Postprocedure chest pain after coronary stenting: implications on clinical restenosis

Kini, Annapoorna; Lee, Paul C.; Mitre, Cristina A.; Duffy, Mary E.; Sharma, Sanjeev

doi:10.1016/s0735-1097(02)02617-7

Cited by 28 publications

(18 citation statements)

References 15 publications

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“…In the current era of predominant stent implantation for PCI, mixed results have been demonstrated (4 -6). However, our data concur with recent studies specifically addressing post-PCI myonecrosis, in which female gender is not demonstrated to be an independent correlate of post-PCI myonecrosis (7)(8)(9).…”

Section: Replysupporting

confidence: 92%

Is aspirin resistance or female gender associated with a high incidence of myonecrosis after nonurgent percutaneous coronary intervention? Reply

Chen¹,

Lee²,

Ng³

et al. 2005

Journal of the American College of Cardiology

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REFERENCES1. Chen WH, Lee PY, Ng W, et al. Aspirin resistance is associated with a high incidence of myonecrosis after non-urgent percutaneous coronary intervention despite clopidogrel pretreatment. J Am Coll Cardiol 2004;43:1122-6. 2. King KM, Ghali WA, Faris PD, et al. Sex differences in outcomes after cardiac catherization. Effect modification by treatment strategy and time. JAMA 2004;291:1220 -5. 3. Vaccarino V, Abramson JL, Veledar E, et al. Sex-based differences in early mortality after myocardial infarction. N Engl J Med 1999;341:217-25. REPLYWe would like to thank Dr. Poulsen and colleagues for their interest in our study (1). The prevalence of female gender with or without creatine kinase-myocardial band (CK-MB) elevation after percutaneous coronary intervention (PCI) was not different between the two groups (31.1% vs. 21.7%; p ϭ 0.22). Gender was entered in the multivariate analysis, and it turned out not to be an independent predictor of CK-MB elevation. Women undergoing balloon angioplasty had a higher incidence of early adverse cardiac events in both early (2) and contemporary series (3). In the current era of predominant stent implantation for PCI, mixed results have been demonstrated (4 -6). However, our data concur with recent studies specifically addressing post-PCI myonecrosis, in which female gender is not demonstrated to be an independent correlate of post-PCI myonecrosis (7-9).

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Section: Replysupporting

confidence: 92%

Is aspirin resistance or female gender associated with a high incidence of myonecrosis after nonurgent percutaneous coronary intervention? Reply

Chen¹,

Lee²,

Ng³

et al. 2005

Journal of the American College of Cardiology

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“…Conversely, some patients have cardiac biomarker elevations, but do not have either chest pain or observed changes in invasive or noninvasive imaging that would otherwise meet the criteria for the 2012 PMI definition. 5–7 …”

Section: Introductionmentioning

confidence: 99%

Varying Definitions for Periprocedural Myocardial Infarction Alter Event Rates and Prognostic Implications

Idris

Shugman

et al. 2014

JAHA

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BackgroundPeriprocedural myocardial infarction (PMI) has had several definitions in the last decade, including the Society for Cardiovascular Angiography and Interventions (SCAI) definition, that requires marked biomarker elevations congruent with surgical PMI criteria.Methods and ResultsThe aim of this study was to examine the definition‐based frequencies of PMI and whether they influenced the reported association between PMI and increased rates of late death/ myocardial infarction (MI). We studied 742 patients; 492 (66%) had normal troponin T (TnT) levels and 250 (34%) had elevated, but stable or falling, TnT levels. PMI, using the 2007 and the 2012 universal definition, occurred in 172 (23.2%) and in 99 (13.3%) patients, respectively, whereas 19 (2.6%) met the SCAI PMI definition (P<0.0001). Among patients with PMI using the 2012 definition, occlusion of a side branch ≤1 mm occurred in 48 patients (48.5%) and was the most common angiographic finding for PMI. The rates of death/MI at 2 years in patients with, compared to those without, PMI was 14.7% versus 10.1% (P=0.087) based on the 2007 definition, 16.9% versus 10.3% (P=0.059) based on the 2012 definition, and 29.4% versus 10.7% (P=0.015) based on the SCAI definition.ConclusionIn this study, PMI, according to the SCAI definition, was associated with more‐frequent late death/MI, with ≈20% of all patients, who had PMI using the 2007 universal MI definition, not having SCAI‐defined PMI. Categorizing these latter patients as SCAI‐defined no PMI did not alter the rate of death/MI among no‐PMI patients.

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“…Most patients experience the benefits of PTCA and stent quickly, with reduction in symptoms and improvement in functional status, alongside a short hospital stay and rapid recovery [7][8][9]. However recovery may not be entirely uneventful, as between 23% to 48% of patients experience chest symptoms of both ischaemic and nonischaemic origin post-procedure [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…The majority of research reviewed focuses on chest symptoms in the first 24 h post-stent when most patients are still inpatients and can rapidly seek advice [10,[12][13][14]. However, many patients have chest symptoms post-discharge when they must depend on their own resources.…”

Section: Introductionmentioning

confidence: 99%

Chest Symptoms Following Coronary Stenting in the First 10 Weeks of Recovery

Gallagher

Lynch

Paul

et al. 2008

European Journal of Cardiovascular Nursing

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Post-stent chest symptoms are frequent and recurrent out to 10 weeks post-discharge. Although symptoms tended to be brief and intermittent, the location and quality of these symptoms may overlap with existing chest pain guidelines, making it difficult for patients to interpret. Cardiac rehabilitation staff are in an ideal position to support and inform stent recipients about appropriate responses to these symptoms.

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Postprocedure chest pain after coronary stenting: implications on clinical restenosis

Cited by 28 publications

References 15 publications

Is aspirin resistance or female gender associated with a high incidence of myonecrosis after nonurgent percutaneous coronary intervention? Reply

Is aspirin resistance or female gender associated with a high incidence of myonecrosis after nonurgent percutaneous coronary intervention? Reply

Varying Definitions for Periprocedural Myocardial Infarction Alter Event Rates and Prognostic Implications

Chest Symptoms Following Coronary Stenting in the First 10 Weeks of Recovery

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