TY  - BOOK
AU  - Gaglia, Michael AJ
AU  - Gai, Jiaxiang
AU  - Kiramijyan, Starkis
AU  - Koifman, Edward
AU  - Lipinski, Michael J
AU  - Negi, Smita
AU  - Pichard, Augusto D
AU  - Rogers, Toby
AU  - Satler, Lowell F
AU  - Steinvil, Arie
AU  - Suddath, William O
AU  - Torguson, Rebecca
AU  - Waksman, Ron
TI  - Frequency of Angina Pectoris After Percutaneous Coronary Intervention and the Effect of Metallic Stent Type
SN  - 0002-9149
PY  - 2016///
KW  - *Angina Pectoris/ep [Epidemiology]
KW  - *Coronary Artery Disease/su [Surgery]
KW  - *Percutaneous Coronary Intervention/ae [Adverse Effects]
KW  - *Stents
KW  - Aged
KW  - Angina Pectoris/et [Etiology]
KW  - Cause of Death/td [Trends]
KW  - District of Columbia/ep [Epidemiology]
KW  - Electrocardiography
KW  - Female
KW  - Follow-Up Studies
KW  - Humans
KW  - Incidence
KW  - Male
KW  - Middle Aged
KW  - Prognosis
KW  - Prosthesis Design
KW  - Retrospective Studies
KW  - Survival Rate/td [Trends]
KW  - Time Factors
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006
N2  - Although metallic coronary stents significantly reduce angina pectoris compared with optimal medical therapy, angina after percutaneous coronary intervention (PCI) remains frequent. We, therefore, sought to compare the incidence of any angina during the 1 year after PCI among the spectrum of commercially available metallic stents. Metallic stent type was classified as bare metal stent, Cypher, Taxus Express, Xience V, Promus Element, and Resolute. The primary end point was patient-reported angina within 1 year of PCI. Multivariable logistic regression was performed to assess the independent association of stent type with any angina at 1 year. Overall, 8,804 patients were queried in regard to angina symptoms; 32.3% experienced angina at some point in the first year after PCI. Major adverse cardiovascular events, a composite of all-cause mortality, target vessel revascularization, and Q-wave myocardial infarction, increased with angina severity: 6.8% for patients without angina, 10.0% for patients with class 1 or 2 angina, and 19.7% for patients with class 3 or 4 angina (p <0.001 for trend). After multivariable adjustment, there was no significant association between stent type and angina at 1 year after PCI. Baseline Canadian Cardiovascular Society class 3 or 4 angina, history of coronary artery bypass grafting, and history of PCI were associated with a higher likelihood of angina at 1 year; increasing age, male gender, presentation with acute coronary syndrome, and higher stented length were associated with less angina. In conclusion, metallic stent type is not associated with the occurrence of angina at up to 1 year after PCI.Copyright © 2016 Elsevier Inc. All rights reserved
UR  - http://dx.doi.org/10.1016/j.amjcard.2015.11.036
ER  -