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Outcome after percutaneous coronary intervention for different indications: long-term results from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR)
Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands; Department of Medical Sciences, Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden.
Department of Medical Sciences, Uppsala Clinical Research Center, Uppsala University, Uppsala, Sweden.
Department of Cardiology, Sahlgrenska University Hospital, Göteborg, Sweden.
Department of Cardiology, Södersjukhuset Stockholm, Sweden.
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2016 (English)In: EuroIntervention, ISSN 1774-024X, E-ISSN 1969-6213, Vol. 12, no 3, 303-311 p.Article in journal (Refereed) Published
Abstract [en]

Aims: The aim of this study was to evaluate clinical outcome for different indications for PCI in an unselected, nationwide PCI population at short- and long-term follow-up.

Methods and results: We evaluated clinical outcome up to six years after PCI in all patients undergoing a PCI procedure for different indications in Sweden between 2006 and 2010. A total of 70,479 patients were treated for stable coronary artery disease (CAD) (21.0%), unstable angina (11.0%), non-ST-elevation myocardial infarction (NSTEMI) (36.6%) and ST-elevation myocardial infarction (STEMI) (31.4%). Mortality was higher in STEMI patients at one year after PCI (9.6%) compared to NSTEMI (4.7%), unstable angina (2.2%) and stable CAD (2.0%). At one year after PCI until the end of follow-up, the adjusted mortality risk (one to six years after PCI) and the risk of myocardial infarction were comparable between NSTEMI and STEMI patients and lower in patients with unstable angina and stable CAD. The adjusted risk of stent thrombosis and heart failure was highest in STEMI patients.

Conclusions: The risk of short-term mortality, heart failure and stent thrombosis is highest for STEMI patients after PCI. Therapies to reduce stent thrombosis and heart failure appear to be most important in decreasing mortality in patients with STEMI or NSTEMI undergoing PCI.

Place, publisher, year, edition, pages
Toulouse, France: Europa Edition , 2016. Vol. 12, no 3, 303-311 p.
Keyword [en]
coronary artery disease, indications, myocardial infarction, percutaneous coronary intervention, prognosis
National Category
Cardiac and Cardiovascular Systems
Research subject
Cardiology
Identifiers
URN: urn:nbn:se:oru:diva-51850DOI: 10.4244/EIJY15M10_07ISI: 000380083100005PubMedID: 26485732Scopus ID: 2-s2.0-84975806577OAI: oai:DiVA.org:oru-51850DiVA: diva2:956084
Note

Funding Agencies:

Swedish Health Authorities

Stichting Jo Kolk Studiefonds

Available from: 2016-08-29 Created: 2016-08-29 Last updated: 2017-10-17Bibliographically approved

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CiteExportLink to record
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Citation style
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