Research Article

The Impact of Complete Revascularization in Symptomatic Severe Left Ventricular Dysfunction between Coronary Artery Bypass Graft and Percutaneous Coronary Intervention

Table 1

Baseline characteristics of the study patients.

CABG groupPCI group value value
All patientsCRCABG vs. All PCICABG vs. CR

Number476942
General demographics
 Age (years)63 ± 9.165 ± 10.663 ± 9.70.2850.880
 Male sex (%)41 (87.2)56 (81.2)31 (73.8)0.4510.176
 BMI (kg/m2)24.9 ± 3.624.7 ± 4.524.2 ± 3.90.8170.340
Comorbidities
 Hypertension (%)36 (76.6)45 (65.2)25 (59.5)0.2210.110
 Diabetes mellitus (%)28 (59.6)46 (66.7)29 (69.0)0.4400.384
 PAOD (%)1 (2.1)6 (8.7)2 (4.8)0.2380.600
 COPD (%)2 (4.3)2 (2.9)1 (2.4)1.0001.000
 ESRD (%)10 (21.3)5 (7.2)5 (11.9)0.0460.270
 CKD stage ≥ 3 (%)27 (57.4)32 (46.4)22 (52.4)0.2620.674
 Smoking (%)25 (53.2)34 (49.3)19 (45.2)0.7090.526
 Prior PCI history (%)26 (55.3)9 (13.0)5 (11.9)<0.001<0.001
 Prior MI < 90 days (%)21 (44.7)28 (40.6)20 (47.6)0.7040.833
Clinical presentation0.0930.750
 Acute coronary syndrome (%)42 (89.4)53 (76.8)36 (85.7)
 Stable angina/HF (%)5 (10.6)16 (23.2)6 (14.3)
Laboratory examination
 Creatinine (exclude ESRD) (mg/dL)1.71 ± 0.701.55 ± 0.321.65 ± 0.610.5960.890
New EuroSCORE II9.2 ± 7.23.6 ± 2.03.5 ± 1.7<0.001<0.001
Coronary complexity
 SYNTAX score40.4 ± 10.535.9 ± 8.235.4 ± 8.00.0100.014
 SYNTAX score >33 (%)35 (74.5)41 (59.4)26 (61.9)0.1130.255
 Left main (%)16 (34.0)19 (27.5)13 (31.0)0.5380.823
 MVD0.8180.615
  2-V-D (%)9 (19.1)15 (21.7)10 (23.8)
  3-V-D (%)38 (80.9)54 (78.3)32 (76.2)
 CTO (%)29 (61.7)42 (60.9)21 (50.0)1.0000.292
Complete revascularization parameter
 Pre-BCIS-JS11.8 ± 0.610.6 ± 1.710.4 ± 3.0<0.001<0.001
 Post-BCIS-JS0.9 ± 0.43.1 ± 2.81.4 ± 1.3<0.0010.064
 RI0.93 ± 0.120.71 ± 0.250.86 ± 0.13<0.0010.019
Requirement of mechanical support before, during, and after (%)16 (34.0)25 (36.2)13 (31.0)0.8450.823
 ECMO0 (0)3 (4.3)3 (7.1)0.2710.101
 IABP16 (34.0)25 (36.2)13 (31.0)0.8450.823
Medication
 ACEI/ARB/ARNi use (%)32 (71.1)53 (77.9)32 (78.0)0.5050.621
β-blocker use (%)28 (62.2)58 (85.3)36 (87.8)0.0070.007
 MRA (%)23 (51.1)20 (29.4)15 (36.6)0.0290.198
 Furosemide (%)15 (31.9)41 (59.4)21 (50.0)0.0050.090
F/U duration (days)1192 ± 11151122 ± 7941094 ± 8910.6930.651

Data are expressed as the mean ± standard deviation or as number (percentage). Abbreviations: CABG, coronary artery bypass graft; PCI, percutaneous coronary intervention; CR, complete revascularization; BMI, body mass index; kg, kilogram; m, meter; PAOD, peripheral arterial occlusive disease; COPD, chronic obstructive pulmonary disease; ESRD, end-stage renal disease; CKD, chronic kidney disease; MI, myocardial infarction; HF, heart failure; MVD, multiple vessel disease: CTO, chronic total occlusion; BCIS-JS, British Cardiovascular Intervention Society myocardial jeopardy score; RI, revascularization index (preBCIS-JS-postBCIS-JS)/(preBCIS-JS); ECMO, extracorporeal membrane oxygenation, IABP, intraaortic balloon pump; ACEI, angiotensin-converting enzyme inhibitor; ARB, angiotensin receptor blocker; ARNi, angiotensin receptor-neprilysin inhibitor; MRA, mineralocorticoid receptor antagonist; F/U, follow-up.