Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/18967
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dc.contributor.authorYeoh, Julian-
dc.contributor.authorYudi, Matias B-
dc.contributor.authorAndrianopoulos, Nick-
dc.contributor.authorYan, Bryan P-
dc.contributor.authorClark, David J-
dc.contributor.authorDuffy, Stephen J-
dc.contributor.authorBrennan, Angela-
dc.contributor.authorNew, Gishel-
dc.contributor.authorFreeman, Melanie-
dc.contributor.authorEccleston, David-
dc.contributor.authorSebastian, Martin-
dc.contributor.authorReid, Christopher M-
dc.contributor.authorWilson, William-
dc.contributor.authorAjani, Andrew E-
dc.date2017-08-12-
dc.date.accessioned2018-09-12T23:57:42Z-
dc.date.available2018-09-12T23:57:42Z-
dc.date.issued2017-07-01-
dc.identifier.citationThe American Journal of Cardiology 2017; 120(1): 47-54en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/18967-
dc.description.abstractPercutaneous coronary intervention (PCI) continues to evolve with shifting patient demographics, treatments, and outcomes. We sought to document the specific changes observed over a 9-year period in a contemporary Australian PCI cohort. The Melbourne Interventional Group is an established multicenter PCI registry in Melbourne, Australia. Data were collected prospectively with 30-day and 12-month follow-ups. Demographic, procedural, and outcome data for all consecutive patients were analyzed with a year-to-year comparison from 2005 to 2013. National Death Index linkage was performed for long-term mortality analysis; 19,858 procedures were captured over 9 years. Patient complexity and acuity increased with a higher proportion of traditional risk factors and more elderly patients who underwent PCI. Angiographic lesion complexity increased with more multivessel coronary artery disease and more American College of Cardiology/American Heart Association type B2/C lesions proceeding to PCI. The 30-day rate of death, myocardial infarction, or target vessel revascularization has not changed nor has 12-month mortality, myocardial infarction, or major adverse cardiovascular event rates. The strongest independent predictor of long-term mortality was cardiogenic shock at presentation (hazard ratio [HR] 2.95, p <0.01). Drug-eluting stent use (HR 0.83, p <0.01) and a history of dyslipidemia (HR 0.81, p <0.01) were associated with long-term survival. In conclusion, from 2005 to 2013, we observed a cohort of higher risk clinical and angiographic characteristics, with stable long-term mortality.en_US
dc.language.isoeng-
dc.titleEvolution of Australian Percutaneous Coronary Intervention (from the Melbourne Interventional Group [MIG] Registry).en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleThe American Journal of Cardiologyen_US
dc.identifier.affiliationSchool of Public Health, Curtin University, Perth, Western Australia, Australiaen_US
dc.identifier.affiliationDepartment of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kongen_US
dc.identifier.affiliationDepartment of Cardiology, Box Hill Hospital, Melbourne, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, University Hospital, Geelong, Australiaen_US
dc.identifier.affiliationDepartment of Cardiology, Royal Melbourne Hospital, Melbourne, Australiaen_US
dc.identifier.affiliationCardiologyen_US
dc.identifier.affiliationDepartment of Medicine, University of Melbourne, Melbourne, Australiaen_US
dc.identifier.affiliationDepartment of Cardiovascular Medicine, Alfred Hospital, Melbourne, Australiaen_US
dc.identifier.affiliationCentre of Cardiovascular Research and Education in Therapeutics (CCRET), Monash University, Melbourne, Australiaen_US
dc.identifier.doi10.1016/j.amjcard.2017.03.258en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0002-3706-4150en_US
dc.identifier.pubmedid28495431-
dc.type.austinJournal Article-
dc.type.austinMulticenter Study-
local.name.researcherClark, David J
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptCardiology-
crisitem.author.deptCardiology-
crisitem.author.deptUniversity of Melbourne Clinical School-
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