Abstract | BACKGROUND: METHODS: We analysed data from the BleeMACS registry (patients discharged for acute coronary syndrome and undergoing percutaneous coronary intervention from Europe, Asia and America, 2003-2014). Analyses were conducted using a competing risk framework. Uni and multivariate predictors of intracranial haemorrhage were assessed using the Fine-Gray proportional hazards regression analysis. The endpoint was 1-year post-discharge intracranial haemorrhage. RESULTS: Of 11,136 patients, 30 presented with intracranial haemorrhage during the first year (0.27%). The median time to intracranial haemorrhage was 150 days (interquartile range 55.7-319.5). The fatality rate of intracranial haemorrhage was very high (30%). After multivariate analysis, only age (subhazard ratio 1.05, 95% confidence interval 1.01-1.07) and prior stroke/transient ischaemic attack (hazard ratio 3.29, 95% confidence interval 1.36-8.00) were independently associated with a higher risk of intracranial haemorrhage. Hypertension showed a trend to associate with higher intracranial haemorrhage rate. The combination of older age (⩾75 years), prior stroke/transient ischaemic attack, and/or hypertension allowed us to identify most of the patients with intracranial haemorrhage (86.7%). The annual rate of intracranial haemorrhage was 0.1% in patients with no risk factors, 0.2% in those with one factor, 0.6% in those with two factors and 1.3% in those with three factors. CONCLUSION:
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Authors | Sergio Raposeiras-Roubín, Emad Abu-Assi, Berenice Caneiro Queija, Rafael Cobas Paz, Fabrizio D'Ascenzo, Jose Paulo Simao Henriques, Jorge Saucedo, José González-Juanatey, Stephen B Wilton, Wouter J Kikkert, Iván Nuñez-Gil, Albert Ariza-Sole, Xiantao Song, Dimitrios Alexopoulos, Christoph Liebetrau, Tetsuma Kawaji, Claudio Moretti, Zenon Huczek, Shao-Ping Nie, Toshiharu Fujii, Luis Correia, Masa-Aki Kawashiri, María Cespón Fernández, Isabel Muñoz-Pousa, Elena López Rodríguez, María Castiñeira-Busto, Cristina Barreiro Pardal, José María García-Acuña, Danielle Southern, Belén Terol, Alberto Garay, Dongfeng Zhang, Yalei Chen, Ioanna Xanthopoulou, Neriman Osman, Helge Möllmann, Hiroki Shiomi, Fiorenzo Gaita, Michal Kowara, Krzysztof Filipiak, Xiao Wang, Yan Yan, Jing-Yao Fan, Yuji Ikari, Takuya Nakahayshi, Kenji Sakata, Masakazu Yamagishi, Sasko Kedev, Andrés Íñiguez-Romo |
Journal | European heart journal. Acute cardiovascular care
(Eur Heart J Acute Cardiovasc Care)
Vol. 9
Issue 7
Pg. 764-770
(Oct 2020)
ISSN: 2048-8734 [Electronic] England |
PMID | 31042052
(Publication Type: Journal Article, Multicenter Study)
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Topics |
- Acute Coronary Syndrome
(surgery)
- Aged
- Female
- Global Health
- Humans
- Incidence
- Intracranial Hemorrhages
(epidemiology, etiology)
- Male
- Percutaneous Coronary Intervention
(adverse effects)
- Prognosis
- Registries
- Risk Assessment
(methods)
- Risk Factors
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