Interventional cardiac catheterization predictors at Al-Arabi heart Center in Palestine in 2017.
Adult
Aged
Cardiac Catheterization
/ adverse effects
Clinical Decision-Making
Coronary Disease
/ diagnosis
Decision Support Techniques
Female
Health Status
Humans
Male
Middle Aged
Middle East
Patient Selection
Percutaneous Coronary Intervention
/ adverse effects
Predictive Value of Tests
Retrospective Studies
Risk Assessment
Risk Factors
Time Factors
Cardiac catheterization
ECG
Interventional
Palestine
Troponin
Journal
BMC cardiovascular disorders
ISSN: 1471-2261
Titre abrégé: BMC Cardiovasc Disord
Pays: England
ID NLM: 100968539
Informations de publication
Date de publication:
28 10 2019
28 10 2019
Historique:
received:
02
05
2018
accepted:
10
10
2019
entrez:
30
10
2019
pubmed:
30
10
2019
medline:
17
6
2020
Statut:
epublish
Résumé
Cardiac catheterization is performed for both therapeutic and diagnostic reasons, in which the outcome may vary from only medical treatment to the need of percutaneous coronary intervention and ending with coronary artery bypass graft. The primary goal of this study was to determine predictors of revascularization. A retrospective cohort study was conducted on data collected from records of patients who underwent cardiac catheterization at Al-Arabi Heart Center in Palestine in 2017. Multivariate logistic regression analysis was carried out to assess the association of sociodemographic and pre-catheterization clinical predictors with revascularization. A total of 1550 patients were included in the study. The participants mean age was 58 with a SD of 11.7 years, 73.6% were males. 50.2% of patients who underwent an interventional cardiac catheterization tested negative for troponin on presentation. Multivariate logistic regression showed Troponin (RR = 4.5), Age (RR = 1.0), Female gender (RR = 0.4) previous catheterization (RR = 2.0), and existence of diabetes as significant predictors for revascularization. The correlation between ECG on presentation and the subsequent need for an interventional cardiac catheterization was significant only in case of ST-Elevation (RR = 1.5), and T wave inversion (RR = 1.6). CK-MB, Hypertension and ECG with ST-depression were not significant predictors. This study assessed revascularization predictors in addition to characteristics and outcomes of patients who have undergone cardiac catheterization. The results showed the especially high predictive value of troponin in determining the need for revascularization which outweighed the importance of ECG findings on presentation in making clinical decision regarding catheterization.
Sections du résumé
BACKGROUND
Cardiac catheterization is performed for both therapeutic and diagnostic reasons, in which the outcome may vary from only medical treatment to the need of percutaneous coronary intervention and ending with coronary artery bypass graft. The primary goal of this study was to determine predictors of revascularization.
METHODS
A retrospective cohort study was conducted on data collected from records of patients who underwent cardiac catheterization at Al-Arabi Heart Center in Palestine in 2017. Multivariate logistic regression analysis was carried out to assess the association of sociodemographic and pre-catheterization clinical predictors with revascularization.
RESULTS
A total of 1550 patients were included in the study. The participants mean age was 58 with a SD of 11.7 years, 73.6% were males. 50.2% of patients who underwent an interventional cardiac catheterization tested negative for troponin on presentation. Multivariate logistic regression showed Troponin (RR = 4.5), Age (RR = 1.0), Female gender (RR = 0.4) previous catheterization (RR = 2.0), and existence of diabetes as significant predictors for revascularization. The correlation between ECG on presentation and the subsequent need for an interventional cardiac catheterization was significant only in case of ST-Elevation (RR = 1.5), and T wave inversion (RR = 1.6). CK-MB, Hypertension and ECG with ST-depression were not significant predictors.
CONCLUSION
This study assessed revascularization predictors in addition to characteristics and outcomes of patients who have undergone cardiac catheterization. The results showed the especially high predictive value of troponin in determining the need for revascularization which outweighed the importance of ECG findings on presentation in making clinical decision regarding catheterization.
Identifiants
pubmed: 31660865
doi: 10.1186/s12872-019-1222-0
pii: 10.1186/s12872-019-1222-0
pmc: PMC6816186
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
237Références
J Intensive Care Med. 2015 May;30(4):186-200
pubmed: 24047692
J Saudi Heart Assoc. 2011 Jan;23(1):3-11
pubmed: 23960628
Ann Emerg Med. 2006 Dec;48(6):660-5
pubmed: 17112930
Emerg Med Clin North Am. 2001 May;19(2):321-37
pubmed: 11373981
Catheter Cardiovasc Interv. 2011 Nov 15;78(6):823-39
pubmed: 21544927
Ann Emerg Med. 2004 Jan;43(1):59-67
pubmed: 14707942
J Am Coll Cardiol. 2012 Nov 13;60(20):2017-31
pubmed: 23083784
Neth Heart J. 2008 Jun;16(6):191-6
pubmed: 18665203
Eur Heart J. 2013 Oct;34(38):2949-3003
pubmed: 23996286
Kardiol Pol. 2018;76(4):755-763
pubmed: 29313559
Neth Heart J. 2010 Jun;18(6):301-6
pubmed: 20657675
Sultan Qaboos Univ Med J. 2009 Dec;9(3):231-46
pubmed: 21509305
CMAJ. 2005 Nov 8;173(10):1191-202
pubmed: 16275971