Obesity May Not Be a Risk of Non-Target Lesion Revascularization in the Elderly Patients.
Obesity is assumed to be one of the robust risk factors for coronary artery disease. However, the effects of obesity on the progression of atherosclerosis in patients in different age groups after percutaneous coronary intervention (PCI) remain unclear. This study aimed to examine the effect of obesity on prognosis in different age groups.Consecutive patients who underwent urgent or elective PCI were surveyed for this study and were then divided into the elderly group and middle-aged group with a cut-off age of 70 years. All patients underwent coronary angiography or coronary computed tomography angiography 1 year after PCI to examine the progression of atherosclerosis. The primary endpoint was revascularization for a new lesion within 2 years after PCI. In addition, the main effects and correlations between obesity and age were examined. Multivariate logistic regression analysis was conducted to identify independent predictors of non-target lesion revascularization (non-TLR).Of the 711 patients who met the criteria and were available for follow-up analysis, the incidence of non-TLR within 2 years was 97/711 (13.6%). The higher incidence of non-TLR in patients with obesity was observed only in the middle-aged group. Furthermore, in the multivariate analysis, obesity was independently associated with non-TLR only in the middle-aged group.The findings of the present study would enable us to construct the hypothesis that obesity in elderly patients may not be an independent predictor of the incidence of non-TLR, indicating that the management to prevent non-TLR may vary depending on the age of the patient.
['Shibata|Kenichi|K|', 'Kameshima|Masataka|M|', 'Fujiyama|Hiroaki|H|', 'Ehara|Mariko|M|', 'Suzuki|Yoriyasu|Y|', 'Yamada|Sumio|S|']
D000368:Aged D000369:Aged, 80 and over D005260:Female D006801:Humans D008297:Male D008875:Middle Aged D009204:Myocardial Revascularization D009765:Obesity D062645:Percutaneous Coronary Intervention D011183:Postoperative Complications D012189:Retrospective Studies
Age Percutaneous coronary intervention Clinical outcomes Coronary risk factors Japanese