Predictors of Benefit in Angina Patients One Year After Completing Enhanced External Counterpulsatio

来源 :中国老年学会体外反搏与心血管康复论坛暨第二届国际体外反搏学术交流会 | 被引量 : 0次 | 上传用户:hmei_0
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  Enhanced external counterpulsation (EECP) has been shown to reduce Canadian Cardiovascular Society angina class.This study examines the factors that affect the reduction at 1 year,especially in patients who do not demonstrate an initial response.The data of 2,007 consecutive patients enrolled in the International EECP Patient Registry were analyzed.After 36.6 +/-4.9 h of EECP,angina was reduced by at least one class in 82.7%.At 1 year,35.4% of initial nonresponders and 70.6% ofresponders remained improved by at least one angina class and free of major adverse cardiovascular events.Multivariate predictors of l-year benefit are initial response to treatment (odds ratio 4.5,95% Cl 3.5-5.8),baseline angina class compared with class Ⅳ (odds ratios:class Ⅰ 2.1,CI 0.93-4.81; class Ⅱ 0.62,CI 0.43-0.87; class Ⅲ 0.80,CI 0.62-1.01) and no history of congestive heart failure (odds ratio 1.41,CI 1.14-1.74).
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