Clinical Study

Angiographic Complete versus Clinical Selective Incomplete Percutaneous Revascularization in Heart Failure Patients with Multivessel Coronary Disease

Table 1

Baseline characteristics of heart failure patients with multivessel disease according to final angiographic results.

Angiographic CR (1)Selective IR (2)Failed CR (3) value for (1) vs. (2) value for (1) vs. (3) value for (2) vs. (3)

Patient number, n24931734
Age, years64.4 ± 11.764.4 ± 11.963.8 ± 12.80.9630.7620.778
Male sex, n (%)209 (83.9)255 (80.4)28 (82.4)0.3220.8061.000
Diabetes mellitus, n (%)107 (43.0)156 (49.2)14 (41.2)0.1491.0000.471
Hypertension, n (%)135 (54.2)187 (59.0)22 (64.7)0.2670.2740.584
Hyperlipidemia, n (%)104 (41.8)149 (47.0)19 (55.9)0.2330.1410.369
Smoking, n (%)108 (43.4)129 (40.7)16 (47.1)0.5480.7150.471
Family history of CAD, n (%)4 (1.6)4 (1.3)0 (0.0)0.7361.0001.000
Previous history of MI, n (%)193 (77.5)254 (80.1)25 (73.5)0.4680.6640.374
Previous stroke, n (%)8 (3.2)21 (6.6)3 (8.8)0.0840.1330.717
NYHA Fc
 Class I, n (%)112 (45.0)127 (40.1)8 (23.5)0.2650.0250.065
 Class II, n (%)68 (27.3)83 (26.2)8 (23.5)0.7750.8370.839
 Class III, n (%)41 (16.5)67 (21.1)8 (23.5)0.1960.3340.826
 Class IV, n (%)28 (11.2)40 (12.6)10 (29.5)0.6960.0070.017
ACS, n (%)101 (40.6)116 (36.6)15 (44.1)0.3400.7130.456
eGFR, ml/min/1.73m271.5 ± 29.667.4 ± 26.265.0 ± 26.70.3580.2560.838
CKD stage >3, n (%)89 (35.7)132 (41.6)15 (44.1)0.1650.3490.855
LVEF, %32.1 ± 6.832.2 ± 7.029.1 ± 8.20.8210.0150.020
Calcified lesion, n (%)67 (26.9)81 (25.6)7 (20.6)0.7730.5350.678
Ostial lesion, n (%)34 (13.7)43 (13.6)3 (8.8)1.0000.5910.596
Bifurcation, n (%)26 (10.4)25(7.9)0(0.0)0.3040.0540.152
Chronic total occlusion, n (%)36 (14.5)35 (11.0)14 (41.2)0.250<0.001<0.001
Drug-eluting stenting, n (%)138 (55.4)166 (52.4)16 (47.1)0.4970.3660.592
Survival to discharge, m23830726
Use of ACEi/ARB, n (n/m%)191 (80.3)248 (80.8)20 (76.9)0.9130.6170.610
Use of beta blocker, n (n/m%)215 (90.3)279 (90.9)22 (84.6)0.8830.3190.296
Use of MRA, n (n/m%)46 (19.3)62 (20.2)3 (11.5)0.8290.4330.439

ACEi, angiotensin-converting enzyme inhibitors; ACS, acute coronary syndrome; ARB, angiotensin receptor blockers; CAD, coronary artery disease; CKD, chronic kidney disease; CR, complete revascularization; eGFR, estimated glomerular filtration rate; IR, incomplete revascularization; LVEF, left ventricular ejection fraction; MI, myocardial infarction; MRA, mineralocorticoid receptor antagonist; NYHA Fc, New York Heart Association Functional classification; RCS, residual coronary stenosis.