Risk factors for repeat percutaneous coronary intervention in young patients (≤45 years of age) with acute coronary syndrome

PeerJ

article

Tianwen Han¹  Qun Wang¹  Huanwan Yang¹  Shanshan Zhou¹  Jing Wang¹  Jing Jing¹  Tao Zhang¹  Yuqi Liu¹  Yundai Chen¹ 

[1] Chinese PLA General Hospital

关键词: Risk factor;    Young;    Revascularization;    Acute coronary syndrome;   

DOI  :  10.7717/peerj.6804

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

Background The incidences of premature coronary heart disease present a rising trend worldwide. The possible risk factors that may predict the incidence of repeat percutaneous coronary intervention (PCI) in premature acute coronary syndrome (ACS) remains unclear. Methods A total of 203 patients ≤45 years with ACS from Chinese PLA General Hospital who have undergone angiography twice were included in this report. Data were collected from medical records of patients during hospitalization. Baseline characteristics which have significant differences in the univariate analysis were enrolled into the multiple logistic regression analysis. According to the odds ratio (OR) of these variables, different values were assigned to build a risk model to predict the possible risk of the premature ACS patients undergoing repeat PCI. Results Of the 203 young patients, 88 patients (43.3%) underwent repeat PCI. The intermit time (OR 1.002, (95% CI [1.001–1.002])), diastolic blood pressure of second procedure (OR 0.967, (95% CI [0.938–0.996])), stent diameter (OR 0.352, (95% CI [0.148–0.840])), HbA1C of the first procedure (OR 1.835, (95% CI [1.358–2.479])), and Troponin T of the second procedure (OR 1.24, (95% CI [0.981–1.489])) were significantly associated with the incidence of repeat PCI in patients with premature ACS. An aggregate score between 0 and 6 was calculated based on these cutpoints. Conclusion For young patients with premature ACS, risk of undergoing repeat PCI was high. HbA1C was a significant, independent predictor for the incidence of repeat revascularization, and weighed more than traditional lipid profile. The glucose metabolism and disorders in patients with premature ACS should be routinely screened.

【 授权许可】

CC BY