Clinico-angiographic profile and procedural outcomes in patients undergoing percutaneous coronary interventions: The Srinagar registry

Abstract

BackgroundThis study was aimed at exploring the clinical profile, angiographic characteristics and procedural outcomes in patients undergoing PCI at our institute.MethodsThis prospective observational study included all consecutive patients who underwent PCI at our hospital between January 2014 and December 2015. Data including clinico-demographic profile, angiographic details and lesion characteristics were recorded in all patients. Procedural details including devices and drugs used, procedure related complications, and in-hospital outcomes of these patients were analysed.ResultsA total of 624 patients (mean age- 59.30 ± 11.17 years) with 84.8% males and 15.2% females were included in the study. Smoking and hypertension were the most common risk factors, present in 79.8% and 74.8% patients respectively. Diabetes mellitus, dyslipidemia, and obesity were observed in 24.5%, 26.1%, and 25.0% patients respectively. Anterior wall MI was the most common mode of presentation (32.1%). Single Vessel Disease (SVD) was most common angiographic pattern, observed in 50.3% patients; left anterior descending artery (LAD) was the most frequently involved vessel (65.9%); and type B lesions were most prevalent (52.3%). Most of the procedures were elective (61.4%) and femoral route was used in the majority (82.6%). Drug eluting stents were deployed in 99.1% of the cases. The overall procedural success rate was 93.6%. Procedural mortality was 1.0% and periprocedural complications occurred in 9.9% patients.ConclusionThis first prospective PCI registry from the state of Jammu & Kashmir provides an insight into the patterns of CAD among Kashmiri population, and highlights the spectrum of PCIs performed with their outcomes.

Clinico-Angiographic Profile and Prevalence of Restenosis in Patients Undergoing Percutaneous Transluminal Coronary Angioplasty to Left Main Coronary Artery: An Observational Cohort Study

“…According to the INTERHEART study [8], the median age for the presentation of CAD in the South Asian population is 53 years which was consistent with our study but earlier than the western population as feature in COURAGE trial (62 years) [9]. In contrary to the Beig et al study [10], CAD was presented earlier in female (mean age 50.25 ± 11.44) compared to men (mean age 55.00 ± 9.46) in our study. Sex ratio observed was 3.25:1 (76.47% male) and this can be attributed to the gender bias which is also a similar feature in INTERHEART study (75.9% male) [11].…”

“…The clinical presentations showed 29.41% patients presented with chronic stable angina and together the acute coronary syndrome constituted 70.59% was the most common presentation included UA, STEMI, and USTEMI similar to Sharma et al study [2]. SVD was the most common angiographic pattern, followed by DVD and TVD observed in Beig et al [10] and Sharma et al study [2]. Where in our study, SVD of LMCA was most common pattern observed in 47.10% patients followed by TVD (29.41%) and DVD (23.53%).…”

“…The most common risk factor noted was past or current smoking in 52.94% patients which is predominant in the male. Smoking is also the most prevalent risk factor in the Beig et al study [10], and Sharma et al study [2]. The prevalence of hypertensive patients was 47.06% which was quite higher than the prevalence seen in the INTERHEART study (39.0%) [11] and De Gregorio et al study (44% for <75 years cohort) [12].…”

Prevalence of Coronary Artery Disease and Its Risk Factors in Patients Undergoing Permanent Pacemaker Implantation

“…However, these findings of Bassan et al are contradicted by Thrombolysis in Acute Myocardial Infarction (TAMI) [12] and Thrombolysis in Myocardial Infarction (TIMI) [13] populations. Many studies have proven that the LAD is the most common coronary artery involved by atherosclerosis, especially type V atherosclerosis and in myocardial infarction [14][15][16]. Our study showed that 12.0%, 11.2% and 7.7% of patients had significant LAD, RCA and LCX obstruction, respectively.…”

Clinical and angiographic profile of symptomatic patients undergoing percutaneous transluminal coronary angioplasty and drug-eluting stent implantation

“…2019 Oct;7 (10): [3819][3820][3821][3822][3823][3824] International Journal of Research in Medical Sciences | October 2019 | Vol 7 | Issue 10 Page 3820 complex patients and lesions being treated with this modality. 5 Despite, this increasing panorama, ISR is the major limitation impeding the medium-term efficacy of coronary stenting. 6,7 Sirolimus-eluting (SES) and paclitaxeleluting stents (PES), the two drug-eluting stents (DES) most extensively studied so far have markedly altered the outcome of patients undergoing coronary angioplasty, mainly due to their effect on the reduction of restenosis.…”