Acute Coronary Syndrome Clinical Trial
Official title:
Retinal Artery Lesions to Predict Long-term Outcomes in Patients With Acute Coronary Syndrome After Drug-Eluting Stent Implantation
This study is to investigate the relationship between staging of retinal artery lesions and the prognosis of acute coronary syndrome (ACS) in a Chinese population. All the patients were divided into four groups according retinal artery lesions.The endpoints were main adverse cardiovascular and cerebrovascular events (MACCE), including all-cause death, myocardial infarction (MI), and stroke after 3 to 6 years of follow-up.
The aim of this study was to determine whether retinal artery lesions can predict long-term
adverse outcomes in acute coronary syndrome (ACS) patients after drug-eluting stent (DES)
implant.
A total of 660 consecutive patients with ACS who underwent coronary angiography and
percutaneous coronary intervention enrolled this study at the Beijing Mentougou District
Hospital, Beijing Tiantan Hospital and Beijing Shijitan Hospital. All the subjects were
divided into two groups based on the retinal artery lesions: Group 1, retinal artery
lesions≤ Stage 2 (n=296) and group 2 (n=364), retinal artery lesions > Stage 2. Beside,the
eye fundus examination was done in all patients to mesure the extent and severity of
atherosclerotic vascular lesions in the retinal arteries . Patients were excluded from the
study if they had severe nephropathy (GFR< 30 mL/min/1.73 m2), vascular obstruction, acute
illnesses or any other condition that was thought to contraindicated coronary angiography.
Primary endpoint was all-cause mortality. The composite endpoint was defined as major
adverse cardiac and cerebrovascular events (MACCE), namely recurrent serious angina
pectoris, nonfatal MI, revascularization and stroke.
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Observational Model: Cohort, Time Perspective: Retrospective
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