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Title: The impact of the metabolic syndrome on cardiovascular outcomes in patients undergoing percutaneous coronary intervention.
Author: O'Brien, J.
Dinh, D.
Roberts, L.
Teh, A.
Brennan, A.
Oqueli, Ernesto
Reid, C.
Duffy, S.
Clark, D.
Ajani, A.
Sebastian, M.
Freeman, M.
Chandrasekhar, J.
Issue Date: 2020
Conference Name: 68th 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 Meeting
Conference Date: December 11-13
Conference Place: Online
Abstract: Background: The effect of the metabolic syndrome (MetS) on cardiac outcomes has not been extensively studied in percutaneous coronary intervention (PCI) patients. Methods: We reviewed the MIG registry for all patients undergoing PCI between 2005-2018 where baseline data to define MetS were available. The MetS surrogate definition included the presence of ≥3 of obesity (body mass index >30 kg/m2), hypertension, dyslipidaemia, or diabetes. Long-term mortality in patients with and without MetS was obtained from the National Death Index. Results: Of 41,146 PCI patients, 29.7% had MetS, with increasing prevalence over time (p<0.001). Patients with MetS were older and were more likely to be women and have stable angina; whereas non-MetS patients more often presented with STEMI (35.7% vs 19%), cardiogenic shock (3.9% vs 1.7%) or cardiac arrest (4.3% vs 2.7%), p<0.001 for all. At 30-days, MetS patients had higher rates of myocardial infarction (2.2% vs 1.8%, p=0.013) without significant differences in target vessel revascularisation (2.4% vs 2.2%, p=0.23) or death (3.0% vs 3.4%, p=0.05). Long-term survival was lower in the presence of MetS. Conclusion: MetS was associated with a worse long-term survival compared with non-MetS counterparts after PCI.
Internal ID Number: 01644
Type: Conference
Appears in Collections:Research Output

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