Angiographic Complete versus Clinical Selective Incomplete Percutaneous Revascularization in Heart Failure Patients with Multivessel Coronary Disease
Table 2
Five-year follow-up outcomes in patients with heart failure with multivessel disease according to revascularization strategies.
Variables
Patient number, n
Events, n (%)
Crude HR (95% CI)
value
Adjusted# HR (95% CI)
value
Recurrent MI
Angiographic CR
249
20 (8.0)
1.00 (reference)
—
1.00 (reference)
—
Selective IR
317
16 (5.0)
0.62 (0.32–1.20)
0.157
0.65 (0.34–1.26)
0.653
Failed CR
34
1 (2.9)
0.50 (0.07–3.72)
0.498
0.57 (0.08–4.24)
0.579
Any revascularization
Angiographic CR
249
38 (15.3)
1.00 (reference)
—
1.00 (reference)
—
Selective IR
317
54 (17.0)
1.10 (0.73–1.66)
0.660
1.13 (0.75–1.72)
0.556
Failed CR
34
7 (20.6)
1.94 (0.87–4.35)
0.106
2.12 (0.94–4.75)
0.069
30-day mortality
Angiographic CR
249
8 (3.2)
1.00 (reference)
—
1.00 (reference)
—
Selective IR
317
7 (2.2)
0.68 (0.25–1.88)
0.457
0.59 (0.21–1.63)
0.304
Failed CR
34
6 (17.6)
5.80 (2.01–16.7)
0.001
5.38 (1.78–16.2)
0.003
5-year mortality
Angiographic CR
249
34 (13.7)
1.00 (reference)
—
1.00 (reference)
—
Selective IR
317
41 (12.9)
0.94 (0.60–1.48)
0.784
0.90 (0.57–1.42)
0.641
Failed CR
34
12 (35.3)
3.34 (1.73–6.45)
0.001
2.96 (1.51–5.81)
0.002
5-year MACEs
Angiographic CR
249
75 (30.1)
1.00 (reference)
—
1.00 (reference)
—
Selective IR
317
93 (29.3)
0.96 (0.71–1.30)
0.801
1.01 (0.74–1.37)
0.962
Failed CR
34
19 (55.9)
2.53 (1.53–4.19)
0.001
2.87 (1.72–4.77)
0.001
#Adjust baseline clinical variables with value < 0.2 in Table 1 including diabetes mellitus, hyperlipidemia, previous stroke, left ventricular ejection fraction, bifurcation lesion, chronic total occlusion, and NYHA Functional Class in the Cox proportional regression model. value <0.05. Definition of MACEs: composite of myocardial infarction, revascularization, in-hospital mortality, and all-cause mortality. CR = complete revascularization; IR = incomplete revascularization; MACEs = major adverse cardiac events; MI = myocardial infarction.
