Prognosis of different revascularizations in elderly patients with acute coronary syndrome complicated by diabetes
Chen Qi
Liu Yang
Ji Jinrui
Xue Bin
Wu Lei
Wan Dongyu
Liu Hengliang
Abstract：Objective To discuss the influence of complete revascularization(CR)and incomplete revascularization(IR)on prognosis in elderly patients with acute coronary syndrome-multi-vessel disease(ACS-MVD)complicated by diabetes after percutaneous coronary intervention(PCI).Methods The elderly patients with ACS-MVD complicated by diabetes(n=229)received PCI were retrospectively analyzed in Zhengzhou People's Hospital affiliated to Henan University of Traditional Chinese Medicine from June 2012 to Dec.2019.All patients were divided,according to revascularization types of PCI,into CR group(n=92)and IR group(n=137).The main end-point events(all-cause death,cardiac death,myocardial infarction)were analyzed in 3-y follow-up period,and secondary end-point events were composite end-point events of major adverse cardiovascular and cerebrovascular events(MACCE).Results The incidence rates of main end-point events were significantly higher in IR group than those in CR group,including all-cause death(18.25%vs.8.69%,P=0.044),cardiac death(16.79%vs.7.61%,P=0.044)and myocardial infarction(8.33%vs.5.43%,P=0.021).The incidence rates of secondary end-point events were significantly higher in IR group than those in CR group,including MACCE(56.20%vs.21.73%,P=0.000),ischemia-driven revascularization(18.98%vs.2.24%,P=0.001),angina recurrence rate(24.09%vs.7.61%,P=0.001)and readmission rate(91.97%vs.13.13%,P=0.000).Conclusion The incidence of MACCE can be reduced by CR in elderly patients with ACS-MVD complicated by diabetes.
Keywords：Acute coronary syndromePercutaneous coronary interventionType 2 diabetes mellitusRevascularizationsCardiovascular and cerebrovascular events
Publication Date：2024-03-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 307-311,315 )