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CPC 2018
CPC 2019
Curso de Atualização em Medicina Cardiovascular 2019
Reunião Anual Conjunta dos Grupos de Estudo de Cirurgia Cardíaca, Doenças Valvulares e Ecocardiografia da SPC
CPC 2020
CPC 2021
CPC 2022
CPC 2023
CPC 2024
0 Topics
A. Basics
B. Imaging
C. Arrhythmias and Device Therapy
D. Heart Failure
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
F. Valvular, Myocardial, Pericardial, Pulmonary, Congenital Heart Disease
G. Aortic Disease, Peripheral Vascular Disease, Stroke
H. Interventional Cardiology and Cardiovascular Surgery
I. Hypertension
J. Preventive Cardiology
K. Cardiovascular Disease In Special Populations
L. Cardiovascular Pharmacology
M. Cardiovascular Nursing
N. E-Cardiology / Digital Health, Public Health, Health Economics, Research Methodology
O. Basic Science
P. Other
0 Themes
01. History of Cardiology
02. Clinical Skills
03. Imaging
04. Arrhythmias, General
05. Atrial Fibrillation
06. Supraventricular Tachycardia (non-AF)
07. Syncope and Bradycardia
08. Ventricular Arrhythmias and Sudden Cardiac Death (SCD)
09. Device Therapy
10. Chronic Heart Failure
11. Acute Heart Failure
12. Coronary Artery Disease (Chronic)
13. Acute Coronary Syndromes
14. Acute Cardiac Care
15. Valvular Heart Disease
16. Infective Endocarditis
17. Myocardial Disease
18. Pericardial Disease
19. Tumors of the Heart
20. Congenital Heart Disease and Pediatric Cardiology
21. Pulmonary Circulation, Pulmonary Embolism, Right Heart Failure
22. Aortic Disease
23. Peripheral Vascular and Cerebrovascular Disease
24. Stroke
25. Interventional Cardiology
26. Cardiovascular Surgery
27. Hypertension
28. Risk Factors and Prevention
29. Rehabilitation and Sports Cardiology
30. Cardiovascular Disease in Special Populations
31. Pharmacology and Pharmacotherapy
32. Cardiovascular Nursing
33. e-Cardiology / Digital Health
34. Public Health and Health Economics
35. Research Methodology
36. Basic Science
37. Miscellanea
0 Resources
Abstract
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The young feats the master - an ongoing journey
Session:
Posters 1 - Écran 2 - Doença Coronária
Speaker:
Rita Ribeiro Carvalho
Congress:
CPC 2019
Topic:
E. Coronary Artery Disease, Acute Coronary Syndromes, Acute Cardiac Care
Theme:
12. Coronary Artery Disease (Chronic)
Subtheme:
12.4 Coronary Artery Disease – Treatment
Session Type:
Posters
FP Number:
---
Authors:
Rita Ribeiro Carvalho; Sara Lopes Fernandes; Luís Graça Santos; Fernando Montenegro Sá; Catarina Ruivo; Joana Guardado; Maria De Fátima Saraiva; Francisco Soares; Joao Morais
Abstract
<p><strong>Background:</strong> According to the European guidelines, left main coronary artery (LMCA) disease is, commonly, an indication for Coronary Artery Bypass Graft (CABG) surgery. However, percutaneous coronary intervention (PCI) has shown to be safe and, at least, equally effective, representing an alternative to CABG with increasing applicability. The aim of this study is to assess the safety and efficacy of PCI in real-world patients with LMCA.</p> <p><strong>Material and Methods:</strong> We conducted a retrospective longitudinal single centre study, including unselected patients undergoing coronary angiography between January2011 and December2017, with significant LMCA disease. The primary endpoint was the composite of coronary events (recurrent angina or acute coronary syndrome (ACS)) and mortality. Predictors of the endpoint and time to the first event were analysed using logistic regression and survival analysis with multivariate cox regression model, respectivelly, and assessed according to revascularization strategy (Rs) used. Anaysis with STATA 14.2 (α=0.05).</p> <p><strong>Results:</strong> 63 patients with LMCA disease were analyzed, during a mean follow-up of 2.0±2.0years. The mean age was 69.2±11.4years, mostly male (77.8%). Regarding the type of admission, 68.3% (n=43) patients were admited with ACS and 31.8% (n=20) with stable coronary disease. More than one half of the patients (n=34) had 3 vessel coronary artery disease.</p> <p>The mean Syntax Score (Ss) was 28.8±13.9 and two-thirds of the population (n=40) had Ss over 22. PCI was chosen in 43 patients (73%), managed through the radial approach in 65% and mostly (93%) with drug-eluting stents. Of the remaining patients, 6 (9.5%) were submitted to CABG and 11 (17.5%) were kept with optimal medical therapy.</p> <p>One-fourth of the patients (n=16) had a coronary event during follow-up, although there was no statistically significant difference between the Rs used, nor after controlling for known confounders (age, gender, Ss>22, stenosis degree and location and number of diseased vessels). Incidence rate ratio of the outcome was 1.51, with 21 patients (20%) submitted to PCI and 4 (16%) with CABG presenting with a coronary event during 1-year follow-up. Overall mortality was 20% (n=13) of which 4 of cardiovascular causes, with no difference between Rs used.</p> <p><strong>Conclusion:</strong> In the current study, patients with LMCA disease submitted to PCI showed similar results regarding the occurrence of coronary events or dead, as well as a similar event-free survival, compared to CABG.</p>
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