1. Comparison of mortality in patients with coronary or peripheral artery disease following the first vascular intervention
- Author
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David Pereg, Martine Granek-Catarivas, David Segev, Doron Hermoni, Morris Mosseri, Avishay Elis, Yoram Neuman, and Michael Lishner
- Subjects
Male ,medicine.medical_specialty ,Time Factors ,Coronary Artery Disease ,Kaplan-Meier Estimate ,Disease ,Risk Assessment ,Coronary artery disease ,Peripheral Arterial Disease ,Risk Factors ,Internal medicine ,Secondary Prevention ,medicine ,Clinical endpoint ,Humans ,Angioplasty, Balloon, Coronary ,Coronary Artery Bypass ,Aged ,Proportional Hazards Models ,Aspirin ,Chi-Square Distribution ,business.industry ,Mortality rate ,Angioplasty ,Hazard ratio ,Cardiovascular Agents ,General Medicine ,Middle Aged ,medicine.disease ,Clopidogrel ,Confidence interval ,Treatment Outcome ,Lower Extremity ,Multivariate Analysis ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business ,Vascular Surgical Procedures ,medicine.drug - Abstract
OBJECTIVES Patients with peripheral artery disease (PAD) less frequently achieve secondary prevention goals compared with patients with coronary artery disease (CAD). We aimed to compare mortality rates in patients with PAD and CAD following first vascular intervention. PATIENTS AND METHODS Patients 18 years of age or older without a history of cardiovascular disease, who underwent first coronary or lower limb vascular intervention between 2002 and 2010, were included in this study. The primary endpoint was all-cause mortality. RESULTS Of the 9950 participants, 8242 (82.8%) underwent first coronary revascularization and 1708 (17.2%) received first peripheral vascular intervention. During a mean follow-up period of 5.6±2.3 years, 1283 (12.9%) participants died. Compared with CAD patients, patients with PAD had significantly worse long-term prognosis with an increased risk for all-cause mortality (hazard ratio=2.95, 95% confidence interval 2.6-3.3, P
- Published
- 2014
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