(HealthDay)—For patients undergoing percutaneous coronary intervention (PCI), predictors of outcome include previous anemia, previous chronic kidney injury, and previous moderate to severe left ventricular dysfunction, according to a study published in the April 1 issue of The American Journal of Cardiology.
Uri Landes, M.D., from the Rabin Medical Center in Petach-Tikva, Israel, and colleagues defined contemporary PCI outcome predictors in a large patient cohort. Data were included for 11,441 consecutive patients who underwent PCI. Outcome end points were defined as all-cause mortality and a composite of death or nonfatal myocardial infarction during follow-up (mean, 5.5 years).
The researchers found that in addition to known predictors of death or myocardial infarction such as advanced age, female gender, urgent setting, and diabetes mellitus (hazard ratios [HRs], 1.031, 1.23, 1.23, and 1.28; all P < 0.001), previous anemia, previous chronic kidney injury, and previous moderate to severe left ventricular dysfunction were identified as predictors in multivariate analysis (HRs, 1.55, 1.93, and 2.29; all P < 0.001). There was a correlation between drug-eluting stent placement with better outcomes (HR, 0.70; P < 0.001).
"In conclusion, this analysis confirms the effect of some known predictors of PCI outcomes," the authors write. "However, the extent of their effect is modest, while other predictors may have a greater influence on outcomes."
Explore further: Use of drug-eluting stents may cut in-hospital mortality
More information: Abstract
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(HealthDay)—For patients undergoing percutaneous coronary intervention (PCI), predictors of outcome include previous anemia, previous chronic kidney injury, and previous moderate to severe left ventricular dysfunction, according to a study published in the April 1 issue of The American Journal of Cardiology.
Uri Landes, M.D., from the Rabin Medical Center in Petach-Tikva, Israel, and colleagues defined contemporary PCI outcome predictors in a large patient cohort. Data were included for 11,441 consecutive patients who underwent PCI. Outcome end points were defined as all-cause mortality and a composite of death or nonfatal myocardial infarction during follow-up (mean, 5.5 years).
The researchers found that in addition to known predictors of death or myocardial infarction such as advanced age, female gender, urgent setting, and diabetes mellitus (hazard ratios [HRs], 1.031, 1.23, 1.23, and 1.28; all P < 0.001), previous anemia, previous chronic kidney injury, and previous moderate to severe left ventricular dysfunction were identified as predictors in multivariate analysis (HRs, 1.55, 1.93, and 2.29; all P < 0.001). There was a correlation between drug-eluting stent placement with better outcomes (HR, 0.70; P < 0.001).
"In conclusion, this analysis confirms the effect of some known predictors of PCI outcomes," the authors write. "However, the extent of their effect is modest, while other predictors may have a greater influence on outcomes."
Explore further: Use of drug-eluting stents may cut in-hospital mortality
More information: Abstract
Full Text (subscription or payment may be required)
Copyright © 2015 HealthDay. All rights reserved.
Medical Xpress on facebook
Related Stories
BCIS myocardial jeopardy score predicts post-PCI death
(HealthDay)—The British Cardiovascular Intervention Society myocardial jeopardy score (BCIS-JS) predicts mortality after percutaneous coronary intervention (PCI), according to research published in the ...
Use of drug-eluting stents may cut in-hospital mortality
(HealthDay)—Use of drug-eluting stents (DES) rather than bare-metal stents (BMS) for percutaneous coronary intervention (PCI) is associated with lower rates of in-hospital mortality, according to research ...
Survival up with successful PCI to a chronic total occlusion
(HealthDay)—For patients with chronic total occlusion, successful percutaneous coronary intervention (PCI) is associated with improved long-term survival, according to a study published in the July 22 issue ...
Short hospital stays don't impair STEMI outcomes in seniors
(HealthDay)—For older patients undergoing primary percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI), outcomes are similar for discharge after 48 hours versus ...
Risk of adverse outcomes up with PCI in adults with diabetes
(HealthDay)—For adults with diabetes and multivessel or left main coronary artery disease, percutaneous coronary intervention (PCI) is associated with increased likelihood of a composite outcome compared ...
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