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Ten‐year clinical outcomes in patients with intermediate coronary stenosis according to the combined culprit lesion
- Source :
- Clinical Cardiology
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- Background We assessed the long‐term clinical outcomes of an intermediate lesion (IL) according to the presence of a combined culprit lesion (CCL). Hypothesis Long‐term clinical outcomes of IL may be affected by the presence of a CCL. Methods Angiographic findings (n = 1096) and medical chart were reviewed. Patients with IL were divided into two groups: IL without CCL group (n = 383, 64.5%) and IL with CCL group (n = 211, 35.5%). Results The major adverse cardiovascular events (MACE) in the IL with CCL group were significantly higher than those in the IL without CCL group (death: 12.3% vs. 7.0%, myocardial infarction: 3.3%vs. 0.5%, stroke: 6.6% vs. 2.6%, and revascularization [RVSC]: 25.1% vs. 7.6%) during a mean follow up period of 118.4 ± 5.5 months. IL related RVSC rate in the IL with CCL group was higher than that in the IL without CCL group (5.7% vs. 2.1%, p = 0.020). RVSC rate related to IL in total subjects was lower than that related to stented lesion (3.4% vs. 6.4%). The important predictors of total MACE in total subjects were the presence of CCL, IL percent diameter stenosis, hypertension, history of percutaneous coronary intervention, blood glucose and ejection fraction. The predictors of IL related RVSC were IL percent diameter stenosis and IL located in the right coronary artery. Conclusion 10‐year clinical outcomes of an IL (especially IL without CCL) were better than those of stented lesions. This study suggests that the IL can be safely followed up in sites that do not have ability to assess functional study.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Myocardial Infarction
Clinical Investigations
030204 cardiovascular system & hematology
Coronary Angiography
intermediate coronary lesion
Revascularization
digestive system
Gastroenterology
Lesion
03 medical and health sciences
Percutaneous Coronary Intervention
0302 clinical medicine
medicine.artery
Internal medicine
medicine
Humans
coronary artery stenosis
030212 general & internal medicine
Myocardial infarction
Stroke
Ejection fraction
business.industry
digestive, oral, and skin physiology
Coronary Stenosis
Percutaneous coronary intervention
General Medicine
medicine.disease
Coronary Vessels
digestive system diseases
Treatment Outcome
Right coronary artery
prognosis
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Mace
Subjects
Details
- ISSN :
- 19328737 and 01609289
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- Clinical Cardiology
- Accession number :
- edsair.doi.dedup.....e92bff1ec2c9ccff2a522d0b1024f645