Incidence and prognosis of stent thrombosis following percutaneous coronary intervention in Middle Eastern patients: The First Jordanian Percutaneous Coronary Intervention Registry (JoPCR1)

Saleh, Akram; Hammoudeh, Ayman; Tabbalat, Ramzi; Al-haddad, Imadd; Al-Mousa, Eyas; Jarrah, Mohamad; Izraiq, Mahmoud; Nammas, Assem; Janabi, Husham; Hazaymeh, Lewa; Shakhatreh, Ali; Khadder, Youssef

doi:10.5144/0256-4947.2016.17

Cited by 14 publications

(14 citation statements)

References 34 publications

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“…Moreover, efforts to prevent or reduce possible complication post‐cardiac intervention and encourage healthy lifestyle choices are not well established in Jordan (Mosleh & Almalik ; Saleh et al. ). Thus, studies like the current one might stimulate clinicians and policy makers to step forward in designing and approving national educational guidelines applicable for patients who undergo PCI and open‐heart surgery.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Moreover, efforts to prevent or reduce possible complication post-cardiac intervention and encourage healthy lifestyle choices are not well established in Jordan Saleh et al 2016…”

Section: Literature Reviewmentioning

confidence: 99%

“…In addition, stressful life events and smoking (such as economic, social or political) have been found as key factors associated with developing the disease in Jordan (Tabbalat et al 2016). A recent Jordanian study found that 80% of patients with acute coronary syndromes undergo diagnostic coronary angiography and 60-70% of these undergo coronary revascularisation (Saleh et al 2016). The demand for percutaneous coronary intervention (PCI) has increased significantly, as it offers a more convenient and less complicated procedure, as well as providing instant symptom relief, reduced risk and an earlier return to activities of daily living (Mohr et al 2013).…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous coronary intervention and heart surgery learning needs of patients in Jordan

Mosleh

Eshah

Darawad

2016

International Nursing Review

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The fact that wound care and medications are areas of highest learning needs for patients requires health policy decision makers to address these topics at the time of hospital discharge. In addition, a policy focus on considering patients' actual learning needs requires establishment and managerial support. As patients' learning needs might change later after discharge, the health services should be proactive and focus on continuous support for patients after hospital discharge. Secondary prevention programmes should incorporate health education topics based on patients' own views. This can be done by giving higher priority to understand patients' needs, put much more effort into how to meet patients' information needs and to create a more engaging learning environment for patients and their families.

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Section: Literature Reviewmentioning

confidence: 99%

“…Moreover, efforts to prevent or reduce possible complication post-cardiac intervention and encourage healthy lifestyle choices are not well established in Jordan Saleh et al 2016…”

Section: Literature Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Percutaneous coronary intervention and heart surgery learning needs of patients in Jordan

Mosleh

Eshah

Darawad

2016

International Nursing Review

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“…In our study, 30 patients (60%) were diabetics, which is higher than what was reported in other studies. 9 The high prevalence of diabetes in our patients reflects the practice of PCI in our region since most patients prefer to have a PCI even if it is against the recommendations. Additionally, heart surgery centers are not evenly distributed in our country, and many patients are referred to us from remote areas where surgery is not available .…”

Section: Discussionmentioning

confidence: 86%

Surgical Outcome of Coronary Artery Bypass Graft in Patients with Previous Coronary Stenting

Mohamed

Gamil

Refaie

et al. 2020

Al-Azhar International Medical Journal

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Background: With the advancement of percutaneous coronary interventions, patients are presenting to coronary artery bypass grafting (CABG) older, with several co-morbidities and with prior coronary stenting. The outcome of surgery after stenting continues to be debated. We evaluated the surgical outcome of coronary artery bypass grafting in patients with previous coronary stenting. Material and Methods: This prospective cohort study included 50 patients with previous coronary stent who underwent CABG between February 2016 and June 2017. Thirty-eight patients were males (76%), and the mean age was 57.66±8.81 years. The mean ejection fraction was 41.43±9.25%. Forty-six patients (92%) had previous one stent, and 4 patients (8%) had 2 stents. Results: Nineteen patients had in-stent restenosis (38%), and 31 patients had new lesions (62%). Seven patients had lesions distal to the site of the stent (14%).The mean cardiopulmonary bypass time was 102.66±25.34 minutes. Two patients needed an intraoperative intra-aortic pump and four in the ICU. Five patients (10%) developed acute myocardial infarction. Operative mortality occurred in 4 patients (8%); one patient (2%) had an acute renal failure. Ejection fraction at 6 months postdischarge showed an increase compared to the preoperative value (41.43±9.25%-44.78±6.99%, P= 0.013).Mortality occurred more frequently in patients with IABP and in patients who had MI and renal failure. Mortality was not associated with in-stent stenosis. Conclusions: Coronary artery bypass grafting in patients with prior coronary stenting could be associated with increased morbidity and mortality. Proper management of coronary artery disease is essential to decrease the risk of future intervention.

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“…[10][11][12][13] The recently completed first Jordanian PCI Registry (JoPCR1) assessed the in-hospital and one-year outcomes in patients who underwent PCI for ACS and stable coronary disease. [14][15] We used data from this registry to evaluate the incidence, clinical and coronary angiographic features, predictive factors, in-hospital and one-year prognosis in patients who developed HF during the hospital stay compared with those who did not.…”

Section: Introductionmentioning

confidence: 99%

Incidence and impact on prognosis of heart failure in Middle Eastern patients undergoing percutaneous coronary interventions

et al. 2017

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Background: Heart failure (HF) is a serious complication of percutaneous coronary intervention (PCI) that adversely impacts survival and quality of life. Aims and Objectives: We sought to study the incidence of HF in Middle Eastern patients undergoing PCI and its impact on prognosis. Materials and Methods: The first Jordanian PCI Registry was a prospective multicenter study of PCI patients who were followed for one year. Patients who developed heart failure during hospitalization had their clinical and coronary angiographic profiles and adverse outcomes compared with those in patients who did not develop HF. Results: Of 2425 patients who had PCI, 194 (8.0%) developed HF during the hospital stay. Compared with patients who did not develop HF, those who developed HF were more likely to have diabetes mellitus, prior history of myocardial infarction (MI), elevated levels of cardiac biomarkers, ST-segment elevation MI and multivessel or left anterior descending coronary artery disease (all p values<0.05). Cardiac mortality was significantly higher among patients who developed HF compared with those who did not (5.2% vs. 0.4%; p<0.0001) and at one year (11.2% vs. 1.2%; p<0.001). Multivariate analysis showed that HF during hospital stay was an independent predictor of one-year cardiac mortality (Odds ratio 6.1, 95% CI 3.3-11.1, p<0.001). At one year, readmission rates for HF and ACS were higher among HF patients. Conclusions: Certain clinical and angiographic features were associated with higher incidence of HF among Middle Eastern patients who undergo PCI. HF was associated with higher risk of death and other adverse cardiac events during hospital stay and one year of follow up.

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Incidence and prognosis of stent thrombosis following percutaneous coronary intervention in Middle Eastern patients: The First Jordanian Percutaneous Coronary Intervention Registry (JoPCR1)

Cited by 14 publications

References 34 publications

Percutaneous coronary intervention and heart surgery learning needs of patients in Jordan

Percutaneous coronary intervention and heart surgery learning needs of patients in Jordan

Surgical Outcome of Coronary Artery Bypass Graft in Patients with Previous Coronary Stenting

Incidence and impact on prognosis of heart failure in Middle Eastern patients undergoing percutaneous coronary interventions

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