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December 31, 2020World Journal of Emergency MedicineOpen Access

Risk factors for recurrent angina and increased TIMI frame count included female sex, older age, diabetes, elevated BMI, current smoking, and LDL-C ≥1.8 mmol/L, whereas dual antiplatelet therapy was protective.

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Why the study?

Many CAD patients develop recurrent angina pectoris after successful PCI despite having no need for secondary revascularization on repeat angiography, but predictors remain unclear.

What are the predictors of recurrent angina pectoris in patients who have undergone successful PCI but have no need for secondary revascularization?

Population

3,837 CAD patients after successful PCI with no need for secondary revascularization on repeat angiography

Comparison

Patients with vs without recurrent angina pectoris

Design

Observational cohort study

Follow-up

Within one year

Authors

TXTian XuYLYa LiLZLiding Zhao

Discussion

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Member takes

Overview

May inform post-PCI risk stratification and counseling; leaves open causal effects and intervention benefits in prospective trials.

Structured PICO

What are the predictors of recurrent angina pectoris in patients who have undergone successful PCI but have no need for secondary revascularization?

P
Population
3,837 patients with coronary artery disease (CAD) who underwent successful percutaneous coronary intervention (PCI) and had repeat coronary angiography showing no need for secondary revascularization
O
Outcome
Recurrent angina pectoris and Thrombolysis in Myocardial Infarction (TIMI) frame countpatient reported

Patient characteristics such as female sex, older age, diabetes, elevated BMI, smoking, and LDL-C ≥1.8 mmol/L are associated with recurrent angina and coronary microvascular dysfunction after successful PCI.

Cite This Study

Xu et al. (2020) studied this question.

synapsesocial.com/papers/6a1bd11127b545b111a910cfhttps://doi.org/10.5847/wjem.j.1920-8642.2021.01.007
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The pattern and characteristics of acute coronary events in patients after percutaneous coronary intervention (PCI)2025
  2. 2Prediction of residual angina after percutaneous coronary intervention2015 · 43 citations
  3. 3PROGNOSTIC ROLE OF ARTERIAL HYPERTENSION AND HIGH RESIDUAL PLATELET REACTIVITY IN POST-CABG PATIENTS WITH RECURRENT ISCHEMIA2026
  4. 4Clinical and procedural predictors of no-reflow in patients with acute myocardial infarction after primary percutaneous coronary intervention2014 · 79 citations
  5. 5Study of the possible medical and medication explanatory factors of angiographic outcomes in patients with acute ST elevation myocardial infarction undergoing primary percutaneous intervention2014 · 4 citations