Prognosis of unprotected left main coronary artery stenting and the factors affecting the outcomes in Chinese

Gao, Runlin; Xu, Bo; Chen, Jilin; Han, Yaling; Li, Zhanquan; Liu, Shuzheng; Qi, Xiaoyong; Huo, Yong; Wang, Lefeng; Chen, Jun-zhu; Shi, Weifeng; Fang, Wei-Yi; Jia, Shushan

doi:10.1097/00029330-200601010-00003

Cited by 14 publications

(5 citation statements)

References 18 publications

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“…Previous studies have primarily focused on clinical outcomes such as death and adverse events and did not collect data on patient-reported outcomes over time. 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 Our study extends the work of Arnold et al, 30 who explicitly described the proportions of patients who derived both an angina and a quality-of-life benefit from treatment, thereby demonstrating that baseline SAQ Angina Frequency and Quality-of-Life scores were the strongest predictors of being angina free after PCI. We also found that a substantial proportion of patients have minimal or no angina symptoms prior to PCI and, thus, no potential for substantial clinical improvement.…”

Section: Discussionsupporting

confidence: 77%

“…Our study extends the prior literature in several important ways. Previous studies have primarily focused on clinical outcomes such as death and adverse events and did not collect data on patient-reported outcomes over time . Our study extends the work of Arnold et al, who explicitly described the proportions of patients who derived both an angina and a quality-of-life benefit from treatment, thereby demonstrating that baseline SAQ Angina Frequency and Quality-of-Life scores were the strongest predictors of being angina free after PCI.…”

Section: Discussionsupporting

confidence: 60%

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Percutaneous Coronary Intervention in Patients Without Acute Myocardial Infarction in China

Zhang

Wang

et al. 2018

JAMA Netw Open

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Key Points Question What is the self-perceived angina-specific health status before and after percutaneous coronary intervention (PCI) among patients without acute myocardial infarction in China? Findings In this cohort study of 1611 Chinese patients without acute myocardial infarction undergoing elective PCI, 27.5% had stable coronary artery disease and 72.5% had unstable angina. Of patients undergoing PCI for stable coronary artery disease, 25.7% had no reported angina symptoms at the time of the procedure, and patients with smaller clinical improvements in angina symptom burden at 1 year following PCI had significantly higher baseline Seattle Angina Questionnaire scores for all scales. Meaning These findings highlight the importance of ascertaining impairment from angina among patients without acute myocardial infarction prior to performing PCI.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 60%

Percutaneous Coronary Intervention in Patients Without Acute Myocardial Infarction in China

Zhang

Wang

et al. 2018

JAMA Netw Open

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“…To approach the safety and efficacy of ULMCA stenting, the Chinese Registry of Unprotected Left Main Coronary Artery Stenting enrolled 224 cases of ULMCA stenting performed from 1997 to 2003 in 23 hospitals 18. Analysis of long-term outcomes revealed a Kaplan-Meier method-derived 4-year survival rate of 92.9%, and a 4-year major adverse cardiac event (MACE)-free survival rate of 68.4% in this highly selected patient group.…”

Section: Studies On Interventions In Complex Lesionsmentioning

confidence: 99%

“…To evaluate the immediate and long-term outcomes of elective DES implantation for ULMCA stenosis in a Chinese population, outcomes among 220 consecutive patients with ULMCA disease who had undergone elective stenting with DES at Fu Wai Hospital, Beijing, from April 2003 to February 2006 were analysed19 and compared with those of a historically matched BMS control group who had been included in the Chinese Registry of ULMCA stenting 18. The study revealed that the in-hospital MACE rate was significantly higher in the DES than in the BMS group (4.1% vs 0.9%, p=0.030), an observation that is probably related to the higher procedural complexity characteristics of DES recipients.…”

Section: Studies On Interventions In Complex Lesionsmentioning

confidence: 99%

Current status of percutaneous coronary intervention in China

Gao

2010

Heart

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“…In China, few prior studies of PCI included longitudinal data or measured patient care or outcomes, and none focused on health status or other PROs . Current evidence regarding long‐term adverse cardiac events following PCI in China are largely based on selected patients, such as those enrolled in stent registries or in randomized controlled trials , or those with complex coronary diseases . In contrast, numerous studies in western countries have described the efficacy of PCI in reducing the risk of adverse events among patients with acute coronary syndromes , as well as improving quality‐of‐life n both acute and stable settings .…”

Section: Introductionmentioning

confidence: 99%

The china patient‐centered evaluative assessment of cardiac events (PEACE) prospective study of percutaneous coronary intervention: Study design

Dreyer

et al. 2016

Cathet Cardio Intervent

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BackgroundThe number of percutaneous coronary interventions (PCI) in China has increased more than 20‐fold over the last decade. Consequently, there is a need for national‐level information to characterize PCI indications and long‐term patient outcomes, including health status, to understand and improve evolving practice patterns. Objectives: This nationwide prospective study of patients receiving PCI is to: (1) measure long‐term clinical outcomes (including death, acute myocardial infarction [AMI], and/or revascularization), patient‐reported outcomes (PROs), cardiovascular risk factor control and adherence to medications for secondary prevention; (2) determine patient‐ and hospital‐level factors associated with care process and outcomes; and (3) assess the appropriateness of PCI procedures. Methods: The China Patient‐centered Evaluative Assessment of Cardiac Events (PEACE) Prospective Study of PCI has enrolled 5,000 consecutive patients during 2012–2014 from 34 diverse hospitals across China undergoing PCI for any indication. We abstracted details of patient's medical history, treatments, and in‐hospital outcomes from medical charts, and conducted baseline, 1‐, 6‐, and 12‐month interviews to characterize patient demographics, risk factors, clinical presentation, healthcare utilization, and health status using validated PRO measures. The primary outcome, a composite measure of death, AMI and/or revascularization, as well as PROs, medication adherence and cardiovascular risk factor control, was assessed throughout the 12‐month follow‐up. Blood and urine samples were collected at baseline and 12 months and stored for future analyses. To validate reports of coronary anatomy, 2,000 angiograms are randomly selected and read by two independent core laboratories. Hospital characteristics regarding their facilities, processes and organizational characteristics are assessed by site surveys. Conclusion: China PEACE Prospective Study of PCI will be the first study to generate novel, high‐quality, comprehensive national data on patients’ socio‐demographic, clinical, treatment, and metabolic/genetic factors, and importantly, their long‐term outcomes following PCI, including health status. This will build the foundation for PCI performance improvement efforts in China. © 2016 The Authors. Catheterization and Cardiovascular Interventions. Published by Wiley Periodicals, Inc.

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Prognosis of unprotected left main coronary artery stenting and the factors affecting the outcomes in Chinese

Cited by 14 publications

References 18 publications

Percutaneous Coronary Intervention in Patients Without Acute Myocardial Infarction in China

Percutaneous Coronary Intervention in Patients Without Acute Myocardial Infarction in China

Current status of percutaneous coronary intervention in China

The china patient‐centered evaluative assessment of cardiac events (PEACE) prospective study of percutaneous coronary intervention: Study design

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