Predictors of procedural success among Filipino patients who underwent multi-vessel percutaneous coronary intervention
Philippine Journal of Internal Medicine
; : 1-8, 2015.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-633529
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
The leading cause of mortality in the country is heart disease with a rate of 94.5 deaths per 100,000 Filipinos. Multi-vessel coronary artery disease (MV-CAD) patients carry an increased procedural risk especially those with increased lesion complexity or unfavorable anatomy.OBJECTIVE:
The study aims to determine the variables that will predict procedural success and clinical outcome among MV-CAD patients undergoing percutaneous coronary interventionSETTING:
Philippine Heart Center, Quezon City, PhilippinesMETHODOLOGY:
This retrospective cohort study obtained data from the four-year Philippine Heart Center Registry consisting of 1,030 patients who underwent Multi-Vessel Percutaneous Coronary Intervention (MVPCI) from January 2009 to January 2012 at the Cardiac Catheterization Laboratory.RESULTS:
Significant predictors for improved procedural success and reduced risk for major cardiovascular events was evident in male patients, those with mild diastolic dysfunction (grade I or II) and patients on statin therapy. The variables with unfavorable procedural and clinical outcome are female patients, those with unstable angina, STEMI, heart failure, COPD, the need for IABP counterpulsation and a left main artery coronary lesion.CONCLUSION:
The results reflect a local "real-life scenario" providing important information on the predictors of outcome among Filipino patients with multi-vessel disease undergoing percutaneous coronary intervention. The information obtained is clinically relevant for both cardiologist and interventionist providing an important risk stratification and contributing to the holistic delivery of cardiovascular care.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doença Cardiovascular
/
Doença Pulmonar Obstrutiva Crônica (DPOC)
/
Doença Isquêmica do Coração
/
Outras Doenças Circulatórias
/
Outras Doenças Respiratórias
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Doença da Artéria Coronariana
/
Cateterismo Cardíaco
/
Doença Pulmonar Obstrutiva Crônica
/
Intervenção Coronária Percutânea
/
Infarto do Miocárdio com Supradesnível do Segmento ST
/
Insuficiência Cardíaca
/
Angina Instável
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Philippine Journal of Internal Medicine
Ano de publicação:
2015
Tipo de documento:
Artigo