Effects of complete revascularization on long-term treatment outcomes in patients with multivessel coronary artery disease over 80 years of age...
Berezhnoj K. Yu., Kokov L. S., Vanyukov A.
Cardiovascular Diagnosis and Therapy
Vol.9, Issue4, P. 301-309
Опубликовано: 2019
Тип ресурса: Статья
DOI:10.21037/cdt.2018.12.04
Аннотация:
Background: The effects of complete revascularization (CR) on long-term treatment outcomes in patients over 80 years of age with acute coronary syndrome (ACS) and multivessel coronary artery disease (MVD) have not been sufficiently investigated. Methods: In this study, we analyzed data obtained in 305 patients over 80 years of age with MVD who were admitted in the period from January 2014 to August 2017 for ACS. The patients were divided into two groups. CR was performed in 131 patients, and 174 subjects had an intervention on the symptomatic artery only [incomplete revascularization (ICR)]. The primary endpoint was one-year occurrence of the major adverse cardiac events (MACE) including death, non-fatal myocardial infarction, stroke. We also recorded cases of repeat coronary artery intervention, major bleeding events, contrast-induced nephropathy and stent thrombosis that occurred within a period of 1 year. Results: The MACE rate in patients undergoing CR was significantly lower durin
Ключевые слова:
Acute coronary syndrome (ACS); Elderly patients; Multivessel coronary artery disease; Percutaneous coronary intervention (PCI)
acute coronary syndrome; aged; Article; cerebrovascular accident; contrast induced nephropathy; coronary artery disease; death; female; gastrointestinal hemorrhage; heart infarction; heart tamponade; hemopericardium; human; major adverse cardiac event; major clinical study; male; non ST segment elevation myocardial infarction; outcome assessment; percutaneous coronary intervention; revascularization; ST segment elevation myocardial infarction; stent thrombosis; unstable angina pectoris; very elderly
Язык текста: Английский
ISSN: 2223-3660
Berezhnoj K. Yu. Kirill Yuryevich 1989-
Kokov L. S. Leonid Sergeevich 1955-
Vanyukov A.
Бережной К. Ю. Кирилл Юрьевич 1989-
Коков Л. С. Леонид Сергеевич 1955-
Ванюков А.
Effects of complete revascularization on long-term treatment outcomes in patients with multivessel coronary artery disease over 80 years of age admitted for acute coronary syndrome
Effects of complete revascularization on long-term treatment outcomes in patients with multivessel coronary artery disease over 80 years of age...
Текст визуальный непосредственный
Cardiovascular Diagnosis and Therapy
Vol.9, Issue4 P. 301-309
2019
Статья
Acute coronary syndrome (ACS) Elderly patients Multivessel coronary artery disease Percutaneous coronary intervention (PCI)
acute coronary syndrome aged Article cerebrovascular accident contrast induced nephropathy coronary artery disease death female gastrointestinal hemorrhage heart infarction heart tamponade hemopericardium human major adverse cardiac event major clinical study male non ST segment elevation myocardial infarction outcome assessment percutaneous coronary intervention revascularization ST segment elevation myocardial infarction stent thrombosis unstable angina pectoris very elderly
Background: The effects of complete revascularization (CR) on long-term treatment outcomes in patients over 80 years of age with acute coronary syndrome (ACS) and multivessel coronary artery disease (MVD) have not been sufficiently investigated. Methods: In this study, we analyzed data obtained in 305 patients over 80 years of age with MVD who were admitted in the period from January 2014 to August 2017 for ACS. The patients were divided into two groups. CR was performed in 131 patients, and 174 subjects had an intervention on the symptomatic artery only [incomplete revascularization (ICR)]. The primary endpoint was one-year occurrence of the major adverse cardiac events (MACE) including death, non-fatal myocardial infarction, stroke. We also recorded cases of repeat coronary artery intervention, major bleeding events, contrast-induced nephropathy and stent thrombosis that occurred within a period of 1 year. Results: The MACE rate in patients undergoing CR was significantly lower durin