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

期刊论文
发表日期：

2024年2月27日

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

摘要

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.