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Effect of inter-arm blood pressure differences on outcomes after percutaneous coronary intervention
- Source :
- Journal of cardiology. 75(6)
- Publication Year :
- 2019
-
Abstract
- We investigated the effect of inter-arm blood pressure differences (IABPD) on the percutaneous coronary intervention (PCI) outcomes of patients with coronary artery diseases.We retrospectively reviewed the data of blood pressures measured simultaneously in the bilateral arms of 855 patients (560 males) who underwent PCI with drug-eluting stents for coronary artery diseases. IABPD was defined as the difference of blood pressure in both arms. The primary outcome was the presence of major adverse cardiac events (MACE) consisting of cardiovascular death, myocardial infarction, stroke, and ischemia-driven target vessel revascularization.The mean age of the included patients was 66.2 ± 11.6 years, with a mean follow-up period of 44.5 ± 26.4 months. MACE occurred in 15.2% of patients, showing a higher rate in the higher IABPD group (≥10 mmHg) than in the lower IABPD group (10 mmHg) (22.5% vs 14.5%, p = 0.081). The difference was induced by a higher rate of ischemia-driven target vessel revascularization (17.5% vs 8.3%, p = 0.011). The Kaplan-Meier survival analysis revealed a greater incidence of MACE in patients with a higher IABPD (log rank p = 0.054). The Cox proportional hazard analysis showed that IABPD was an independent predictor of long-term MACE (hazard ratio, 1.028; 95% confidence interval, 1.002-1.055; p = 0.037), along with age, diabetes mellitus, and number of implanted stents.Among patients treated with PCI, the incidence of MACE was significantly higher in those with a higher IABPD (≥10 mmHg) than in those with a lower IABPD (10 mmHg), which was mainly driven by ischemia-driven target vessel revascularization.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Blood Pressure
Kaplan-Meier Estimate
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Percutaneous Coronary Intervention
Internal medicine
medicine
Humans
cardiovascular diseases
030212 general & internal medicine
Myocardial infarction
Stroke
Aged
Proportional Hazards Models
Retrospective Studies
Aged, 80 and over
business.industry
Incidence (epidemiology)
Percutaneous coronary intervention
Drug-Eluting Stents
Middle Aged
medicine.disease
Blood pressure
Treatment Outcome
Drug-eluting stent
Cardiovascular Diseases
Conventional PCI
Cardiology
Arm
Female
Cardiology and Cardiovascular Medicine
business
Mace
Subjects
Details
- ISSN :
- 18764738
- Volume :
- 75
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of cardiology
- Accession number :
- edsair.doi.dedup.....d6ec2b3bfed2beae122277d91d11a3bc