0, 95% CI; 3.3-10.9; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|