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The Journal of Tehran University Heart Center، جلد ۱، شماره ۳، صفحات ۱۵۵-۱۶۱
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Predictors of Long-term Outcome in Patients with Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention: A single center registry (THCR)
چکیده انگلیسی مقاله Background: This study sought to access differences in long-term (9 months) outcomes between Acute Coronary Syndrome (ACS) patients who undergo early intervention compared to Percutaneous Coronary Intervention (PCI) in stable and refractory conditions. Methods: Data originated from Tehran Heart Center Registry- interventional cardiology (THCR-IC) and consisted of 1267 patients divided into two categories; 227 patients had features corresponding to acute coronary syndromes (17.9%) and 1040 patients suffered from stable angina (82.1%) . They were admitted between April 3, 2003 and April 25, 2004 . Results: The clinical success rate of PCI was higher in ACS (97% vs. 94%; P=0.037), while In-hospital complications were similar in both groups. During the follow-up period, clinical restenosis was not significantly different and the overall number of re-interventions caused by restenosis or progression was not more frequent in ACS patients. Also, 1.3% of ACS and 0.4% of SA patients died, but the difference was not statistically significant (P=0.16). Finally, Major Adverse Cardiac Events (MACE) showed no significant difference (5.2% vs. 3.9%; P=0.42). Multivariate analysis showed that female sex (OR=25.6; P=0.003) and previous history of PCI (OR=8.4; P=0.016) were the only strong independent risk factors for major adverse cardiac events. Analyzing ACS patient outcomes using Mantel-Hanzel analysis showed that the female sex was the only factor which strongly increased the incidence of MACE. Conclusion: Both ACS and SA patients who underwent coronary intervention had similar in-hospital and composite major adverse cardiac events, nevertheless female gender must be considered as an independent risk factor for major adverse cardiac events especially in patients with acute coronary syndrome who undergo PCI.
کلیدواژه‌های انگلیسی مقاله Acute coronary syndrome , Outcome, PCI
نویسندگان مقاله سید ابراهیم کساییان | seyed ebrahim kassaian
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

محمد صاحب جم | mohammad sahebjam
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

مجتبی سالاری فر | mojtaba salarifar
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

محمد علیدوستی | mohammad alidoosti
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

علی محمد حاجی زینالی | alimohammad haji zeinali
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

داود کاظمی صالح | davood kazemi saleh
baghiatallah hospital, baghiatallah university of medical sciences, tehran, iran.


حمیدرضا پورحسینی | hamidreza poorhoseini
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نوید پایداری | navid paydari
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

غلامرضا داودی | gholamreza davoodi
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

مهران محمودیان | mehran mahmoodian
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

سید حسام الدین عباسی | seyed hesameddin abbasi
tehran heart center, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نشانی اینترنتی http://jthc.tums.ac.ir/index.php/jthc/article/view/28
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