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Differential clinical impact of chronic total occlusion revascularization based on left ventricular systolic function.


ABSTRACT:

Background

The effect of chronic total occlusion (CTO) revascularization on survival remains controversial. Furthermore, data regarding outcome differences for CTO revascularization based on left ventricular systolic function (LVSF) are limited. The differential outcomes from CTO revascularization in patients with preserved LVSF (PLVSF) versus reduced LVSF (RLVSF) were assessed.

Methods

A total of 2,173 CTO patients were divided into either a PLVSF (n?=?1661, Ejection fraction???50%) or RLVSF (n?=?512,?ResultsPatients with RLVSF had a mean 37% ejection fraction (EF) and 19% had EF?ConclusionsSCR was associated with better survival benefit than OMT regardless of LVSF. The benefit was greater and became more significant over time in patients with RLVSF versus PLVSF.

SUBMITTER: Kook H 

PROVIDER: S-EPMC7862506 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications


<h4>Background</h4>The effect of chronic total occlusion (CTO) revascularization on survival remains controversial. Furthermore, data regarding outcome differences for CTO revascularization based on left ventricular systolic function (LVSF) are limited. The differential outcomes from CTO revascularization in patients with preserved LVSF (PLVSF) versus reduced LVSF (RLVSF) were assessed.<h4>Methods</h4>A total of 2,173 CTO patients were divided into either a PLVSF (n = 1661, Ejection fraction ≥ 5  ...[more]

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