scholarly journals Left ventricular ejection fraction as an independent predictor of poor outcome in acute intracerebral hemorrhage

2020 ◽  
Vol 10 (7) ◽  
Author(s):  
Guang Yang ◽  
Lu Wang ◽  
Jingxian Sun ◽  
Daming Zhang ◽  
Ruotian Zhang ◽  
...  
Keyword(s):  
Left Ventricular Ejection Fraction ◽  
Ejection Fraction ◽  
Intracerebral Hemorrhage ◽  
Independent Predictor ◽  
Left Ventricular ◽  
Ventricular Ejection ◽  
Left Ventricular Ejection ◽  
Ventricular Ejection Fraction ◽  
Poor Outcome ◽  
Acute Intracerebral Hemorrhage

scholarly journals Outcomes of coronary rotational atherectomy in patients with reduced left ventricular ejection fraction

2019 ◽  
Vol 48 (4) ◽  
pp. 030006051989514
Author(s):  
Hui-Ping Zhang ◽  
Ying Zhao ◽  
Hu Ai ◽  
Hui Li ◽  
Guo-Dong Tang ◽  
...  
Keyword(s):  
Left Ventricular Ejection Fraction ◽  
Ejection Fraction ◽  
Independent Predictor ◽  
Left Ventricular ◽  
Ventricular Ejection ◽  
Rotational Atherectomy ◽  
Left Ventricular Ejection ◽  
Complication Rates ◽  
Ventricular Ejection Fraction ◽  
Procedural Success

Objective We evaluated the safety and efficacy of rotational atherectomy (RA) in patients with a reduced left ventricular ejection fraction (LVEF). Methods In total, 140 consecutive patients with severe coronary artery calcification (CAC) who underwent RA were retrospectively enrolled. Patients were grouped based on LVEF: ≤35% (n = 10), 36% to 50% (n = 11), and >50% (n = 119). We assessed procedural success and periprocedural complication rates as well as the incidences of in-hospital and 2-year major adverse cardiac events (MACEs), defined as hospitalization for myocardial infarction and worsening heart failure, target vessel revascularization, and cardiac death. Results Procedural success was achieved in nearly all patients in each group. Most periprocedural complications were minor, and major complications were uncommon. The 2-year MACE rate was significantly higher in the LVEF ≤35% than LVEF >50% group (40.0% vs. 6.7%, respectively). Multivariable regression analysis revealed that the LVEF was the only independent predictor of 2-year MACEs in patients who underwent RA. Conclusions Patients with a reduced LVEF who underwent RA had procedural success rates similar to those of patients with preserved left ventricular systolic function. The LVEF might be an independent predictor of 2-year MACEs in patients with severe CAC after percutaneous coronary intervention following RA.

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