Comparison of outcomes for percutaneous coronary intervention in men and women with unprotected left main disease.
J Geriatr Cardiol
; 18(3): 168-174, 2021 Mar 28.
Article
in En
| MEDLINE
| ID: mdl-33907546
ABSTRACT
BACKGROUND:
Percutaneous coronary intervention (PCI) in patients with unprotected left main coronary artery disease (ULMCAD) is increasing strategy in coronary artery patients. However, there is a lack of knowledge on the impact of sex on outcomes of patients undergoing ULMCAD PCI.METHODS:
From January 2004 to December 2015, there were 3,960 patients undergoing ULMCAD PCI at our institution, including 3,121 (78.8%) men and 839 (21.2%) women. The clinical outcome included the incidence of major adverse cardiac events (MACE) (the composite of all-cause death, myocardial infarction (MI), and revascularization), all-cause death, MI, revascularization at three years follow-up.RESULTS:
Compared with men, women had not significantly different MACE (14.7% vs. 14.6%, P = 0.89, all-cause death (3.5% vs. 3.7%, P = 0.76), MI (5.0% vs. 4.3%, P = 0.38), revascularization (9.1% vs. 8.9%, P = 0.86), respectively. After adjustment, rates of MACE (HR = 1.49; 95% CI 1.24-1.81;P < 0.0001) and all-cause death (HR = 1.65; 95% CI 1.09-2.48; P = 0.017) occurred more frequently in male patients, as well as revascularization (HR = 1.46; 95% CI 1.16-1.85;P = 0.001).CONCLUSION:
In this analysis, compared to men, women undergoing ULMCAD PCI have better outcomes of MACE, all-cause death, and revascularization.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
J Geriatr Cardiol
Year:
2021
Document type:
Article
Affiliation country:
China