High coronary calcium score and post-procedural CK-MB are noninvasive predictors of coronary stent restenosis.
Clin Interv Aging
; 12: 399-404, 2017.
Article
en En
| MEDLINE
| ID: mdl-28255235
ABSTRACT
PURPOSE:
High coronary calcium score (CCS) and post-procedural cardiac enzyme may be related with poor outcomes in patients with coronary stent implantation.METHODS:
A total of 1,072 patients (63.2% male, mean age 61.7±10.3 years) who underwent coronary multi-detect computed tomography at index procedure and follow-up coronary angiography (CAG) after drug-eluting stent (DES) were divided into two groups those with and without target lesion revascularization (TLR; >50% reduction in luminal stent diameter or angina symptoms on follow-up CAG). The CCSs for predicting stent revascularization were elucidated.RESULTS:
There were no significant differences between the two groups with regard to risk factors. The initial CCS was significantly higher in the TLR group (1,102.4±743.7 vs 345.8±51.05, P=0.04). After adjustment of significant factors for TLR, only CCS and post-procedural creatine kinase MB form (CK-MB) elevation were significant predictors of coronary artery TLR. Receiver operation curve revealed that >800 in CCS had 69% in sensitivity and 88% in specificity about predicting the TLR.CONCLUSION:
High CCS with post-procedural CK-MB might be the useful predictors for TLR after DES implantation.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Calcio
/
Reestenosis Coronaria
/
Forma MB de la Creatina-Quinasa
/
Stents Liberadores de Fármacos
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Clin Interv Aging
Asunto de la revista:
GERIATRIA
Año:
2017
Tipo del documento:
Article