Article Text

PDF
Comparison of characteristics and outcomes of percutaneous coronary intervention in military and non-military men
  1. Adel Joharimoghadam1,
  2. S-M Ghoreyshi-Hefzabad1 and
  3. S Kheirkhah-Sabetghadam2
  1. 1Cardiology Department, Faculty of Medicine, AJA University of Medical Sciences, Tehran, Iran
  2. 2Internal Medicine Department, Shariati Hospital, Tehran, Iran
  1. Correspondence to Dr Seyed-Mohammad Ghoreyshi-Hefzabad, Cardiology Department, Faculty of Medicine, AJA University of Medical Sciences, Tehran; Ghoreyshi.mohammad{at}gmail.com

Abstract

Objectives Living in a military environment, as a unique job and lifestyle, may affect the physical and mental status of military personnel. Coronary artery disease (CAD) status and outcomes of percutaneous coronary intervention (PCI) in military personnel as a unique part of each society are less investigated.

Method In a registry-based study, data of 338 military men and 1954 non-military men who underwent successful PCI from March 2012 to March 2013 were analysed. The primary endpoint was major adverse cardiac events (MACE) after hospital discharge during 1-year follow-up.

Results Military men were significantly younger and had a higher frequency of hypertension, familial history of CAD and cigarette smoking. Other risk factors were more prevalent in non-military men. PCI for ST-segment elevation myocardial infarction and lower left ventricular ejection fraction were also more prevalent in soldiers. After mean follow-up duration of 12.3 months, MACE that was defined as the composite endpoint of all-cause mortality, non-fatal myocardial infarction or target vessel revascularisation was similar in both groups (HR=1.01 (95% CI 0.88 to 1.16); p=0.872). By adjustment for confounding factors, results were unchanged.

Conclusions Although there are a number of differences in basic and procedural characteristics between military and non-military men who underwent PCI, 1-year clinical outcomes of this procedure are not different in these patient groups.

  • clinical outcomes
  • Received September 4, 2016.
  • Revision received November 25, 2016.
  • Accepted December 1, 2016.

Statistics from Altmetric.com

  • Received September 4, 2016.
  • Revision received November 25, 2016.
  • Accepted December 1, 2016.
View Full Text

Footnotes

  • Contributors AJ: planning, conduct, conception. S-MG-H: planning, conduct, analysis the data, manuscript writing, guarantor. SK-S: conception, manuscript writing.

  • Funding This project was conducted and funded by our research centre. We do not have any material, financial or other relationships with any commercial enterprises or other entities whose products or services may be discussed or directly affected in the marketplace by this work under consideration.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.