Eccentric Hypertrophy Predicts Adverse Events in Patients Undergoing Percutaneous Coronary Intervention for Acute Coronary Syndrome
INTRODUCTION: The effect of the type of left ventricular hypertrophy in patients presenting with an acute coronary syndrome (ACS) on long-term outcomes is ill-defined. The purpose of this study was to investigate the prognostic effect of concentric (CH) or eccentric hypertrophy (EH) on adverse outcomes in patients presenting with ACS undergoing percutaneous coronary intervention (PCI).
MATERIAL AND METHODS: We analyzed 1-year follow-up data from a single-institution, retrospective, observational study that enrolled 1,153 patients who presented with ACS and were treated with PCI, for whom echocardiographic data were available.
RESULTS: Normal geometry was observed in 718 (62.3%) patients, while 27.2% had CH and 10.5% had EH. The primary endpoint of all-cause death (
CONCLUSIONS: The presence of eccentric hypertrophy in ACS patients undergoing PCI is an independent predictor of adverse outcomes at 1 year.
Ha, E. T., Cohen, M., Peterson, S. J., & Aronow, W. S. (2021). Eccentric Hypertrophy Predicts Adverse Events in Patients Undergoing Percutaneous Coronary Intervention for Acute Coronary Syndrome. Archives of Medical Sciences. Atherosclerotic Diseases, 6, 21-27. https://doi.org/10.5114/amsad.2021.105175