Comparison of clinical outcomes in patients with mixed angina and pure vasospastic angina.
Coron Artery Dis
; 35(4): 270-276, 2024 Jun 01.
Article
em En
| MEDLINE
| ID: mdl-38241035
ABSTRACT
OBJECTIVE:
This study investigated differences in clinical outcomes between mixed angina (MA) and pure vasospastic angina (PVA).METHODS:
A total of 524 vasospastic angina patients who did or did not have >50% coronary artery stenosis from January 2005 to January 2021 were divided into two groups (Group 1 PVA, N â =â 399; Group 2 MA, N â =â 125) and then three groups [Group 1 PVA, N â =â 399; Group 2 MA without percutaneous coronary intervention (PCI), N â =â 67; Group 3 MA with PCI, N â =â 58] for assessment. We recorded the incidence of major adverse cardiac and cerebrovascular events (MACCE the composite of death, myocardial infarction, nonfatal stroke or rehospitalization) during 3-year clinical follow-up.RESULTS:
Compared to the PVA group, there were significant differences in MACCE (20.8% vs. 11.8%, P â =â 0.011) and rehospitalization (20.0% vs. 9.8%, P â =â 0.002) in the MA group. Kaplan-Meier analysis showed that patients in the MA with PCI group had the highest cumulative incidence rate of MACCE during the 3-year follow-up (log-rank P â <â 0.001).CONCLUSION:
Compared with the PVA patients, MA patients had significantly worse clinical outcomes during long-term follow-up.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Intervenção Coronária Percutânea
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article