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The association between stent type and developing angina pectoris following percutaneous coronary intervention.
Nejat, Amirali; Hosseinpour, Alireza; Azami, Pouria; Assadian, Kasra; Attar, Armin; Izadpanah, Peyman.
Afiliación
  • Nejat A; Department of Cardiovascular Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Hosseinpour A; Department of Cardiovascular Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Alireza.hosseinpour1997@gmail.com.
  • Azami P; School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran. Alireza.hosseinpour1997@gmail.com.
  • Assadian K; Department of Cardiovascular Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Attar A; School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Izadpanah P; Department of Cardiovascular Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Cardiovasc Disord ; 24(1): 466, 2024 Sep 02.
Article en En | MEDLINE | ID: mdl-39218866
ABSTRACT

BACKGROUND:

Angina pectoris can occur in up to 40% of patients following percutaneous coronary intervention (PCI). There is limited data assessing whether the type of stent implanted during revascularization can predict post-PCI angina symptoms.

METHODS:

In this study, data regarding revascularization characteristics including the stent type in patients admitted for PCI was collected. Prospective data including occurrence of angina and the presenting class, new onset ST-segment elevation myocardial infarction (STEMI), and other clinical outcomes were collected at 1, 3, and 6-month follow-up intervals. Univariable and multivariable logistic regression models were used to assess the potential predictors of angina symptoms at 6-month follow-up.

RESULTS:

A total of 787 patients (64.5% males) undergoing PCI with three stent types (Orsiro, Promus, and Xience) were included in the study. The occurrence of post PCI angina pectoris and new STEMI was similar among the stent types (p > 0.05). A linear association was found between the development of new STEMI (p = 0.018) and stroke (p = 0.003) and the worsening of angina class. The stent type was not a predictor of angina during the follow-up period. Other variables including dyslipidemia (odds ratio (OR) (95% CI), 1.51 (1.08; 2.10)), prior coronary artery disease (CAD) (OR (95% CI), 1.63 (1.02; 2.61)), and previous hospitalization (OR (95% CI), 2.10 (1.22; 3.63)) were independent predictors of angina.

CONCLUSIONS:

Although the type of stent may not have an association with the post-PCI angina, other predictors such as dyslipidemia and previous CAD and hospitalization may predict recurrence of cardiac angina. The class of angina severity may have a linear association with new-onset STEMI and stroke.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diseño de Prótesis / Enfermedad de la Arteria Coronaria / Stents / Intervención Coronaria Percutánea / Infarto del Miocardio con Elevación del ST / Angina de Pecho Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Cardiovasc Disord Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diseño de Prótesis / Enfermedad de la Arteria Coronaria / Stents / Intervención Coronaria Percutánea / Infarto del Miocardio con Elevación del ST / Angina de Pecho Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Cardiovasc Disord Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Reino Unido