Why the study?
The study was conducted to assess the prognostic impact of arterial hypertension and high residual platelet reactivity on the need for repeat PCI in patients with recurrent ischemia after CABG.
Do arterial hypertension and high residual platelet reactivity predict the need for repeat PCI in post-CABG patients with recurrent ischemia?
Population
195 post-CABG adults with stable CAD and recurrent ischemic symptoms 6-36 months post-surgery
Comparison
Need for repeat PCI vs no revascularization
Design
Observational, single-center, cross-sectional study
Key result
High residual platelet reactivity (66.2% vs 0%, p<0.001) and higher systolic blood pressure independently predicted the need for repeat PCI in post-CABG patients with recurrent ischemia.
Authors
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Should not yet change practice in post-CABG recurrent ischemia; leaves open whether targeting SBP or platelet reactivity reduces repeat PCI.
Cross-Sectional (n=195)
No
Do arterial hypertension and high residual platelet reactivity predict the need for repeat PCI in post-CABG patients with recurrent ischemia?
p-value: p=<0.001
Elevated systolic blood pressure and high residual platelet reactivity are strong independent predictors of the need for repeat PCI in post-CABG patients presenting with recurrent ischemia.
Жангелова et al. (2026) conducted a cross-sectional in Recurrent ischemia after coronary artery bypass grafting (CABG) (n=195). Arterial hypertension and high residual platelet reactivity vs. Normal blood pressure and normal platelet reactivity was evaluated on Need for repeat percutaneous coronary intervention (PCI) (p=<0.001). High residual platelet reactivity (66.2% vs 0%, p<0.001) and higher systolic blood pressure independently predicted the need for repeat PCI in post-CABG patients with recurrent ischemia.
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