Patient-related variables and restenosis after percutaneous transluminal coronary angioplasty : a report from the M-HEART group

As part of a randomized prospective study designed to investigate the restenosis process after percutaneous transluminal coronary angioplasty (PTCA), the relation between patient-related variables and restenosis rate was examined. A total of 722 patients had successful PTCA. Angiographic follow-up w...

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Veröffentlicht in:The American journal of cardiology 1990-10, Vol.66 (12), p.926-931
Hauptverfasser: MACDONALD, R. G, HENDERSON, M. A, HILL, J. A, JUGO, R, PEPINE, C. J, HIRSHFELD, J. W, GOLDBERG, S. H, BASS, T, VETROVEC, G, COWLEY, M, TAUSSIG, A, WHITWORTH, H, MARGOLIS, J. R
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container_end_page 931
container_issue 12
container_start_page 926
container_title The American journal of cardiology
container_volume 66
creator MACDONALD, R. G
HENDERSON, M. A
HILL, J. A
JUGO, R
PEPINE, C. J
HIRSHFELD, J. W
GOLDBERG, S. H
BASS, T
VETROVEC, G
COWLEY, M
TAUSSIG, A
WHITWORTH, H
MARGOLIS, J. R
description As part of a randomized prospective study designed to investigate the restenosis process after percutaneous transluminal coronary angioplasty (PTCA), the relation between patient-related variables and restenosis rate was examined. A total of 722 patients had successful PTCA. Angiographic follow-up was scheduled for 6 +/- 2 months after the procedure and achieved in 510 patients (71%), yielding 598 lesions for analysis. The overall restenosis rate was 40%. The rate was higher in patients undergoing early restudy for a clinical event than in those undergoing routinely scheduled follow-up restudy (71 vs 22%, p less than 0.0001). Age, sex, cigarette smoking history, diabetes mellitus and history of previous myocardial infarction were not associated with restenosis rate. Angina duration and severity before PTCA were also unrelated to restenosis rate. In summary, these variables, many of which have been previously implicated in restenosis, were not found to be predictors of restenosis. The decision to perform PTCA in individual patients should not be negatively influenced by the presence of these factors.
doi_str_mv 10.1016/0002-9149(90)90927-S
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G ; HENDERSON, M. A ; HILL, J. A ; JUGO, R ; PEPINE, C. J ; HIRSHFELD, J. W ; GOLDBERG, S. H ; BASS, T ; VETROVEC, G ; COWLEY, M ; TAUSSIG, A ; WHITWORTH, H ; MARGOLIS, J. R</creator><creatorcontrib>MACDONALD, R. G ; HENDERSON, M. A ; HILL, J. A ; JUGO, R ; PEPINE, C. J ; HIRSHFELD, J. W ; GOLDBERG, S. H ; BASS, T ; VETROVEC, G ; COWLEY, M ; TAUSSIG, A ; WHITWORTH, H ; MARGOLIS, J. R</creatorcontrib><description>As part of a randomized prospective study designed to investigate the restenosis process after percutaneous transluminal coronary angioplasty (PTCA), the relation between patient-related variables and restenosis rate was examined. A total of 722 patients had successful PTCA. Angiographic follow-up was scheduled for 6 +/- 2 months after the procedure and achieved in 510 patients (71%), yielding 598 lesions for analysis. The overall restenosis rate was 40%. 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subjects Adult
Aged
Aged, 80 and over
Angioplasty, Balloon, Coronary
Aspirin - administration & dosage
Biological and medical sciences
Cardiology. Vascular system
Constriction, Pathologic - therapy
Coronary Angiography
Coronary Disease - complications
Coronary Disease - diagnostic imaging
Coronary Disease - therapy
Coronary heart disease
Diabetes Complications
Drug Administration Schedule
Female
Follow-Up Studies
Heart
Humans
Incidence
Male
Medical sciences
Methylprednisolone - administration & dosage
Middle Aged
Prospective Studies
Recurrence
Smoking - epidemiology
title Patient-related variables and restenosis after percutaneous transluminal coronary angioplasty : a report from the M-HEART group
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