Trends and predictors of recurrent acute coronary syndrome hospitalizations and unplanned revascularization after index acute myocardial infarction treated with percutaneous coronary intervention

Publication date: Available online 5 March 2019Source: American Heart JournalAuthor(s): Matias B. Yudi, David J. Clark, Omar Farouque, Nick Andrianopoulos, Andrew E. Ajani, Angela Brennan, Jeffrey Lefkovits, Melanie Freeman, Chin Hiew, Laura A. Selkrig, Jessica O’Brien, Anthony M. Dart, Christopher M. Reid, Stephen J. Duffy, Melbourne Interventional GroupSTRUCTURED ABSTRACTBackgroundRepeat hospitalizations for recurrent acute coronary syndrome (ACS) or unplanned revascularization after acute myocardial infarction (MI) are common, costly and potentially preventable. We aim to describe 10-year trends and identify independent risk factors of these repeat hospitalizations.MethodsWe analyzed data from 9615 patients from the Melbourne Interventional Group registry (2005–2014) who underwent percutaneous coronary intervention (PCI) for their index MI and survived to discharge. Patients with ≥1 hospitalization for recurrent ACS events and/or unplanned revascularization in the year after discharge were included in the recurrent coronary hospitalization group. We assessed yearly trends of recurrent coronary events and identified independent predictors using multivariate analysis.ResultsRecurrent coronary hospitalization occurred in 1175 (12.2%) patients. There was a significant decrease in the rate of recurrent ACS hospitalization (15.3% to 7.6%, p for trend
Source: American Heart Journal - Category: Cardiology Source Type: research

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Source: Journal of Toxicological Sciences - Category: Toxicology Tags: J Toxicol Sci Source Type: research
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Source: American Heart Journal - Category: Cardiology Source Type: research
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Source: Circulation Research - Category: Cardiology Authors: Tags: Circ Res Source Type: research
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