Gerry C. Tan,
Agapito Jr S. Fortuno
Publication Sub Type
Journal Article, Original
Philippine Heart Center Journal
OBJECTIVE: Short term follow up of clinical outcomes following coronary angioplasty in patients with LV dysfunction is not well documented. The aim of this study is to evalutate the six months clinical outcomes in terms of Mortality, cardiac events and symptomatology.
METHODS: This is a cohort study which involved patients who underwent first time PTC A from January 1,2003 to March 31,2004 who has an available 2DED results with a low ejection fraction prior to the procedure. Eighty-five (85) patients constituted the study population except for the following patients: patient with prior CABG or PCI and patients with valvular heart disease. There baseline clinical characteristics, angiographic and PTCA results as well as 2DED insults were noted.
RESULTS: The study sample constituted of 85 patients, 84% were males with a mean age of 60.0 years. Clinical Mow up was at least six months following the procedure. Angiographic and procedural success was obtained in 61 percent of the subjects. There was a total of 21 percent mortalities with 78 percent comprises male subjects. Deaths were found to be tlated with ejection fraction with most of reported belong to group 3 with a ejection fraction of less than 30 percent. However, cardiovascular events and symptoms were found to be not statistically significance.
CONCLUSION: PTCA in patients with significant impairements of LV function is associated with poor outcomes. The investigator recommend more detailed and well documented study in this group of patients to further assessed the outcomes since many limitations were encountered in this study.
Short term follow up of clinical outcomes following coronary angioplasty in patients with LV | dysfunction is not well documented. The aim of this study is to evalutate the six months clinical outcomes in terms of Mortality, cardiac events and symptomatology.