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The role of mid-term follow up high sensitivity C-reactive protein on long term outcomes in patients who underwent percutaneous coronary intervention
계명대학교 동산의료원 심장내과
신홍원, 손지현, 한춘덕, 조윤경, 박형섭, 윤혁준, 김형섭, 남창욱, 허승호, 김윤년, 김권배
Backgrounds : High level of high sensitivity C-reactive protein(hsCRP) is known to be associated with increased coronary events and poor prognosis in acute myocardial infarction. We studied whether mid-term follow-up hsCRP (f/u hsCRP) after percutaneous coronary intervention(PCI) is associated coronary events and prognosis or not. Methods : In this single-center retrospective cohort study, 763 patients, who underwent PCI, were estimated f/u hsCRP after 4 month. We compared group A (f/u hsCRP ≤ 0.5, N=677) with group B (f/u CRP> 0.5, N=86). Major adverse cardiac events(MACE) were associated at 2 years after the procedure. The cutoff point of hsCRP was normal range of our hospital. Results : Group B had more elderly patients (61.4±10.2 vs. 65.5±10.1, p=0.001), higher serum creatinine (1.2±1.1 vs. 1.5±1.4, p=0.044), lower body mass index (24.6±3.0 vs. 23.8±3.2, p=0.027) and lower ejection fraction (55.8±11.8 vs. 52.3±13.7, p=0.026). One year MACE, all cause of death, myocardial infarction and 2 year MACE, all cause of death were higher in group B. Multivariate analysis disclosed that f/u hsCRP and serum creatinine were a significant independent predictor of 1 year MACE and 2 years MACE. Conclusions : Therefore elevated mid-term f/u hsCRP level in patients who underwent PCI seems to be a good valuable factor for the long term outcomes.

 

f/u hsCRP0.5

f/u hsCRP>0.5

P value

Mean value of

f/u hsCRP, mg/dl

0.2±0.1

1.4±1.0

<0.001

Age

61.4±10.2

65.5±10.1

0.001

Ejection fraction, %

54.2±12.0

59.0±11.2

0.086

Body mass index, kg/m2

24.6±3.0

23.8±3.2

0.027

Creatitine, mg/dl

1.2±1.1

1.5±1.4

0.044

One year MI, %

0.4

2.4

0.038

One year MACE, %

4.9

13.4

0.002

One year death, %

Two years MI, %

Two years MACE, %

1.3

1.1

6.9

7.2

3.3

18.0

<0.001

0.149

0.003

Two years death, %

1.9

8.2

0.004

 


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