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

Tianwen Han, Qun Wang, Huanwan Yang, Shanshan Zhou, Jing Wang, Jing Jing, Tao Zhang, Yuqi Liu, Yundai Chen

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

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 patients45 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.

Original languageEnglish
Article number6804
JournalPeerJ
Volume2019
Issue number4
DOIs
StatePublished - 2019
Externally publishedYes

Keywords

  • Acute coronary syndrome
  • Revascularization
  • Risk factor
  • Young

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