Coronary artery events one year after revascularization: a single center experience

Resumen

The most widely used myocardial revascularisation technique is PCI with stent implantation. Despite demonstrated protection and effectiveness, following implantation, adverse cardiovascular clinical effects do arise. The implementation of drug-eluting stents (DES) has contributed to a huge change in the issue of restenosis. The coronary tree as a whole appears to be affected by better coronary artery disease (CAD) pharmacological therapy and comprehensive secondary mitigation steps. Aim of the study: To study the major adverse cardiac events and one-year outcome after PCI. Patients & Methods: This study is cross-sectional study of all patients who were referred to Iraqi Center for heart disease, for further evaluation of suspected coronary artery disease (CAD) for the period January to July 2018. The total number of patients was fifty (50). Results: The total No. of patients were 50, mean age was 59.1±11.3, (22%) were below age 45 and (78%) equal and above age 45 year.54% were male and (46%) were female. The frequency risk factors were DM (62%), HT (56%), Dyslipidemias (52%), Obesity (21%) and Smoking (21%). The most common clinical presentations were chronic stable angina (98%) of cases and one case (2%) acute coronary syndrome. The outcome of PCI after one year divided in to four groups, group A: patients with ISR (5/50) (10 %), group B: patients with new stenosis (8/50) (16%), group C: patients combined lesions (16/50) (32%) and group D (21/50) (42%) cases were normal. Conclusion: After one year from PCI there was high frequency of recurrence of symptoms exceeding half of the patients, most of them due to development of new lesion.