Comparison of immediate results and follow-up of patients with single-vessel and multivessel coronary artery disease younger than 50 years of age undergoing coronary stent implantation
| Autor: | Maria Fernanda Zuliani Mauro, Adnan Ali Salman, João Batista de Oliveira Neto, José Armando Mangione, Isaac Moscoso, Alexandre L. Anello, Ricardo José Tofano, Salvador André Bavaresco Cristóvão |
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| Jazyk: | angličtina |
| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system Percutaneous Single vessel medicine.medical_treatment Coronary Artery Disease Coronary Angiography Coronary artery disease Internal medicine Coronary stent medicine Humans Myocardial infarction Angioplasty Balloon Coronary multivessel Retrospective Studies Actuarial Analysis business.industry Incidence (epidemiology) Middle Aged coronary angioplasty medicine.disease Surgery Coronary arteries Treatment Outcome medicine.anatomical_structure lcsh:RC666-701 Cardiology stent percutaneous Female Stents Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Arquivos Brasileiros de Cardiologia, Vol 81, Iss 5, Pp 500-505 (2003) Arquivos Brasileiros de Cardiologia, Volume: 81, Issue: 5, Pages: 500-505, Published: NOV 2003 Arquivos Brasileiros de Cardiologia v.81 n.5 2003 Arquivos Brasileiros de Cardiologia Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
| ISSN: | 1678-4170 |
| Popis: | OBJECTIVE: To assess the in-hospital results and clinical follow-up of young patients (< 50 years) with multivessel coronary artery disease undergoing stent implantation in native coronary arteries and to compare their results with those of patients with single-vessel coronary artery disease. METHODS: We retrospectively studied 462 patients undergoing coronary stent implantation. Patients were divided into 2 groups: group I (G-I) - 388 (84%) patients with single-vessel coronary artery disease; and group II (G-II) - 74 (16%) patients with multivessel coronary artery disease. RESULTS: The mean age of the patients was 45±4.9 years, and the clinical findings at presentation and demographic data were similar in both groups. The rate of clinical success was 95% in G-I and 95.8% in G-II (P=0.96), with no difference in regard to in-hospital evolution between the groups. Death, acute myocardial infarction, and the need for myocardial revascularization during clinical follow-up occurred in 10.1% and 11.2% (P=0.92) in G-I and G-II, respectively. By the end of 24 months, the actuarial analysis showed an event-free survival of 84.6 % in G-I and 81.1% in G-II (P=0.57). CONCLUSION: Percutaneous treatment with coronary stent implantation in young patients with multivessel disease may be safe with a high rate of clinical success, a low incidence of in-hospital complications, and a favorable evolution in clinical follow-up. |
| Databáze: | OpenAIRE |
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