Incidence, outcomes, and predictors of in-hospital acute coronary syndrome following endovascular transcatheter aortic valve replacement in the United States
Autor: | Mubasshar A Syed, Keerat Rai Ahuja, Mujeeb Sheikh, Samir R. Kapadia, Robert D. Grande, Beni R Verma, Salik Nazir, Mohamed M. Gad, Khalid Hamid Changal, Anas M. Saad, Anthony A. Donato, P. Kasi Ramanathan |
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Rok vydání: | 2019 |
Předmět: |
Male
medicine.medical_specialty Acute coronary syndrome Time Factors Databases Factual medicine.medical_treatment Health Status Comorbidity 030204 cardiovascular system & hematology Patient Readmission Risk Assessment Transcatheter Aortic Valve Replacement 03 medical and health sciences 0302 clinical medicine Valve replacement Risk Factors Internal medicine medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Hospital Mortality Acute Coronary Syndrome Aged Aged 80 and over Frailty business.industry Cardiogenic shock Incidence Acute kidney injury General Medicine Odds ratio Aortic Valve Stenosis Length of Stay medicine.disease United States Treatment Outcome Heart failure Cohort Cardiology Female Cardiology and Cardiovascular Medicine business Kidney disease |
Zdroj: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventionsREFERENCES. 96(5) |
ISSN: | 1522-726X |
Popis: | BACKGROUND Incidence and outcomes of acute coronary syndrome (ACS) immediately following transcatheter aortic valve replacement (TAVR) remain largely unknown. OBJECTIVES This study sought to assess the incidence, clinical characteristics, and outcomes of ACS following TAVR. METHODS We queried the National Readmission Database from January 2012 to September 2015 for TAVR admissions with and without ACS, creating a propensity-matched cohort to compare outcomes. RESULTS A total of 48,454 patients underwent TAVR, with 1,332 (2.75%) developing ACS. TAVR patients with ACS compared to those without ACS had a significantly higher incidence of acute kidney injury (24.7 vs. 19.2%; p = .001), ischemic stroke (3.7 vs. 2.3%; p = .04), vascular complications (8.6 vs. 5.8%; p = .008), cardiogenic shock (9.8 vs. 1.9%; p |
Databáze: | OpenAIRE |
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