Clinical features, future cardiac events, and prognostic factors following percutaneous coronary intervention in young female patients

© 2024. Springer Nature Japan KK, part of Springer Nature..

BACKGROUND: The proportion of young females among the patients who undergo percutaneous coronary intervention (PCI) is relatively small, and information on their clinical characteristics is limited. This study investigated the clinical characteristics and prognostic factors for future cardiac events in young females who underwent PCI.

METHODS: This multicenter observational study included 187 consecutive female patients aged < 60 years who underwent PCI in seven hospitals. The primary composite endpoint was the incidence of cardiac death, nonfatal myocardial infarction, and target vessel revascularization.

RESULTS: The mean patient age was 52.1 ± 6.1 years and 89 (47.6%) had diabetes, and renal dysfunction (an estimated glomerular filtration rate < 60 mL/min/1.73 m2) was observed in 38 (20.3%). During a median follow-up of 3.3 years, the primary endpoint occurred in 28 patients. The Cox proportional hazards models showed that renal dysfunction was an independent predictor for the primary endpoint (hazard ratio 3.04, 95% confidence interval 1.25-7.40, p = 0.01), as well as multivessel disease (hazard ratio 2.79, 95% confidence interval 1.12-6.93, p = 0.03). Patients with renal dysfunction had a significantly higher risk for the primary endpoint than those without renal dysfunction.

CONCLUSIONS: Renal dysfunction was strongly associated with future cardiac events in young females who underwent PCI.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Heart and vessels - (2024) vom: 27. Feb.

Sprache:

Englisch

Beteiligte Personen:

Tatami, Yosuke [VerfasserIn]
Tanaka, Akihito [VerfasserIn]
Ohashi, Taiki [VerfasserIn]
Kubota, Ryuji [VerfasserIn]
Kaneko, Shinji [VerfasserIn]
Shinoda, Masanori [VerfasserIn]
Uemura, Yusuke [VerfasserIn]
Takagi, Kensuke [VerfasserIn]
Tanaka, Miho [VerfasserIn]
Umemoto, Norio [VerfasserIn]
Tashiro, Hiroshi [VerfasserIn]
Shibata, Naoki [VerfasserIn]
Yoshioka, Naoki [VerfasserIn]
Watarai, Masato [VerfasserIn]
Morishima, Itsuro [VerfasserIn]
Takada, Yasunobu [VerfasserIn]
Shimizu, Kiyokazu [VerfasserIn]
Ishii, Hideki [VerfasserIn]
Murohara, Toyoaki [VerfasserIn]
N-registry investigators [VerfasserIn]

Links:

Volltext

Themen:

Coronary artery disease
Journal Article
PCI
Renal dysfunction
Risk factors
Young females

Anmerkungen:

Date Revised 27.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1007/s00380-024-02369-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369015886