Post PCI follow up: Difference between revisions
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==Overview== | ==Overview== | ||
==Post PCI follow up== | ==Post PCI follow up== | ||
According to AHA guidelines, routine periodic [[stress testing]] of [[asymptomatic]] patients after PCI without specific clinical indications should not be performed.<ref name="pmid15019882">{{cite journal|author=Eisenberg MJ, Blankenship JC, Huynh T, Azrin M, Pathan A, Sedlis S, Panja M, Starling MR, Beyar R, Azoulay A, Caron J, Pilote L |title=Evaluation of routine functional testing after percutaneous coronary intervention |journal=[[The American Journal of Cardiology]] |volume=93|issue=6 |pages=744–7 |year=2004 |month=March |pmid=15019882|doi=10.1016/j.amjcard.2003.11.071|url=http://linkinghub.elsevier.com/retrieve/pii/S000291490301717X |accessdate=2011-12-16}}</ref> However, there has been a conflicting evidence on benefits of coronary angiography versus clinical follow up to detect major complications such as restenosis and its impact on survival outcome.<ref name="pmid10490586">{{cite journal| author=van Domburg RT, Foley DP, de Jaegere PP, de Feyter P, van den Brand M, van der Giessen W et al.| title=Long term outcome after coronary stent implantation: a 10 year single centre experience of 1000 patients. | journal=Heart | year= 1999 | volume= 82 Suppl 2 | issue= | pages= II27-34 | pmid=10490586 | doi= | pmc=1766511 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10490586 }} </ref><ref name="pmid23437032">{{cite journal| author=Rassaf T, Steiner S, Kelm M| title=Postoperative care and follow-up after coronary stenting. | journal=Dtsch Arztebl Int | year= 2013 | volume= 110 | issue= 5 | pages= 72-81; quiz 82 | pmid=23437032 | doi=10.3238/arztebl.2013.0072 | pmc=3576602 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23437032 }} </ref> In the recent ReACT trial 2016, it is demonstrated that there is no difference in clinical benefit when coronary angiography is compared to regular clinical follow up after PCI. Study results demonstrated that there was increased incidence of coronary revascularization with the corornary angiography after one year following PCI but there was no difference in the primary endpoint which included composite of death, MI, stroke, or emergency hospitalizations for acute coronary syndrome or heart failure when compared to regular clinical follow up after 5 years. | |||
==References== | ==References== | ||
Latest revision as of 01:21, 2 November 2016
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Percutaneous coronary intervention Microchapters |
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PCI Complications |
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PCI in Specific Patients |
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PCI in Specific Lesion Types |
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Post PCI follow up On the Web |
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American Roentgen Ray Society Images of Post PCI follow up |
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Directions to Hospitals Treating Percutaneous coronary intervention |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief:; Aysha Anwar, M.B.B.S[2]
Overview
Post PCI follow up
According to AHA guidelines, routine periodic stress testing of asymptomatic patients after PCI without specific clinical indications should not be performed.[1] However, there has been a conflicting evidence on benefits of coronary angiography versus clinical follow up to detect major complications such as restenosis and its impact on survival outcome.[2][3] In the recent ReACT trial 2016, it is demonstrated that there is no difference in clinical benefit when coronary angiography is compared to regular clinical follow up after PCI. Study results demonstrated that there was increased incidence of coronary revascularization with the corornary angiography after one year following PCI but there was no difference in the primary endpoint which included composite of death, MI, stroke, or emergency hospitalizations for acute coronary syndrome or heart failure when compared to regular clinical follow up after 5 years.
References
- ↑ Eisenberg MJ, Blankenship JC, Huynh T, Azrin M, Pathan A, Sedlis S, Panja M, Starling MR, Beyar R, Azoulay A, Caron J, Pilote L (2004). "Evaluation of routine functional testing after percutaneous coronary intervention". The American Journal of Cardiology. 93 (6): 744–7. doi:10.1016/j.amjcard.2003.11.071. PMID 15019882. Retrieved 2011-12-16. Unknown parameter
|month=ignored (help) - ↑ van Domburg RT, Foley DP, de Jaegere PP, de Feyter P, van den Brand M, van der Giessen W; et al. (1999). "Long term outcome after coronary stent implantation: a 10 year single centre experience of 1000 patients". Heart. 82 Suppl 2: II27–34. PMC 1766511. PMID 10490586.
- ↑ Rassaf T, Steiner S, Kelm M (2013). "Postoperative care and follow-up after coronary stenting". Dtsch Arztebl Int. 110 (5): 72–81, quiz 82. doi:10.3238/arztebl.2013.0072. PMC 3576602. PMID 23437032.