Outcomes of Patients with Atrial Fibrillation Undergoing Percutaneous Coronary Intervention Analysis of National Inpatient Sample

Autor: Mehrtash Hashemzadeh, Madhan Shanmugasundaram, Timir K. Paul, Bishnu P. Dhakal, Mohammed Reza Movahed, Sangeetha Murugapandian
Rok vydání: 2019
Předmět:
Male
medicine.medical_specialty
Time Factors
Databases
Factual
medicine.medical_treatment
Hemorrhage
Comorbidity
Coronary Artery Disease
030204 cardiovascular system & hematology
Coronary artery disease
03 medical and health sciences
0302 clinical medicine
Percutaneous Coronary Intervention
Risk Factors
Internal medicine
Cause of Death
Epidemiology
Atrial Fibrillation
medicine
Humans
cardiovascular diseases
030212 general & internal medicine
Myocardial infarction
Hospital Mortality
Aged
Aged
80 and over
Inpatients
business.industry
Cardiogenic shock
Age Factors
Percutaneous coronary intervention
Anticoagulants
Atrial fibrillation
General Medicine
Middle Aged
medicine.disease
United States
Treatment Outcome
Conventional PCI
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Kidney disease
Zdroj: Cardiovascular revascularization medicine : including molecular interventions. 21(1)
ISSN: 1878-0938
Popis: BACKGROUND Atrial fibrillation (AF) is the most common cardiac arrhythmia with a prevalence of 15% of patients over 80 years. Coronary artery disease co-exists in 20-30% of patients with atrial fibrillation. The need for triple anticoagulation therapy makes the management of these patients challenging following PCI. METHODS Nationwide inpatient sample which is a set of longitudinal hospital inpatient databases was used to evaluate the outcome of patients with AF who underwent PCI. All patients undergoing PCI between 2002 and 2011 were included in the study. Specific ICD-9-CM codes were used to identify the study patients and their outcomes. RESULTS There were 3,226,405 PCIs during the time period of the study of which 472,609 (14.6%) patients had AF. AF patients were older and predominantly male (60%). The number of PCIs had a declining trend from 2002 to 2011. Age adjusted inpatient mortality was significantly higher in PCI AF group compared to the PCI non-AF group (100.82 ± 9.03 vs 54.07 ± 8.96 per 100,000; P
Databáze: OpenAIRE
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