Early Post-Percutaneous Coronary Intervention Chest Pain: A Nationwide Survey on Interventional Cardiologists' Perspective

作者: Yasir Taha , Deepak L. Bhatt , Debabrata Mukherjee , Christopher J. White , Jennifer M. Treece

DOI: 10.1016/J.CARREV.2020.05.011

关键词:

摘要: Abstract Background Early post-percutaneous coronary intervention chest pain (EPPCP) appears to be a common clinical phenomenon. EPPCP has not been fully explained or studied in the literature despite abundance of trials on percutaneous (PCI). The objective this questionnaire-based survey is assess current perception among practicing interventional cardiologists nationwide. Methods A questionnaire was designed utilizing Survey Monkey tool address perceptions and practices regarding key aspects cardiologists. sent via email. Results provided 2615 resulted 623 total responses, with 503 those respondents completing all eight questions. 50.2% perceive that incidence 5–10%, 57.5% consider repeat angiography PCI rarely needed (1 1000 cases). 47.1% participants think due transient microvascular dysfunction, while 39% it as different entity requiring approach. When asked about developing standardized labeling for phenomenon EPPCP, 34.8% responders indicated they believe should labeled benign form pain/angina, 28% preferred describe non-standardized terms. Among cardiologists, 80% thought treatment combination reassurance vasodilators and, without ischemic ECG changes, medical management appropriate. Conclusion 72% our label standard nomenclature facilitate communication between healthcare providers, patients families consistent way. There diversity opinion no nomenclature, guideline standardize practice. Further large-scale prospective studies are better understand pathophysiological mechanisms, optimal strategies, prognostic implications, reporting EPPCP.

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