Residual Gensini Score Is Associated With Long-Term Cardiac Mortality in Patients With Heart Failure After Percutaneous Coronary Intervention
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- Yokokawa Tetsuro
- Department of Cardiovascular Medicine, Fukushima Medical University Department of Pulmonary Hypertension, Fukushima Medical University
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- Yoshihisa Akiomi
- Department of Cardiovascular Medicine, Fukushima Medical University Department of Advanced Cardiac Therapeutics, Fukushima Medical University
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- Kiko Takatoyo
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Shimizu Takeshi
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Misaka Tomofumi
- Department of Cardiovascular Medicine, Fukushima Medical University Department of Advanced Cardiac Therapeutics, Fukushima Medical University
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- Yamaki Takayoshi
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Kunii Hiroyuki
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Nakazato Kazuhiko
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Ishida Takafumi
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Takeishi Yasuchika
- Department of Cardiovascular Medicine, Fukushima Medical University
抄録
<p>Background:Coronary revascularization is important in heart failure (HF) with ischemic etiology. Coronary scoring systems are useful to evaluate coronary artery disease, but said systems for residual stenosis after revascularization are still poorly understood. Therefore, the aim of the current study was to clarify the prognostic impact of residual stenosis using a coronary scoring system, Gensini score, in HF patients after percutaneous coronary intervention (PCI).</p><p>Methods and Results:We analyzed consecutive hospitalized ischemic HF patients (n=199) who underwent PCI. We calculated residual Gensini score after PCI, and divided the patients into 2 groups based on median residual Gensini score. The patients with high scores (≥10, n=101) had a higher prevalence of anemia, lower prevalence of dyslipidemia, and lower left ventricular ejection fraction, compared with those with low scores (<10, n=98). During the median follow-up period of 1,581 days (range, 20–2,896 days), the high-score patients had a higher cardiac mortality than the low-score group (log rank, P=0.001).</p><p>Conclusions:In patients with HF after PCI, residual Gensini score was associated with long-term cardiac mortality. Residual Gensini score may be a useful index for risk stratification of HF after PCI.</p>
収録刊行物
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- Circulation Reports
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Circulation Reports 2 (2), 89-94, 2020-02-10
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390846609803765760
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- NII論文ID
- 130007796308
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- ISSN
- 24340790
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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