Cargando…

Retrospective Study of Clinical and Epidemiological Parameters of Patients Undergoing Percutaneous Coronary Intervention with Their Follow-Up

AIM: To study clinical and epidemiological parameters of patients undergoing percutaneous coronary intervention (PCI) and to follow them up for understanding the outcomes of the procedure. MATERIAL AND METHODS: This is a retrospective data analysis of 862 patients who underwent PCI from January 2016...

Descripción completa

Detalles Bibliográficos
Autores principales: Parikh, Rohan P., Washimkar, Sunil, Deshmukh, Pradeep, Deshpande, Mukund, Beedkar, Amey, Talaviya, Bhavesh, Maske, Mahendra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Republic of Macedonia 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986500/
https://www.ncbi.nlm.nih.gov/pubmed/32010384
http://dx.doi.org/10.3889/oamjms.2019.780
_version_ 1783491971942187008
author Parikh, Rohan P.
Washimkar, Sunil
Deshmukh, Pradeep
Deshpande, Mukund
Beedkar, Amey
Talaviya, Bhavesh
Maske, Mahendra
author_facet Parikh, Rohan P.
Washimkar, Sunil
Deshmukh, Pradeep
Deshpande, Mukund
Beedkar, Amey
Talaviya, Bhavesh
Maske, Mahendra
author_sort Parikh, Rohan P.
collection PubMed
description AIM: To study clinical and epidemiological parameters of patients undergoing percutaneous coronary intervention (PCI) and to follow them up for understanding the outcomes of the procedure. MATERIAL AND METHODS: This is a retrospective data analysis of 862 patients who underwent PCI from January 2016 to November 2017 RESULTS: Out of 862 patients, 611 (70.88%) were male & 251 (29.12%) were female, with the mean age being 55. 243 (28.19%) were diabetic, 470 (54.52%) were hypertensive, 158 (18.32%) patients were tobacco chewer, 215 (24.92%) were smokers and 111 (12.87%) were alcoholic. 636 (73.78%) patients had STEMI, 153 (17.74%) had NSTE-ACS, 61 (7.07%) had CSA.578 (67.05%) were SVD, 262 (30.39%) were DVD and 19 (2.20%) were TVD. Out of SVD, 350 (60.55%) patients had LAD involvement and among DVD patients, LAD and RCA were most commonly involved in 107 (40.83%) patients. On follow-up of mean 604.42 days (minimum 236 days, maximum 909 days), 2 (0.23%) episodes of subacute stent thrombosis occurred and 11 (1.27%) patients had ISR but no mortality was reported. CONCLUSION: The study shows affection of young population predominately and genders inequality, suggesting primarily male disease. PCI is often sought in ACS and CSA is predominately treated medically. Thrombolysis remains the first treatment received by STEMI patients. SVD is the most common angiographic diagnosis with LAD predominately affected vessel. This real world-data on clopidogrel with aspirin as dual antiplatelet therapy and second-generation stent shows negligible event of stent thrombosis and ISR. LIMITATION: Due to non-invasive follow-up, the exact amount of stent restenosis cannot be calculated. IMPACT ON DAILY PRACTICE: This real world-data on clopidogrel with aspirin as dual antiplatelet therapy and second-generation stent shows negligible event of stent thrombosis and ISR. This can help reduce the cost burden on society and help better distribution of health budget.
format Online
Article
Text
id pubmed-6986500
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Republic of Macedonia
record_format MEDLINE/PubMed
spelling pubmed-69865002020-01-31 Retrospective Study of Clinical and Epidemiological Parameters of Patients Undergoing Percutaneous Coronary Intervention with Their Follow-Up Parikh, Rohan P. Washimkar, Sunil Deshmukh, Pradeep Deshpande, Mukund Beedkar, Amey Talaviya, Bhavesh Maske, Mahendra Open Access Maced J Med Sci Clinical Science AIM: To study clinical and epidemiological parameters of patients undergoing percutaneous coronary intervention (PCI) and to follow them up for understanding the outcomes of the procedure. MATERIAL AND METHODS: This is a retrospective data analysis of 862 patients who underwent PCI from January 2016 to November 2017 RESULTS: Out of 862 patients, 611 (70.88%) were male & 251 (29.12%) were female, with the mean age being 55. 243 (28.19%) were diabetic, 470 (54.52%) were hypertensive, 158 (18.32%) patients were tobacco chewer, 215 (24.92%) were smokers and 111 (12.87%) were alcoholic. 636 (73.78%) patients had STEMI, 153 (17.74%) had NSTE-ACS, 61 (7.07%) had CSA.578 (67.05%) were SVD, 262 (30.39%) were DVD and 19 (2.20%) were TVD. Out of SVD, 350 (60.55%) patients had LAD involvement and among DVD patients, LAD and RCA were most commonly involved in 107 (40.83%) patients. On follow-up of mean 604.42 days (minimum 236 days, maximum 909 days), 2 (0.23%) episodes of subacute stent thrombosis occurred and 11 (1.27%) patients had ISR but no mortality was reported. CONCLUSION: The study shows affection of young population predominately and genders inequality, suggesting primarily male disease. PCI is often sought in ACS and CSA is predominately treated medically. Thrombolysis remains the first treatment received by STEMI patients. SVD is the most common angiographic diagnosis with LAD predominately affected vessel. This real world-data on clopidogrel with aspirin as dual antiplatelet therapy and second-generation stent shows negligible event of stent thrombosis and ISR. LIMITATION: Due to non-invasive follow-up, the exact amount of stent restenosis cannot be calculated. IMPACT ON DAILY PRACTICE: This real world-data on clopidogrel with aspirin as dual antiplatelet therapy and second-generation stent shows negligible event of stent thrombosis and ISR. This can help reduce the cost burden on society and help better distribution of health budget. Republic of Macedonia 2019-10-14 /pmc/articles/PMC6986500/ /pubmed/32010384 http://dx.doi.org/10.3889/oamjms.2019.780 Text en Copyright: © 2019 Rohan P. Parikh, Sunil Washimkar, Pradeep Deshmukh, Mukund Deshpande, Amey Beedkar, Bhavesh Talaviya, Mahendra Maske. http://creativecommons.org/licenses/CC BY-NC/4.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0)
spellingShingle Clinical Science
Parikh, Rohan P.
Washimkar, Sunil
Deshmukh, Pradeep
Deshpande, Mukund
Beedkar, Amey
Talaviya, Bhavesh
Maske, Mahendra
Retrospective Study of Clinical and Epidemiological Parameters of Patients Undergoing Percutaneous Coronary Intervention with Their Follow-Up
title Retrospective Study of Clinical and Epidemiological Parameters of Patients Undergoing Percutaneous Coronary Intervention with Their Follow-Up
title_full Retrospective Study of Clinical and Epidemiological Parameters of Patients Undergoing Percutaneous Coronary Intervention with Their Follow-Up
title_fullStr Retrospective Study of Clinical and Epidemiological Parameters of Patients Undergoing Percutaneous Coronary Intervention with Their Follow-Up
title_full_unstemmed Retrospective Study of Clinical and Epidemiological Parameters of Patients Undergoing Percutaneous Coronary Intervention with Their Follow-Up
title_short Retrospective Study of Clinical and Epidemiological Parameters of Patients Undergoing Percutaneous Coronary Intervention with Their Follow-Up
title_sort retrospective study of clinical and epidemiological parameters of patients undergoing percutaneous coronary intervention with their follow-up
topic Clinical Science
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6986500/
https://www.ncbi.nlm.nih.gov/pubmed/32010384
http://dx.doi.org/10.3889/oamjms.2019.780
work_keys_str_mv AT parikhrohanp retrospectivestudyofclinicalandepidemiologicalparametersofpatientsundergoingpercutaneouscoronaryinterventionwiththeirfollowup
AT washimkarsunil retrospectivestudyofclinicalandepidemiologicalparametersofpatientsundergoingpercutaneouscoronaryinterventionwiththeirfollowup
AT deshmukhpradeep retrospectivestudyofclinicalandepidemiologicalparametersofpatientsundergoingpercutaneouscoronaryinterventionwiththeirfollowup
AT deshpandemukund retrospectivestudyofclinicalandepidemiologicalparametersofpatientsundergoingpercutaneouscoronaryinterventionwiththeirfollowup
AT beedkaramey retrospectivestudyofclinicalandepidemiologicalparametersofpatientsundergoingpercutaneouscoronaryinterventionwiththeirfollowup
AT talaviyabhavesh retrospectivestudyofclinicalandepidemiologicalparametersofpatientsundergoingpercutaneouscoronaryinterventionwiththeirfollowup
AT maskemahendra retrospectivestudyofclinicalandepidemiologicalparametersofpatientsundergoingpercutaneouscoronaryinterventionwiththeirfollowup