Investigation of coronary artery incidents after revascularization

Resumen

Nowadays, PCI with stent implantation is regarded as a tremendously applied myocardial revascularization procedure. Sadly, today, negative cardiovascular clinical results appear notwithstanding proved stability and efficiency after implantation. Executing drug-eluting stents (DES) has positively brought about a considerable change regarding restenosis. Generally, the coronary tree seems to be influenced by more significant coronary artery disease (CAD) pharmacological therapy and comprehensive secondary mitigation steps. Study's purpose: The present study attempts to investigate the main unfavorable cardiac issues and one-year consequences after PCI. Patients and Methods:  The current research is a cross-sectional study of all cases referred to the Iraqi Center for a heart condition for more assessment of suspected coronary artery disease (CAD) as of January to July 2018. There were fifty (50) altogether. Results: There were 50 patients in total; their average age was 59.1±11.3, (22%) were under 45 and (78%) equal and over age 45 years. The group comprised nearly 46% female, and 54% were male. The frequency risk factors were Dyslipidemias (52%), Obesity (21%), DM (62%), HT (56%), and Smoking (21%). The most typical clinical presentations were chronic stable angina (98%) and one case (2%) severe coronary syndrome. The outcome of PCI following a year was broken into four separated classifications; the first group (A) involved cases with ISR (5/50) (10%), the second group (B) involved cases with new stenosis (8/50) (16%), the third group (C) consisted of cases combined lesions (16/50) (32%) and finally, the fourth group (D) (21/50) (42%) cases were normal. Conclusion: there was a high frequency of recurrence of symptoms exceeding half of the cases following a year from PCI, the majority of them because of growth of new lesions.