Clinical Characteristics of Patients with Immediate Severe Coronary Artery Spasm after Stent Implantation
- VernacularTitle:冠状动脉支架植入后即刻非支架节段内冠状动脉痉挛的临床特点
- Author:
Yuxiang DAI
1
;
Chenguang LI
;
Zheyong HUANG
;
Hao LU
;
Shufu CHANG
;
Juying QIAN
;
Lei GE
;
Qibing WANG
;
Yan YAN
;
Bing FAN
;
Feng ZHANG
;
Kang YAO
;
Jianying MA
;
Dong HUANG
;
Junbo GE
Author Information
1. 复旦大学附属中山医院心内科
- Keywords:
Percutaneous coronary intervention;
Coronary artery spasm;
Inflammation
- From:
Chinese Journal of Clinical Medicine
2015;(3):314-317
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical characteristics of patients with immediate severe coronary artery spasm(CAS) af‐ter stent implantation .Methods:The clinical data of 6918 patients who received percutaneous coronary intervention(PCI) from Jan 2012 to Dec 2013 in Zhongshan Hospital ,Fudan University were retrospectively analyzed .And 102 patients with immediate severe CAS after stent implantation were identified and 204 age‐and gender‐matched patients without immediate severe CAS af‐ter stent implantation were selected as control subjects .The general information ,blood indexes ,number and length of stents in the two groups were compared .Results:Compared with the control group ,the ratios of males ,smoking and dyslipidemia were higher in CAS group (P<0 .05) .Patients with CAS had higher neutrophil count and higher level of high sensitive C‐reactive protein(P<0 .05) and received more and longer stents implantation than the control group(P<0 .05 or 0 .01) .Conclusions:Male patients and patients with history of smoking are prone to have immediate severe CAS after stent implantation .Moreover , patients with more and longer stents implantation are prone to have immediate severe CAS .Inflammation may play an important role in the development of CAS after stent implantation .
