Clinical characteristics and in hospital outcomes of heart transplant recipients undergoing percutaneous coronary intervention: Insights from the National Inpatient Sample.
Harshil ShahShakumar PatelShantanu SolankiIvan WudexiJagmeet SinghSanjana MullangiPriyal ShahKhadiza SarkerChail ShahAchint PatelPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2020)
Total 8,613,900 patients underwent PCI, of which 1,531(0.002%) patients had prior heart transplant status. Among these 1,531 PCIs, 311(20%) were due to AMI including 125(8%) due to STEMI. 74% of PCIs were done in males and 78% of the PCIs were performed in the 60-79 age group. Out of 1,380 stents placed, 1,090 were DES (79%) and 290 (21%) were BMS. Mortality was higher in the BMS versus DES (8.34% vs. 3.45%, p = .012), CONCLUSION: We concluded that majority of the population who underwent PCI were older males. DES was used more than BMS. The use of BMS is associated with increased mortality, cardiac complications and Acute Kidney Injury requiring dialysis compared with DES which likely is representative of preferential use of DES in these patient population.
Keyphrases
- percutaneous coronary intervention
- end stage renal disease
- chronic kidney disease
- acute myocardial infarction
- ejection fraction
- st segment elevation myocardial infarction
- newly diagnosed
- coronary artery disease
- peritoneal dialysis
- st elevation myocardial infarction
- acute coronary syndrome
- atrial fibrillation
- prognostic factors
- heart failure
- healthcare
- risk factors
- antiplatelet therapy
- type diabetes
- coronary artery bypass grafting
- emergency department
- case report
- adipose tissue
- mental health
- quality improvement
- middle aged
- insulin resistance
- acute care