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Association of Malnutrition and High Bleeding Risk with Long-Term Prognosis in Patients with Acute Coronary Syndrome following Percutaneous Coronary Intervention

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Title: Association of Malnutrition and High Bleeding Risk with Long-Term Prognosis in Patients with Acute Coronary Syndrome following Percutaneous Coronary Intervention
Authors: Hiromitsu Kataoka, Sayumi Suzuki, Yuichi Suzuki, Ryota Sato, Makoto Sano, Satoshi Mogi, Atsushi Sakamoto, Kenichiro Suwa, Yoshihisa Naruse, Hayato Ohtani, Masao Saotome, Mikihiro Shimizu, Keiichi Odagiri, Yuichiro Maekawa
Source: Medicines, Vol 10, Iss 12, p 62 (2023)
Publisher Information: MDPI AG, 2023.
Publication Year: 2023
Collection: LCC:Medicine
Subject Terms: acute coronary syndrome, malnutrition, percutaneous coronary intervention, high bleeding risk, Medicine
More Details: Background: Malnutrition in cardiovascular disease is associated with poor prognosis, especially in patients with heart failure and acute coronary syndrome (ACS). High bleeding risk is also linked to coronary artery disease prognosis, including ACS. However, whether the extent of malnutrition and high bleeding risk have a cumulative impact on the long-term prognosis of patients with ACS who undergo percutaneous coronary intervention remains unclear. Methods: We analyzed 275 patients with ACS treated with percutaneous coronary intervention. The Controlling Nutritional Status score and Japanese version of the Academic Research Consortium for High Bleeding Risk criteria (J-HBR) were retrospectively evaluated. The primary and secondary outcomes were adjusted using the inverse probability treatment weighting method. Results: The prevalence of moderate or severe malnutrition in this cohort was 16%. Kaplan–Meier analysis showed a significantly higher incidence of major adverse cardiovascular and cerebrovascular events in patients who were moderately or severely malnourished than in those who were not. Notably, the incidence of these major events was similar between severely malnourished patients with J-HBR and those without. Conclusion: Moderate or severe malnutrition has a significant impact on the long-term prognosis of patients with ACS who undergo percutaneous coronary intervention.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2305-6320
Relation: https://www.mdpi.com/2305-6320/10/12/62; https://doaj.org/toc/2305-6320
DOI: 10.3390/medicines10120062
Access URL: https://doaj.org/article/c61659e6f70e43598ad1812420b2e094
Accession Number: edsdoj.61659e6f70e43598ad1812420b2e094
Database: Directory of Open Access Journals
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  Data: Association of Malnutrition and High Bleeding Risk with Long-Term Prognosis in Patients with Acute Coronary Syndrome following Percutaneous Coronary Intervention
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  Data: <searchLink fieldCode="AR" term="%22Hiromitsu+Kataoka%22">Hiromitsu Kataoka</searchLink><br /><searchLink fieldCode="AR" term="%22Sayumi+Suzuki%22">Sayumi Suzuki</searchLink><br /><searchLink fieldCode="AR" term="%22Yuichi+Suzuki%22">Yuichi Suzuki</searchLink><br /><searchLink fieldCode="AR" term="%22Ryota+Sato%22">Ryota Sato</searchLink><br /><searchLink fieldCode="AR" term="%22Makoto+Sano%22">Makoto Sano</searchLink><br /><searchLink fieldCode="AR" term="%22Satoshi+Mogi%22">Satoshi Mogi</searchLink><br /><searchLink fieldCode="AR" term="%22Atsushi+Sakamoto%22">Atsushi Sakamoto</searchLink><br /><searchLink fieldCode="AR" term="%22Kenichiro+Suwa%22">Kenichiro Suwa</searchLink><br /><searchLink fieldCode="AR" term="%22Yoshihisa+Naruse%22">Yoshihisa Naruse</searchLink><br /><searchLink fieldCode="AR" term="%22Hayato+Ohtani%22">Hayato Ohtani</searchLink><br /><searchLink fieldCode="AR" term="%22Masao+Saotome%22">Masao Saotome</searchLink><br /><searchLink fieldCode="AR" term="%22Mikihiro+Shimizu%22">Mikihiro Shimizu</searchLink><br /><searchLink fieldCode="AR" term="%22Keiichi+Odagiri%22">Keiichi Odagiri</searchLink><br /><searchLink fieldCode="AR" term="%22Yuichiro+Maekawa%22">Yuichiro Maekawa</searchLink>
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  Data: Medicines, Vol 10, Iss 12, p 62 (2023)
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  Data: MDPI AG, 2023.
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  Data: 2023
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  Data: <searchLink fieldCode="DE" term="%22acute+coronary+syndrome%22">acute coronary syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22malnutrition%22">malnutrition</searchLink><br /><searchLink fieldCode="DE" term="%22percutaneous+coronary+intervention%22">percutaneous coronary intervention</searchLink><br /><searchLink fieldCode="DE" term="%22high+bleeding+risk%22">high bleeding risk</searchLink><br /><searchLink fieldCode="DE" term="%22Medicine%22">Medicine</searchLink>
– Name: Abstract
  Label: Description
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  Data: Background: Malnutrition in cardiovascular disease is associated with poor prognosis, especially in patients with heart failure and acute coronary syndrome (ACS). High bleeding risk is also linked to coronary artery disease prognosis, including ACS. However, whether the extent of malnutrition and high bleeding risk have a cumulative impact on the long-term prognosis of patients with ACS who undergo percutaneous coronary intervention remains unclear. Methods: We analyzed 275 patients with ACS treated with percutaneous coronary intervention. The Controlling Nutritional Status score and Japanese version of the Academic Research Consortium for High Bleeding Risk criteria (J-HBR) were retrospectively evaluated. The primary and secondary outcomes were adjusted using the inverse probability treatment weighting method. Results: The prevalence of moderate or severe malnutrition in this cohort was 16%. Kaplan–Meier analysis showed a significantly higher incidence of major adverse cardiovascular and cerebrovascular events in patients who were moderately or severely malnourished than in those who were not. Notably, the incidence of these major events was similar between severely malnourished patients with J-HBR and those without. Conclusion: Moderate or severe malnutrition has a significant impact on the long-term prognosis of patients with ACS who undergo percutaneous coronary intervention.
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  Data: https://www.mdpi.com/2305-6320/10/12/62; https://doaj.org/toc/2305-6320
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  Data: 10.3390/medicines10120062
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