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Lettieri, Corrado, MD; Zavalloni, Dennis, MD; Rossini, Roberta, MD, PhD; Morici, Nuccia, MD; Ettori, Federica, MD; Leonzi, Ornella, MD; Latib, Azeem, MD; Ferlini, Marco, MD; Trabattoni, Daniela, MD; Colombo, Paola, MD; Galli, Mario, MD; Tarantini, Giuseppe, MD, PhD; Napodano, Massimo, MD; Piccaluga, Emanuela, MD; Passamonti, Enrico, MD; Sganzerla, Paolo, MD; Ielasi, Alfonso, MD; Coccato, Micol, MD; Martinoni, Alessandro, MD; Musumeci, Giuseppe, MD; Zanini, Roberto, MD; Castiglioni, Battistina, MD
The American journal of cardiology, 07/2015, Letnik: 116, Številka: 1Journal Article
The optimal management and short- and long-term prognoses of spontaneous coronary artery dissection (SCAD) remain not well defined. The aim of this observational multicenter study was to assess long-term clinical outcomes in patients with SCAD. In-hospital and long-term outcomes were assessed in 134 patients with documented SCAD, as well as the clinical impact and predictors of a conservative rather than a revascularization strategy of treatment. The mean age was 52 ± 11, years and 81% of patients were female. SCAD presented as an acute coronary syndromes in 93% of patients. A conservative strategy was performed in 58% of patients and revascularization in 42%. On multivariate analysis, distal versus proximal or mid location of dissection (odds ratio 9.27) and basal Thrombolysis In Myocardial Infarction (TIMI) flow grade 2 or 3 versus 0 or 1 (odds ratio 0.20) were independent predictors of conservative versus revascularization strategy. A conservative strategy was associated with better in-hospital outcomes compared with revascularization (rates of major adverse cardiac events 3.8% and 16.1%, respectively, p = 0.028); however, no significant differences were observed in the long-term outcomes. In conclusion, in this large observational study of patients with SCAD, angiographic features significantly influenced the treatment strategy, providing an excellent short- and long-term prognosis.
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Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Vir: Osebne bibliografije
in: SICRIS
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