American Heart Journal
Volume 151, Issue 1 , Pages 69-75 , January 2006

The impact of ejection fraction on outcomes after percutaneous coronary intervention in patients with congestive heart failure: An analysis of the National Heart, Lung, and Blood Institute Percutaneous Transluminal Coronary Angioplasty Registry and Dynamic Registry

  • Elizabeth M. Holper, MD, MPH, FACC

      Affiliations

    • University of Chicago, Chicago, IL
    • Corresponding Author InformationReprint requests: Elizabeth M. Holper, MD, MPH, University of Chicago, 5841 S Maryland Avenue, MC 6080 Room B601, Chicago, IL 60637.
    • ,
  • John Blair, MD

      Affiliations

    • University of Chicago, Chicago, IL
    • ,
  • Faith Selzer, PhD

      Affiliations

    • University of Pittsburgh, Pittsburgh, PA
    • ,
  • Katherine M. Detre, MD, DrPH

      Affiliations

    • University of Pittsburgh, Pittsburgh, PA
    • ,
  • Alice K. Jacobs, MD, FACC

      Affiliations

    • Boston University Medical Center, Boston, MA
    • ,
  • David O. Williams, MD, FACC

      Affiliations

    • Rhode Island Hospital, Providence, RI
    • ,
  • Helen Vlachos, MS

      Affiliations

    • University of Pittsburgh, Pittsburgh, PA
    • ,
  • Robert L. Wilensky, MD, FACC

      Affiliations

    • University of Pennsylvania Medical Center, Philadelphia, PA
    • ,
  • Paul Coady, MD, FACC

      Affiliations

    • Lankenau Hospital, Wynnewood, PA
    • ,
  • David P. Faxon, MD, FACC

      Affiliations

    • University of Chicago, Chicago, IL
    • ,
  • for the Percutaneous Transluminal Coronary Angioplasty Registry and Dynamic Registry Investigators

Received 2 August 2004 ,Accepted 5 March 2005.

References 

  1. Holmes DR, Holubkov R, Vliestra R, et al. Comparison of complications during percutaneous transluminal coronary angioplasty from 1977 to 1981 and from 1985 to 1986: the National Heart, Lung, and Blood Institute Percutaneous Transluminal Coronary Angioplasty Registry. J Am Coll Cardiol. 1988;12:1149–1155
  2. Block PC, Peterson ED, Krone R, et al. Identification of variables needed to risk adjust outcomes of coronary interventions: evidence-based guidelines for efficient data collection. J Am Coll Cardiol. 1998;32:275–282
  3. O'Connor G, Malenka D, Quinton H, et al. Multivariate predictors of in-hospital mortality after percutaneous coronary interventions in 1994-1996. J Am Coll Cardiol. 1999;34:681–691
  4. Holmes DR, Kip KE, Kelsey SF, et al. Cause of death analysis in the NHLBI PTCA Registry: results and considerations for evaluating long-term survival after coronary interventions. J Am Coll Cardiol. 1997;30:881–887
  5. Budde T, Haude M, Hopp HW, et al. A prognostic computer model to predict individual outcome in interventional cardiology. The INTERVENT Project. Eur Heart J. 1997;18:1611–1619
  6. Mick MJ, Piedmonte MR, Arnold AM, et al. Risk stratification for long-term outcome after elective coronary angioplasty: a multivariate analysis of 5,000 patients. J Am Coll Cardiol. 1994;24:74–80
  7. Harrell L, Schunkert H, Palacios IF. Risk predictors in patients scheduled for percutaneous coronary revascularization. Catheter Cardiovasc Interv. 1999;48:253–260
  8. Maynard C, Goss JR, Malenka DJ, et al. Adjusting for patient differences in predicting hospital mortality for percutaneous coronary interventions in the Clinical Outcomes Assessment Program. Am Heart J. 2003;145:658–664
  9. Holmes DR, Detre KM, Weh W, et al. Eight year, long term outcome after PTCA: factors associated with adverse events. The NHLBI Registry. J Am Coll Cardiol. 1996;27:361A
  10. Matthew V, Grill D, Scott C, et al. Baseline clinical and angiographic variables associated with long-term outcome after successful intracoronary stent implantation. Am J Cardiol. 1999;84:789–794
  11. Anderson RD, Ohman EM, Holmes DR, et al. Prognostic value of congestive heart failure history in patients undergoing percutaneous coronary interventions. J Am Coll Cardiol. 1998;32:936–941
  12. Lewin R, Dorros G. Percutaneous transluminal coronary angioplasty in patients with severe left ventricular dysfunction. Cardiol Clin. 1989;7:813–825
  13. Kohli R, DiSciascio G, Cowley MJ, et al. Coronary angioplasty in patients with severe left ventricular dysfunction. J Am Coll Cardiol. 1990;16:807–811
  14. Serota H, Deligonul U, Lee WH, et al. Predictors of cardiac survival after percutaneous transluminal coronary angioplasty in patients with severe left ventricular dysfunction. Am J Cardiol. 1991;67:367–372
  15. Stevens T, Kahn J, McCallister B, et al. Safety and efficacy of percutaneous transluminal coronary angioplasty in patients with left ventricular dysfunction. Am J Cardiol. 1991;68:313–319
  16. Holmes DR, Detre KM, Williams DO, et al. Long-term outcome of patients with depressed left ventricular function undergoing percutaneous transluminal coronary angioplasty. The NHLBI PTCA Registry. Circulation. 1993;87:21–29
  17. Maiello L, Colombo A, Gianrossi R, et al. Survival after percutaneous transluminal coronary angioplasty in patients with severe left ventricular dysfunction. Chest. 1994;105:733–740
  18. Reynen K, Kunkel B, Gansser R, et al. Percutaneous transluminal coronary angioplasty in patients with severely depressed left ventricular function. Cardiology. 1993;83:358–366
  19. Lindsay J, Grasa G, Pinnow E, et al. Procedural results of coronary angioplasty but not late mortality have improved in patients with depressed left ventricular function. Clin Cardiol. 1999;22:533–536
  20. Resnic FS, Ohno-Machado L, Selwyn A, et al. Simplified risk score models accurately predict the risk of major in-hospital complications following percutaneous coronary intervention. Am J Cardiol. 2001;88:5–9
  21. Singh M, Lennon RJ, Holmes DR, et al. Correlates of procedural complications and a simple integer risk score for percutaneous coronary intervention. J Am Coll Cardiol. 2002;40:387–393
  22. Keelan PC, Johnston JM, Koru-Sengul T, et al. Comparison of in-hospital and one-year outcomes in patients with left ventricular ejection fractions <40%, 41-49%, and >50% having percutaneous coronary revascularization. Am J Cardiol. 2003;91:1168–1172
  23. Williams DO, Holubkov R, Yeh W, et al. Percutaneous coronary intervention in the current era compared with 1985-1986. The National Heart, Lung, and Blood Institute Registries. Circulation. 2000;102:2945–2951
  24. Detre KM, Holubkov R, Kelsey SF, et al. Percutaneous transluminal coronary angioplasty in 1985-1986 and 1977-1981: the National Heart, Lung and Blood Institute Registry. N Engl J Med. 1988;318:265–271

 This study was supported by grants HL-33292-14 and HL-033292-18 from the National Heart, Lung, and Blood Institute, Bethesda, Md.

PII: S0002-8703(05)00355-8

doi: 10.1016/j.ahj.2005.03.053

American Heart Journal
Volume 151, Issue 1 , Pages 69-75 , January 2006

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