Impact of left ventricular hypertrophy on long-term clinical outcomes in hypertensive patients who underwent successful percutaneous coronary intervention with drug-eluting stents
- Authors
- Kim, Yong Hoon; Her, Ae-Young; Choi, Byoung Geol; Choi, Se Yeon; Byun, Jae Kyeong; Baek, Man Jong; Ryu, Yang Gi; Park, Yoonjee; Mashaly, Ahmed; Jang, Won Young; Kim, Woohyeun; Choi, Jah Yeon; Park, Eun Jin; Na, Jin Oh; Choi, Cheol Ung; Lim, Hong Euy; Kim, Eung Ju; Park, Chang Gyu; Seo, Hong Seog; Rha, Seung-Woon
- Issue Date
- 8월-2018
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- coronary artery disease; hypertension; left ventricular hypertrophy; outcome
- Citation
- MEDICINE, v.97, no.35
- Indexed
- SCIE
SCOPUS
- Journal Title
- MEDICINE
- Volume
- 97
- Number
- 35
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/74270
- DOI
- 10.1097/MD.0000000000012067
- ISSN
- 0025-7974
- Abstract
- Left ventricular hypertrophy (LVH) is associated with increased risk for vascular events and mortality. This study investigated 8-year clinical outcomes of hypertensive patients with LVH who underwent percutaneous coronary intervention (PCI) with drug-eluting stents (DES) compared with hypertensive patients without LVH. A total of 1704 consecutive hypertensive patients who underwent PCI from 2004 to 2014 were enrolled. We classified them into either the LVH group (n = 406) or the control group (without LVH, n = 1298). LVH was defined by LV mass index > 1159/m(2) in men and > 95 g/m(2) in women. After propensity score matched (PSM) analysis, 2 PSM groups (366 pairs, n = 732, c-statistic = 0.629) were generated. For up to 8 years, the LVH group showed a higher incidence of cardiac death (4.4% vs 1.2%, log-rank P = .023, hazard ratio: 3.371, 95% confidence interval: 1.109-10.25; P = .032) compared with the control group. However, there were no significant differences between the 2 groups in the incidence of total death, myocardial infarction, revascularization, and major adverse cardiac events up to 8 years. LVH in hypertensive patients who underwent successful PCI with DES was associated with higher incidence of cardiac death up to 8 years of follow-up. More careful managements and clinical follow-up are needed and treatment strategies should specifically focus to target prevention and reversal of LVH in hypertensive patients.
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- Appears in
Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
- Graduate School > Department of Biomedical Sciences > 1. Journal Articles
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