Predictors of long term adverse events after scheduled endovascular coronary interventions

Aim. To evaluate the rate and reveal the predictors of long term adverse cardiovascular events after scheduled percutaneous coronary interventions (PCI).Material and methods. The rate of combination endpoint (МАССЕ — Major Adverse Cardiac and Cerebrovascular Events) was assessed in 151 patient in 6...

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Main Authors: E. O. Vershinina, A. N. Repin
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2018-08-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/697
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author E. O. Vershinina
A. N. Repin
author_facet E. O. Vershinina
A. N. Repin
author_sort E. O. Vershinina
collection DOAJ
description Aim. To evaluate the rate and reveal the predictors of long term adverse cardiovascular events after scheduled percutaneous coronary interventions (PCI).Material and methods. The rate of combination endpoint (МАССЕ — Major Adverse Cardiac and Cerebrovascular Events) was assessed in 151 patient in 6 years after selective PCI by medical data analysis and phone based interview.Results. In 6 years after scheduled PCI the mortality from cardiovascular events was in 10,6% patients, acute coronary syndrome developed in 34,4%, stroke in 6,6%. In general MACCE were noted in 40,4%. The predictors of MACCE in long term period were chronic kidney disease, contrast-induced kidney damage, baseline C-reactive protein >5,5 mg/mL. Restenoses of the previously placed stents increased the risk of MACCE 8,09 times, chronic obstructive pulmonary disease — 3,4 times, atrial fibrillation — 2,84 times, heredity by cardiovascular diseases — 2,94 times, and the very high risk of contrast-induced nephropathy (≥11 points by Mehran) — 2,15 times.Conclusion. Assessment for the predictors of long term adverse cardiovascular events in patients after scheduled PCI makes it, based on simple clinical characteristics, to select the groups of patients with residual risk that require on-time application of more active secondary prevention strategies with further follow-up.
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publisher «SILICEA-POLIGRAF» LLC
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series Кардиоваскулярная терапия и профилактика
spelling doaj-art-c0adb6fa090f400380a204b5ff0961bd2025-08-20T03:35:47Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252018-08-01174465210.15829/1728-8800-2018-4-46-52586Predictors of long term adverse events after scheduled endovascular coronary interventionsE. O. Vershinina0A. N. Repin1SRI of Cardiology “Tomsk National Research Medical Center of RAS”SRI of Cardiology “Tomsk National Research Medical Center of RAS”Aim. To evaluate the rate and reveal the predictors of long term adverse cardiovascular events after scheduled percutaneous coronary interventions (PCI).Material and methods. The rate of combination endpoint (МАССЕ — Major Adverse Cardiac and Cerebrovascular Events) was assessed in 151 patient in 6 years after selective PCI by medical data analysis and phone based interview.Results. In 6 years after scheduled PCI the mortality from cardiovascular events was in 10,6% patients, acute coronary syndrome developed in 34,4%, stroke in 6,6%. In general MACCE were noted in 40,4%. The predictors of MACCE in long term period were chronic kidney disease, contrast-induced kidney damage, baseline C-reactive protein >5,5 mg/mL. Restenoses of the previously placed stents increased the risk of MACCE 8,09 times, chronic obstructive pulmonary disease — 3,4 times, atrial fibrillation — 2,84 times, heredity by cardiovascular diseases — 2,94 times, and the very high risk of contrast-induced nephropathy (≥11 points by Mehran) — 2,15 times.Conclusion. Assessment for the predictors of long term adverse cardiovascular events in patients after scheduled PCI makes it, based on simple clinical characteristics, to select the groups of patients with residual risk that require on-time application of more active secondary prevention strategies with further follow-up.https://cardiovascular.elpub.ru/jour/article/view/697coronary heart diseasestable anginapercutaneous interventionslong term results
spellingShingle E. O. Vershinina
A. N. Repin
Predictors of long term adverse events after scheduled endovascular coronary interventions
Кардиоваскулярная терапия и профилактика
coronary heart disease
stable angina
percutaneous interventions
long term results
title Predictors of long term adverse events after scheduled endovascular coronary interventions
title_full Predictors of long term adverse events after scheduled endovascular coronary interventions
title_fullStr Predictors of long term adverse events after scheduled endovascular coronary interventions
title_full_unstemmed Predictors of long term adverse events after scheduled endovascular coronary interventions
title_short Predictors of long term adverse events after scheduled endovascular coronary interventions
title_sort predictors of long term adverse events after scheduled endovascular coronary interventions
topic coronary heart disease
stable angina
percutaneous interventions
long term results
url https://cardiovascular.elpub.ru/jour/article/view/697
work_keys_str_mv AT eovershinina predictorsoflongtermadverseeventsafterscheduledendovascularcoronaryinterventions
AT anrepin predictorsoflongtermadverseeventsafterscheduledendovascularcoronaryinterventions