PMID- 25113554
OWN - NLM
STAT- MEDLINE
DCOM- 20150914
LR  - 20211021
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 4
IP  - 8
DP  - 2014 Aug 11
TI  - Long-term follow-up results in patients undergoing percutaneous coronary 
      intervention (PCI) with drug-eluting stents: results from a single high-volume 
      PCI centre.
PG  - e004892
LID - 10.1136/bmjopen-2014-004892 [doi]
LID - e004892
AB  - OBJECTIVE: To assess both short-term and long-term prognosis in consecutive 
      patients with coronary heart disease treated with drug-eluting stents in a 
      high-volume percutaneous coronary intervention (PCI) centre. DESIGN: 
      Observational cohort study. SETTING: A hospital in the Henan province, China, 
      between 2009 and 2011. PARTICIPANTS: A total of 2533 patients were enrolled. 
      Patients with ST-elevation myocardial infarction (STEMI) treated with urgent PCI 
      accounted for 3.9% of cases; patients with STEMI treated with delayed PCI 
      accounted for 20.5% of cases; patients with stable angina accounted for 16.5% of 
      cases; and patients with non-ST elevation acute coronary syndrome (NSTE-ACS) 
      accounted for 58.6% of cases. PRIMARY OUTCOMES: Death, major adverse cardiac and 
      cerebrovascular events (MACCE: death/myocardial infarction/stroke), and target 
      vessel revascularisation. RESULTS: Follow-up after a median of 29.8 months was 
      obtained for 2533 patients (92.6%). The mortality rate during hospitalisation was 
      highest in the urgent PCI group (p<0.001). During follow-up, although the 
      incidences of death and MACCE were highest in the urgent PCI group, no 
      significant differences were observed among the different groups. The incidences 
      of cardiac death and myocardial infarction were significantly higher in the 
      paclitaxel-eluting stent (PES) group than in the sirolimus-eluting stent (SES) 
      group. Independent predictors of death during follow-up were age, left 
      ventricular ejection function <40%, diabetes mellitus, prior coronary artery 
      bypass graft and chronic total occlusion. CONCLUSIONS: PCI patients with STEMI 
      had the worst hospital and long-term prognosis. The mortality rate after hospital 
      increased markedly in patients with NSTE-ACS. SESs seem to be more effective than 
      PESs.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://group.bmj.com/group/rights-licensing/permissions.
FAU - Yao, Hai-Mu
AU  - Yao HM
AD  - Department of Cardiology, The First Af fi liated Hospital of Zhengzhou University, 
      Zhengzhou, People's Republic of China.
FAU - Wan, You-Dong
AU  - Wan YD
AD  - Department of Integrated ICU, The First Af fi liated Hospital of Zhengzhou 
      University, Zhengzhou, People's Republic of China.
FAU - Zhang, Xiao-Juan
AU  - Zhang XJ
AD  - Department of Integrated ICU, The First Af fi liated Hospital of Zhengzhou 
      University, Zhengzhou, People's Republic of China.
FAU - Shen, De-Liang
AU  - Shen DL
AD  - Department of Cardiology, The First Af fi liated Hospital of Zhengzhou University, 
      Zhengzhou, People's Republic of China.
FAU - Zhang, Jin-Ying
AU  - Zhang JY
AD  - Department of Cardiology, The First Af fi liated Hospital of Zhengzhou University, 
      Zhengzhou, People's Republic of China.
FAU - Li, Ling
AU  - Li L
AD  - Department of Cardiology, The First Af fi liated Hospital of Zhengzhou University, 
      Zhengzhou, People's Republic of China.
FAU - Zhao, Luo-Sha
AU  - Zhao LS
AD  - Department of Cardiology, The First Af fi liated Hospital of Zhengzhou University, 
      Zhengzhou, People's Republic of China.
FAU - Sun, Tong-Wen
AU  - Sun TW
AD  - Department of Integrated ICU, The First Af fi liated Hospital of Zhengzhou 
      University, Zhengzhou, People's Republic of China.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20140811
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - China
MH  - Cohort Studies
MH  - Coronary Artery Disease/*surgery
MH  - Drug-Eluting Stents/*statistics & numerical data
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Percutaneous Coronary Intervention/*statistics & numerical data
MH  - Time
MH  - Treatment Outcome
PMC - PMC4127920
EDAT- 2014/08/13 06:00
MHDA- 2015/09/15 06:00
PMCR- 2014/08/09
CRDT- 2014/08/13 06:00
PHST- 2014/08/13 06:00 [entrez]
PHST- 2014/08/13 06:00 [pubmed]
PHST- 2015/09/15 06:00 [medline]
PHST- 2014/08/09 00:00 [pmc-release]
AID - bmjopen-2014-004892 [pii]
AID - 10.1136/bmjopen-2014-004892 [doi]
PST - epublish
SO  - BMJ Open. 2014 Aug 11;4(8):e004892. doi: 10.1136/bmjopen-2014-004892.