Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1694
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dc.contributorWarren, J.en_US
dc.contributorDinh, D.en_US
dc.contributorTan, C.en_US
dc.contributorClark, D.en_US
dc.contributorDagan, M.en_US
dc.contributorAjani, A.en_US
dc.contributorOqueli, Ernestoen_US
dc.contributorBrennan, A.en_US
dc.contributorStehli, J.en_US
dc.contributorSebastian, M.en_US
dc.contributorFreeman, M.en_US
dc.contributorKaye, D.en_US
dc.contributorDuffy, S.en_US
dc.date.accessioned2021-01-06T22:43:44Z-
dc.date.available2021-01-06T22:43:44Z-
dc.date.issued2020-
dc.identifier.govdoc01643en_US
dc.identifier.urihttp://hdl.handle.net/11054/1694-
dc.description.abstractIntroduction: Aggressive lowering of diastolic blood pressure (DBP) can occur at the expense of myocardial perfusion, particularly in the presence of coronary artery disease (CAD). Methods: We analysed data from 12,965 consecutive patients undergoing percutaneous coronary intervention (PCI) between 2009 and 2018 from the Melbourne Interventional Group registry who had pre-procedural systolic blood pressure (SBP) <140 mmHg. Patients with ST-elevation myocardial infarction, cardiogenic shock and out-of-hospital arrest were excluded. Patients were stratified into four groups according to DBP: <70 mmHg, 70-79 mmHg, 80-89 mmHg and >89 mmHg. Mortality data were derived from the National Death Index. Results: Patients with DBP <70 mmHg were older, were more likely to be women, have diabetes, renal impairment, prior myocardial infarction, left ventricular dysfunction, multi-vessel disease, peripheral and cerebrovascular disease (all p<0.001). There was no difference in in-hospital or 30-day major adverse cardiovascular events, but patients with DBP <70 mmHg had lower long-term survival on NDI-linkage (Figure). However, on multivariable analysis, DBP <70 mmHg was not an independent predictor of mortality (HR 1.0, 95% CI 0.86-1.15). Conclusions: In patients with well controlled SBP undergoing PCI, lower DBP is associated with higher long-term mortality, related to a greater burden of co-morbidities and higher risk profile.en_US
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2021-01-05T23:50:42Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2021-01-06T22:43:44Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2021-01-06T22:43:44Z (GMT). No. of bitstreams: 0 Previous issue date: 2020en
dc.titleImpact of pre-procedural diastolic blood pressure on outcomes in patients undergoing percutaneous coronary intervention.en_US
dc.typeConferenceen_US
dc.type.specifiedPaperen_US
dc.bibliographicCitation.conferencedateDecember 11-13en_US
dc.bibliographicCitation.conferencename68th Cardiac Society of Australia and New Zealand Annual Scientific Meeting, the International Society for Heart Research Australasian Section Annual Scientific Meeting and the 14th Annual Australia and New Zealand Endovascular Therapies Meetingen_US
dc.bibliographicCitation.conferenceplaceOnlineen_US
dc.subject.healththesaurusPERCUTANEOUS CORONARY INTERVENTIONen_US
dc.subject.healththesaurusPCIen_US
dc.subject.healththesaurusBLOOD PRESSUREen_US
Appears in Collections:Research Output

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