PREDICTORS OF LONG-TERM MAJOR ADVERSE CARDIAC EVENTS FOLLOWING PERCUTANEOUS CORONARY INTERVENTION IN THE ELDERLY

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AGHAJANI HASSAN; NEZAMI PANIZ; SHAFIEE AKBAR; JALALI ARASH; NEZAMI ALIREZA; NOZARI YOUNES; POURHOSSEINI HAMIDREZA; KASSAIAN SEYED EBRAHIM; SALARIFAR MOJTABA; HAJIZEINALI ALIMOHAMMAD; AMIRZADEGAN ALIREZA; ALIDOOSTI MOHAMMAD; NEMATIPOUR EBRAHIM

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Journal: ARCHIVES OF IRANIAN MEDICINE Year:2018 | Volume:21 | Issue:8 Page(s): 344-348

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Title

PREDICTORS OF LONG-TERM MAJOR ADVERSE CARDIAC EVENTS FOLLOWING PERCUTANEOUS CORONARY INTERVENTION IN THE ELDERLY

Author(s)

Keywords

COHORT STUDY

ELDERLY

MAJOR ADVERSE CARDIAC EVENTS

PERCUTANEOUS CORONARY INTERVENTION

Abstract

Background: We aimed to recognize the predictors of long-term MAJOR ADVERSE CARDIAC EVENTS (MACE) in the ELDERLY candidates for elective PERCUTANEOUS CORONARY INTERVENTION (PCI) at our center. Methods: In this retrospective COHORT STUDY, we reviewed the data of the ELDERLY (age ≥ 65 years) candidates for elective PCI who met our study criteria, at Tehran heart center between 2004 and 2013. Demographic, anthropometric, clinical, angiographic, procedural and follow-up data of the enrolled patients were retrieved from the angiography/PCI databank of our center. The study characteristics of the patients with or without MACE were compared in a univariable Cox-regression analysis. A multivariable Cox-regression model was applied using variables selected from the univariable model to determine the predictors of MACE. Results: We reviewed the data of 2772 patients (mean age = 70. 8± 4. 7 years, male sex=1726 patients [62. 3%]) from which 393 patients (14. 4%) developed MACE. In the multivariable regression model, female sex was a protective factor for MACE (hazard ratio [HR] = 0. 701; P = 0. 001), while presence of diabetes mellitus (HR = 1. 333; P=0. 007), family history of coronary artery disease (CAD) (HR = 1. 489; P = 0. 003) and plain balloon angioplasty (HR = 1. 810; P = 0. 010) were independent risk factors for MACE. Conclusion: PCI is a safe and effective method of revascularization in the ELDERLY patients, and some clinical and procedural factors can predict MACE in this group of patients.

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APA: Copy

AGHAJANI, HASSAN, NEZAMI, PANIZ, SHAFIEE, AKBAR, JALALI, ARASH, NEZAMI, ALIREZA, NOZARI, YOUNES, POURHOSSEINI, HAMIDREZA, KASSAIAN, SEYED EBRAHIM, SALARIFAR, MOJTABA, HAJIZEINALI, ALIMOHAMMAD, AMIRZADEGAN, ALIREZA, ALIDOOSTI, MOHAMMAD, & NEMATIPOUR, EBRAHIM. (2018). PREDICTORS OF LONG-TERM MAJOR ADVERSE CARDIAC EVENTS FOLLOWING PERCUTANEOUS CORONARY INTERVENTION IN THE ELDERLY. ARCHIVES OF IRANIAN MEDICINE, 21(8), 344-348. SID. https://sid.ir/paper/281565/en

Vancouver: Copy

AGHAJANI HASSAN, NEZAMI PANIZ, SHAFIEE AKBAR, JALALI ARASH, NEZAMI ALIREZA, NOZARI YOUNES, POURHOSSEINI HAMIDREZA, KASSAIAN SEYED EBRAHIM, SALARIFAR MOJTABA, HAJIZEINALI ALIMOHAMMAD, AMIRZADEGAN ALIREZA, ALIDOOSTI MOHAMMAD, NEMATIPOUR EBRAHIM. PREDICTORS OF LONG-TERM MAJOR ADVERSE CARDIAC EVENTS FOLLOWING PERCUTANEOUS CORONARY INTERVENTION IN THE ELDERLY. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2018;21(8):344-348. Available from: https://sid.ir/paper/281565/en

IEEE: Copy

HASSAN AGHAJANI, PANIZ NEZAMI, AKBAR SHAFIEE, ARASH JALALI, ALIREZA NEZAMI, YOUNES NOZARI, HAMIDREZA POURHOSSEINI, SEYED EBRAHIM KASSAIAN, MOJTABA SALARIFAR, ALIMOHAMMAD HAJIZEINALI, ALIREZA AMIRZADEGAN, MOHAMMAD ALIDOOSTI, and EBRAHIM NEMATIPOUR, “PREDICTORS OF LONG-TERM MAJOR ADVERSE CARDIAC EVENTS FOLLOWING PERCUTANEOUS CORONARY INTERVENTION IN THE ELDERLY,” ARCHIVES OF IRANIAN MEDICINE, vol. 21, no. 8, pp. 344–348, 2018, [Online]. Available: https://sid.ir/paper/281565/en

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