Non-culprit coronary lesions in young patients have higher rates of atherosclerotic progression
Abstract
The present study aimed to investigate whether non-culprit coronary lesions (NCCLs) in young patients (<45 years) who underwent percutaneous coronary intervention (PCI) with stents have higher rates of atherosclerotic progression than older patients. Eight hundred and forty-eight consecutive patients who underwent successful PCI with stents and second coronary angiography in a single center from January 7, 2008 to May 7, 2013 were enrolled. NCCL progression was assessed using three-dimensional quantitative coronary angiography and was defined as ≥ 10% diameter reduction of preexisting stenoses of ≥ 50%, ≥ 30% diameter reduction of <50% stenoses, development of a new stenosis of ≥ 30% in a previously normal segment, or progression to total occlusion. The mean time interval between two catheterization was 10.79 months; 136 (16.0%) patients exhibited progression of NCCLs. Multivariate Cox regression analysis (stepwise) showed young age to be an independent determinant of NCCL progression. Compared with the older patients(≥ 45 years), the crude hazard ratio (HR) for NCCL progression in the young patients(<45 years) was 2.17 (95% CI 1.42-3.30; P < 0.001); the association remained significant after adjustment for sex, ST elevation my...Continue Reading
References
High density lipoprotein as a protective factor against coronary heart disease. The Framingham Study
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