作者
Amgad Mentias, Milind Y Desai, Marwan Saad, Phillip A Horwitz, James D Rossen, Sidakpal Panaich, Ayman Elbadawi, J Dawn Abbott, Paul Sorajja, Hani Jneid, E Murat Tuzcu, Samir Kapadia, Mary Vaughan-Sarrazin
发表日期
2020/4/27
期刊
Cardiovascular Interventions
卷号
13
期号
8
页码范围
938-950
出版商
American College of Cardiology Foundation
简介
Objectives
This study sought to address a knowledge gap by examining the incidence, timing, and predictors of acute coronary syndrome (ACS) after transcatheter aortic valve replacement (TAVR) in Medicare beneficiaries.
Background
Evidence about incidence and outcomes of ACS after TAVR is scarce.
Methods
We identified Medicare patients who underwent TAVR from 2012 to 2017 and were admitted with ACS during follow-up. We compared outcomes based on the type of ACS: ST-segment elevation myocardial infarction (STEMI), non-STEMI (NSTEMI), and unstable angina. In patients with non–ST-segment elevation ACS, we compared outcomes based on the treatment strategy (invasive vs. conservative) using inverse probability weighting analysis.
Results
Out of 142,845 patients with TAVR, 6,741 patients (4.7%) were admitted with ACS after a median time of 297 days (interquartile range: 85 to 662 …
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A Mentias, MY Desai, M Saad, PA Horwitz, JD Rossen… - Cardiovascular Interventions, 2020