PMID- 32384589
OWN - NLM
STAT- MEDLINE
DCOM- 20210924
LR  - 20210924
IS  - 1522-726X (Electronic)
IS  - 1522-1946 (Linking)
VI  - 97
IP  - 2
DP  - 2021 Feb 1
TI  - Follow-up strategies and individual risk profile after percutaneous coronary 
      intervention: The prospective post percutaneous coronary intervention registry.
PG  - E209-E218
LID - 10.1002/ccd.28964 [doi]
AB  - BACKGROUND: A multidisciplinary consensus document (MCD) provided a follow-up 
      strategy after percutaneous coronary intervention (PCI) based on individual risk 
      profiles: A, high; B, intermediate; and C, low. AIM: To assess patterns of 
      follow-up after PCI and to evaluate the potential reduction of cardiologic 
      examinations with the application of the MCD. METHODS: The post-PCI registry was 
      carried out at 31 Italian Hospitals and included consecutive patients undergoing 
      PCI. We collected cardiologic consults (CC), noninvasive stress tests (ST), and 
      echocardiograms (EC) actually performed at 12 months and we compared them with 
      the expected by the MCD. RESULTS: We included 1,113 patients (58% with acute 
      coronary syndrome) that underwent 1,567 CC, 398 ST, and 612 EC. The performed CC 
      and ST were significantly lower compared to the expected, respectively [1.6 (95% 
      CI, 1.5-1.7) vs. 1.9 (95% CI, 1.8-2.0), and 0.40 (95% CI, 0.4-0.5) vs. 0.61 (95% 
      CI, 0.6-0.7), p < .001]; the performed EC were significantly higher [0.6 (95% CI, 
      0.6-0.7) vs. 0.3 (95% CI, 0.3-0.37), p < .001]. Patients at moderate low risk had 
      an excess of noninvasive tests whereas patients at higher risk received less 
      examinations than the expected. The individual risk profile was an independent 
      predictor of increased number of cardiac examination in patients at intermediate 
      and low risk [profile B, OR 2.56 (95%CI 1.38-4.75); profile C, OR 27.00 (95%CI 
      8.13-89.62), p < .001]. CONCLUSION: In real world patients undergoing PCI, the 
      intensity of follow-up at 12 months appeared not based on individual risk 
      profile, with a higher numbers of examinations, particularly EC, performed in low 
      risk subjects.
CI  - (c) 2020 Wiley Periodicals, Inc.
FAU - Ferlini, Marco
AU  - Ferlini M
AUID- ORCID: 0000-0002-5554-3577
AD  - Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
FAU - Musumeci, Giuseppe
AU  - Musumeci G
AD  - Dipartimento Emergenze e Aree Critiche, Ospedale Santa Croce e Carle, Cuneo, 
      Italy.
FAU - Grieco, Niccolo
AU  - Grieco N
AD  - De Gasperis Cardio Center, Niguarda Hospital, Milan, Italy.
FAU - Trabattoni, Daniela
AU  - Trabattoni D
AUID- ORCID: 0000-0002-6319-4119
AD  - Department of Cardiovascular Sciences, Centro Cardiologico Monzino, IRCCS, Milan, 
      Italy.
FAU - Castiglioni, Battistina
AU  - Castiglioni B
AD  - Department of Cardiovascolare, SC Cardiologia - Tradate - ASST Sette Laghi, 
      Varese, Italy.
FAU - Lettieri, Corrado
AU  - Lettieri C
AD  - Division of Cardiology, ASST Mantova-Ospedale Carlo Poma, Mantova, Italy.
FAU - Klersy, Catherine
AU  - Klersy C
AD  - Clinical Epidemiology & Biometry Unit, Fondazione IRCCS Policlinico, Pavia, 
      Italy.
FAU - Tarantini, Giuseppe
AU  - Tarantini G
AD  - Department of Cardiac, Thoracic and Vascular Science, Padova University Hospital, 
      Padova, Italy.
FAU - Oltrona Visconti, Luigi
AU  - Oltrona Visconti L
AD  - Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
FAU - Rossini, Roberta
AU  - Rossini R
AD  - Dipartimento Emergenze e Aree Critiche, Ospedale Santa Croce e Carle, Cuneo, 
      Italy.
LA  - eng
PT  - Journal Article
DEP - 20200508
PL  - United States
TA  - Catheter Cardiovasc Interv
JT  - Catheterization and cardiovascular interventions : official journal of the 
      Society for Cardiac Angiography & Interventions
JID - 100884139
SB  - IM
MH  - Follow-Up Studies
MH  - Humans
MH  - *Percutaneous Coronary Intervention/adverse effects
MH  - Prospective Studies
MH  - Registries
MH  - Treatment Outcome
OTO - NOTNLM
OT  - HCP
OT  - PCI
OT  - RISK
EDAT- 2020/05/10 06:00
MHDA- 2021/09/25 06:00
CRDT- 2020/05/09 06:00
PHST- 2020/01/29 00:00 [received]
PHST- 2020/04/03 00:00 [revised]
PHST- 2020/04/25 00:00 [accepted]
PHST- 2020/05/10 06:00 [pubmed]
PHST- 2021/09/25 06:00 [medline]
PHST- 2020/05/09 06:00 [entrez]
AID - 10.1002/ccd.28964 [doi]
PST - ppublish
SO  - Catheter Cardiovasc Interv. 2021 Feb 1;97(2):E209-E218. doi: 10.1002/ccd.28964. 
      Epub 2020 May 8.