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Effect of multiple clinical factors on recurrent angina after percutaneous coronary intervention: A retrospective study from 398 ST-segment elevation myocardial infarction patients

机译:多种临床因素对经皮冠状动脉介入治疗后复发性心绞痛的影响:398例ST段抬高型心肌梗死患者的回顾性研究

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Recurrent angina (RA) has an important influence on health status of patients after percutaneous coronary intervention (PCI). This study aimed to retrospectively investigate the effect of multiple clinical factors on both short-term and long-term development of RA. A total of 398 ST-segment elevation myocardial infarction (STEMI) patients were studied for up to 12 months. The primary clinical outcome, RA, was assessed at 1-month and 12-month. In multivariate analyses, the effect of clinical factors, including baseline demographics, medical history, infarction-related arteries, procedural characteristics of PCI, and the use of medicines, was investigated in patients with and without RA. The Logistic regression analysis showed that the patients with treatment through radial approach PCI (odds ratio [OR]: 0.42, 95% confidence interval [CI]: 0.18–0.96, P?P?P?P?P?P? We studied the effects of multiple clinical factors on the development of RA after PCI. Our findings suggest that patients with infarction of the LAD artery, and/or treatment not through radial artery during PCI were associated with higher risk of RA and may require close follow-up.
机译:复发性心绞痛(RA)对经皮冠状动脉介入治疗(PCI)后患者的健康状况具有重要影响。这项研究旨在回顾性研究多种临床因素对RA短期和长期发展的影响。共研究了398例ST段抬高型心肌梗死(STEMI)患者,长达12个月。在1个月和12个月评估了主要的临床结局RA。在多因素分析中,对有或没有RA的患者,研究了临床因素的影响,包括基线人口统计学,病史,梗塞相关动脉,PCI的程序特征以及药物的使用。 Logistic回归分析显示,通过radial动脉入路PCI治疗的患者(赔率[OR]:0.42,95%置信区间[CI]:0.18-0.96,P?P?P?P?P?P?我们的研究结果表明,LAD动脉梗塞和/或在PCI期间未通过radial动脉进行治疗的患者与RA风险较高相关,可能需要密切随访。

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