Prognosis and pre-procedural independent risk factors for patients with no-reflow phenomenon during percutaneoos coronary intervention
- VernacularTitle:冠状动脉无复流现象患者的术前影响因素及预后
- Author:
Shengsi ZHU
;
Xuchen ZHOU
;
Yun LIU
;
Hao ZHU
;
Xiaoqun ZHENG
;
Yan ZHANG
;
Xinkai QU
;
Junjie WANG
;
Rongchong HUANG
- Publication Type:Journal Article
- Keywords:
Angioplasty,transluminal,percutaneous coronary;
Prognosis;
No-reflow phe-nomenon
- From:
Chinese Journal of Postgraduates of Medicine
2008;31(19):5-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the prognosis and pre-procedural independent risk factors for pa-tients with no-reflow (NR) phenomenon during percutaneous coronary intervention (PCI). Methods Pa-tients with or without NR phenomenon during PCI procedures from January 2000 to January 2005 were studied retrospectively. The clinical data preoperative and the incidence of major adverse cardiovascular events (MACE) between the two groups were compared. Univariate analysis and multivariate Logistic analysis were used to select the risk factors for NR phenomenon. Retrospectively was reviewed for (35.8 ± 15.3)months. Results The NR group had more significant incidence of MACE. Multivariate Logistic analysis showed that the predictive factors for NR were (1) Smoke index ≥ 300(OR = 2.81,95%CI: 1.61-4.38 ,P =0.007). (2) Fasting blood glucose level before PCI ≥ 11.1 mmol/L (OR = 3.39,95%CI: 1.51-4.89,P = 0.000 ). (3) Absence of angina pectoris attack within one month before PCI (OR = 2.39,95%CI: 1.22-3.78,P = 0.009). Conclusions The prognosis is poor for the PCI patients with NR phenomenon. Those patients whose fasting blood glucose level before PCI ≥ 11.1 mm01/L, smoke index ≥ 300 and absence of angina pec-toffs attack within one month before PCI have higher incidence of NR phenomenon.
