Prediction of residual angina after percutaneous coronary intervention

European Heart Journal. Quality of Care & Clinical Outcomes
Suzanne V ArnoldJ A Spertus

Abstract

Angina relief is a major goal of percutaneous coronary intervention (PCI); however, about one in five patients continue to have angina after PCI. Understanding patient factors associated with residual angina would enable providers to more accurately calibrate patients' expectations of angina relief after PCI, may support different follow-up strategies or approaches to coronary revascularization, and could potentially serve as a marker of PCI quality. Among 2573 patients who had PCI at 10 US hospitals for stable angina, unstable angina, or non-ST-elevation myocardial infarction (NSTEMI), 24% reported angina 6 months after PCI, as assessed with the Seattle Angina Questionnaire angina frequency score (categorized as none vs. any angina; score = 100 vs. <100). Post-PCI angina was more common in those patients treated for unstable angina (30 vs. 20% stable angina and 21% NSTEMI, P < 0.001). Using a hierarchical logistic regression model, eight variables were independently associated with angina after PCI, including younger age, poor economic status, depression, and greater number of antianginal medications at the time of PCI (c-index = 0.75). The amount of angina at the time of PCI was more predictive of post-PCI angina in patients ...Continue Reading

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Citations

Dec 10, 2017·Circulation. Cardiovascular Interventions·William F Fearon, Yuhei Kobayashi
May 26, 2016·Circulation. Cardiovascular Quality and Outcomes·Suzanne V ArnoldMikhail Kosiborod
Oct 22, 2017·Journal of the American Heart Association·Mohammed QintarSuzanne V Arnold
Oct 5, 2019·Internal and Emergency Medicine·Francesco PerticoneAlberto Ferrari
Apr 20, 2019·Circulation. Cardiovascular Quality and Outcomes·Brack HattlerA Laurie W Shroyer
May 16, 2018·Clinical Hemorheology and Microcirculation·Eun-Seok ShinDo-Sun Lim
May 27, 2021·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Paul FerencziJean-Baptiste Pinaquy

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