PREDICTORS OF CORONARY ARTERIES RESTENOSIS AFTER STENTING IN OBESE WOMEN

Aim. To study predictors of coronary arteries (CA) restenosis after stenting in women with coronary heart disease (CHD) and obesity.Material and methods. Totally 57 women included (57,1±7,8 y.o.) with CHD: stable angina II-IV functional class and general obesity I-III grade (body mass index — BMI&am...

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Main Authors: N. G. Veselovskaya, G. A. Chumakova, N. N. Shenina, E. S. Osipova, O. V. Gricenko
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2014-09-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/140
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author N. G. Veselovskaya
G. A. Chumakova
N. N. Shenina
E. S. Osipova
O. V. Gricenko
author_facet N. G. Veselovskaya
G. A. Chumakova
N. N. Shenina
E. S. Osipova
O. V. Gricenko
author_sort N. G. Veselovskaya
collection DOAJ
description Aim. To study predictors of coronary arteries (CA) restenosis after stenting in women with coronary heart disease (CHD) and obesity.Material and methods. Totally 57 women included (57,1±7,8 y.o.) with CHD: stable angina II-IV functional class and general obesity I-III grade (body mass index — BMI>30 kg/m2) (33,61±2,81 kg/m2), admitted for planned percutaneous intervention (PCI) with CA stenting. Prospective follow-up performed during 1 year after PCI. As resthenosis of CA we mentioned significant (>50%) narrowing of vessel lumen in the area of intervention. All patients underwent laboratory study with assessment of the main and additional metabolic risk factors and EchoCG with measurement of epicardial fat tissue (EFT) thickness.Results. In 35% (n=19) patients the restenosis of CA revealed. The equation of logictic regression was formulated with the most important complex of predictors for resthenosis: the age (standardized regression coefficient SRC=0,7360), insulin  (SRC=0,4821), and EFT (SRC=0,4224). The proportion of veritable prediction was 86,6%. The square under ROC-curve was 0,865.Conclusion. The model had been developed may be useful in clinical practice to stratify the risk of complications before planned stenting of CA to improve secondary prevention of CHD.
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spelling doaj-art-6343e42ccc504b28985f67a37acabfb92025-08-20T02:59:39Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202014-09-0109313610.15829/1560-4071-2014-9-31-36140PREDICTORS OF CORONARY ARTERIES RESTENOSIS AFTER STENTING IN OBESE WOMENN. G. Veselovskaya0G. A. Chumakova1N. N. Shenina2E. S. Osipova3O. V. Gricenko4FSBI SRI for Complex Problems of Cardiovascular Diseases of SD RAMS, Kemerovo Altai Region Cardiological Dispensary, Barnaul, RussiaFSBI SRI for Complex Problems of Cardiovascular Diseases of SD RAMS, Kemerovo Altai State Medical University, BarnaulAltai State Medical University, BarnaulAltai State Medical University, Barnaul Altai Region Cardiological Dispensary, Barnaul, RussiaFSBI SRI for Complex Problems of Cardiovascular Diseases of SD RAMS, Kemerovo Altai State Medical University, BarnaulAim. To study predictors of coronary arteries (CA) restenosis after stenting in women with coronary heart disease (CHD) and obesity.Material and methods. Totally 57 women included (57,1±7,8 y.o.) with CHD: stable angina II-IV functional class and general obesity I-III grade (body mass index — BMI>30 kg/m2) (33,61±2,81 kg/m2), admitted for planned percutaneous intervention (PCI) with CA stenting. Prospective follow-up performed during 1 year after PCI. As resthenosis of CA we mentioned significant (>50%) narrowing of vessel lumen in the area of intervention. All patients underwent laboratory study with assessment of the main and additional metabolic risk factors and EchoCG with measurement of epicardial fat tissue (EFT) thickness.Results. In 35% (n=19) patients the restenosis of CA revealed. The equation of logictic regression was formulated with the most important complex of predictors for resthenosis: the age (standardized regression coefficient SRC=0,7360), insulin  (SRC=0,4821), and EFT (SRC=0,4224). The proportion of veritable prediction was 86,6%. The square under ROC-curve was 0,865.Conclusion. The model had been developed may be useful in clinical practice to stratify the risk of complications before planned stenting of CA to improve secondary prevention of CHD.https://russjcardiol.elpub.ru/jour/article/view/140coronary stentingobesityrestenosisrisk factors
spellingShingle N. G. Veselovskaya
G. A. Chumakova
N. N. Shenina
E. S. Osipova
O. V. Gricenko
PREDICTORS OF CORONARY ARTERIES RESTENOSIS AFTER STENTING IN OBESE WOMEN
Российский кардиологический журнал
coronary stenting
obesity
restenosis
risk factors
title PREDICTORS OF CORONARY ARTERIES RESTENOSIS AFTER STENTING IN OBESE WOMEN
title_full PREDICTORS OF CORONARY ARTERIES RESTENOSIS AFTER STENTING IN OBESE WOMEN
title_fullStr PREDICTORS OF CORONARY ARTERIES RESTENOSIS AFTER STENTING IN OBESE WOMEN
title_full_unstemmed PREDICTORS OF CORONARY ARTERIES RESTENOSIS AFTER STENTING IN OBESE WOMEN
title_short PREDICTORS OF CORONARY ARTERIES RESTENOSIS AFTER STENTING IN OBESE WOMEN
title_sort predictors of coronary arteries restenosis after stenting in obese women
topic coronary stenting
obesity
restenosis
risk factors
url https://russjcardiol.elpub.ru/jour/article/view/140
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AT nnshenina predictorsofcoronaryarteriesrestenosisafterstentinginobesewomen
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