Chest pain after percutaneous coronary intervention in patients with stable angina

Chao-Chien Chang,1–3 Yueh-Chung Chen,4,5 Eng-Thiam Ong,1 Wei-Cheng Chen,1 Chia-Hsiu Chang,1 Kuan-Jen Chen,1 Cheng-Wen Chiang1 1Division of Cardiology, Department of Internal Medicine, Cathay General Hospital, Taipei, Taiwan, ROC; 2Graduate Institute of Medical Sciences, Taipei Medical Uni...

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Autores principales:	Chang CC, Chen YC, Ong ET, Chen WC, Chang CH, Chen KJ, Chiang CW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Coronary angiography percutaneous coronary interventions chest pain complications interventional cardiology cardiac troponin I Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/5a1365cee41f4b3fb1a3aadf7afd7651
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spelling	oai:doaj.org-article:5a1365cee41f4b3fb1a3aadf7afd76512021-12-02T03:37:55ZChest pain after percutaneous coronary intervention in patients with stable angina1178-1998https://doaj.org/article/5a1365cee41f4b3fb1a3aadf7afd76512016-08-01T00:00:00Zhttps://www.dovepress.com/chest-pain-after-percutaneous-coronary-intervention-in-patients-with-s-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Chao-Chien Chang,1–3 Yueh-Chung Chen,4,5 Eng-Thiam Ong,1 Wei-Cheng Chen,1 Chia-Hsiu Chang,1 Kuan-Jen Chen,1 Cheng-Wen Chiang1 1Division of Cardiology, Department of Internal Medicine, Cathay General Hospital, Taipei, Taiwan, ROC; 2Graduate Institute of Medical Sciences, Taipei Medical University, Taipei, Taiwan, ROC; 3Department of Pharmacology, Taipei Medical University, Taipei, Taiwan, ROC; 4Division of Cardiology, Department of Internal Medicine, Taipei City Hospital Ren-Ai branch, Taipai, Taiwan, ROC; 5Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, ROC Background: Percutaneous coronary intervention (PCI) has been widely used to treat acute coronary syndrome but is only recommended as an additional treatment to medical therapy and risk modification in patients with refractory or progressing angina. The number of PCI in this patient population is still increasing. Post-PCI chest pain (PPCP) is one of the common problems of PCI. Its presentation and causes in patients with stable angina are poorly understood.Patients and methods: This study retrospectively collected clinical information of 167 patients who had stable angina and underwent elective PCI, including 70 patients with PPCP 24 hours after procedure and 97 patients without PPCP. The incidence and predictors of PPCP were analyzed.Results: The incidence of PPCP was 41.9% (70/167). Compared with non-PPCP patients, PPCP patients had more abnormal post-PCI electrocardiogram (ECG) changes (new Q-waves, ST-segment shifts, or T-waves inversion) and serum cardiac troponin I (cTnI) elevation, more PCI vessels, and stent placement (all P<0.05). More PPCP patients required repeat revascularization than non-PPCP patients after PCI (P=0.043). PPCP was correlated with abnormal post-PCI ECG changes (P<0.0001), cTnI elevation (P<0.0001), post-PCI serum level of cTnI (P<0.0001), number of stents placed (P=0.009), and pre-PCI cTnI level (P=0.049). The strongest predictors of PPCP were abnormal post-PCI ECG changes (P<0.0001), post-PCI cTnI level (P<0.0001), and cTnI elevation (P<0.0001), followed by the number of stents placed (P=0.048).Conclusion: PPCP is common in patients with stable angina in our cohort. It is associated with abnormal ECG changes, cTnI elevation, and number of stents placed. Keywords: coronary angiography, percutaneous coronary interventions, chest pain, complications, interventional cardiology, cardiac troponin IChang CCChen YCOng ETChen WCChang CHChen KJChiang CWDove Medical PressarticleCoronary angiographypercutaneous coronary interventionschest paincomplicationsinterventional cardiologycardiac troponin IGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 1123-1128 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Coronary angiography percutaneous coronary interventions chest pain complications interventional cardiology cardiac troponin I Geriatrics RC952-954.6
spellingShingle	Coronary angiography percutaneous coronary interventions chest pain complications interventional cardiology cardiac troponin I Geriatrics RC952-954.6 Chang CC Chen YC Ong ET Chen WC Chang CH Chen KJ Chiang CW Chest pain after percutaneous coronary intervention in patients with stable angina
description	Chao-Chien Chang,1–3 Yueh-Chung Chen,4,5 Eng-Thiam Ong,1 Wei-Cheng Chen,1 Chia-Hsiu Chang,1 Kuan-Jen Chen,1 Cheng-Wen Chiang1 1Division of Cardiology, Department of Internal Medicine, Cathay General Hospital, Taipei, Taiwan, ROC; 2Graduate Institute of Medical Sciences, Taipei Medical University, Taipei, Taiwan, ROC; 3Department of Pharmacology, Taipei Medical University, Taipei, Taiwan, ROC; 4Division of Cardiology, Department of Internal Medicine, Taipei City Hospital Ren-Ai branch, Taipai, Taiwan, ROC; 5Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan, ROC Background: Percutaneous coronary intervention (PCI) has been widely used to treat acute coronary syndrome but is only recommended as an additional treatment to medical therapy and risk modification in patients with refractory or progressing angina. The number of PCI in this patient population is still increasing. Post-PCI chest pain (PPCP) is one of the common problems of PCI. Its presentation and causes in patients with stable angina are poorly understood.Patients and methods: This study retrospectively collected clinical information of 167 patients who had stable angina and underwent elective PCI, including 70 patients with PPCP 24 hours after procedure and 97 patients without PPCP. The incidence and predictors of PPCP were analyzed.Results: The incidence of PPCP was 41.9% (70/167). Compared with non-PPCP patients, PPCP patients had more abnormal post-PCI electrocardiogram (ECG) changes (new Q-waves, ST-segment shifts, or T-waves inversion) and serum cardiac troponin I (cTnI) elevation, more PCI vessels, and stent placement (all P<0.05). More PPCP patients required repeat revascularization than non-PPCP patients after PCI (P=0.043). PPCP was correlated with abnormal post-PCI ECG changes (P<0.0001), cTnI elevation (P<0.0001), post-PCI serum level of cTnI (P<0.0001), number of stents placed (P=0.009), and pre-PCI cTnI level (P=0.049). The strongest predictors of PPCP were abnormal post-PCI ECG changes (P<0.0001), post-PCI cTnI level (P<0.0001), and cTnI elevation (P<0.0001), followed by the number of stents placed (P=0.048).Conclusion: PPCP is common in patients with stable angina in our cohort. It is associated with abnormal ECG changes, cTnI elevation, and number of stents placed. Keywords: coronary angiography, percutaneous coronary interventions, chest pain, complications, interventional cardiology, cardiac troponin I
format	article
author	Chang CC Chen YC Ong ET Chen WC Chang CH Chen KJ Chiang CW
author_facet	Chang CC Chen YC Ong ET Chen WC Chang CH Chen KJ Chiang CW
author_sort	Chang CC
title	Chest pain after percutaneous coronary intervention in patients with stable angina
title_short	Chest pain after percutaneous coronary intervention in patients with stable angina
title_full	Chest pain after percutaneous coronary intervention in patients with stable angina
title_fullStr	Chest pain after percutaneous coronary intervention in patients with stable angina
title_full_unstemmed	Chest pain after percutaneous coronary intervention in patients with stable angina
title_sort	chest pain after percutaneous coronary intervention in patients with stable angina
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/5a1365cee41f4b3fb1a3aadf7afd7651
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Chest pain after percutaneous coronary intervention in patients with stable angina

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