Vol. 22 No. 1 (2018)
REVIEWS

Ethnic differences in percutaneous coronary intervention according to the “Register of the performed operations of transluminal balloon coronary angioplasty”

PDF (Русский)
  • V. Kuznetsov,
  • G. Pushkarev,
  • I. Bessonov,
  • E. Yaroslavskaya,
  • I. Zyryanov,
  • D. Krinochkin
V. Kuznetsov
Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation
G. Pushkarev
Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation
Bio
I. Bessonov
Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation
E. Yaroslavskaya
Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation
I. Zyryanov
Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation
D. Krinochkin
Tyumen Cardiology Research Center, Tomsk National Research Medical Center, Russian Academy of Sciences, Tomsk, Russian Federation
DOI: https://doi.org/10.21688/1681-3472-2018-1-9-15

Published 2018-04-02

Keywords

  • percutaneous coronary interventions,
  • nationality,
  • coronary artery disease,
  • ethnic features

How to Cite

Kuznetsov, V., Pushkarev, G., Bessonov, I., Yaroslavskaya, E., Zyryanov, I., & Krinochkin, D. (2018). Ethnic differences in percutaneous coronary intervention according to the “Register of the performed operations of transluminal balloon coronary angioplasty”. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 22(1), 9–15. https://doi.org/10.21688/1681-3472-2018-1-9-15

Copyright (c) 2018 Kuznetsov V.A., Pushkarev G.S., Bessonov I.S., Yaroslavskaya E.I., Zyryanov I.P., Krinochkin D.V.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Aim. The study was designed to reveal ethnic differences in percutaneous coronary interventions according to data of the “Register of the performed operations of transluminal balloon coronary angioplasty.”
Methods. Three thousand one hundred and six patients were selected from the list of the Register and divided in five ethnic groups: Russians (n = 2,777), Tatars (n = 130), Ukrainians (n = 126), Azerbaijani (n = 44) and Armenians (n = 29). Intergroup comparison of clinical and functional parameters, as well as transluminal balloon coronary angioplasty results, was carried out.
Results. Significant intergroup differences were observed in gender and age of the patients: groups of Russians and Tatars had the smallest proportion of men as compared with Ukrainians and Azerbaijani (83.5% and 83.1% vs 94.4% and 97.7%, respectively; р<0.01), the youngest group was that of Azerbaijani with mean age 49.25±7.4 years. The prevalence of smoking in the Azerbaijani group was significantly higher than among Russians (54.3% vs 39.5%; р<0.05). Alcohol intake was significantly different between the groups of Armenians and Russians (46.4% vs 25.1%; р<0.05). Armenians as compared to Tatars more rarely had severe functional classes of effort angina (class III–IV 25.0% vs 59.6%; р<0.05) and arterial hypertension was diagnosed less frequently when compared with Russians, Tatars and Ukrainians (57.9% vs 82.7%, 78.3% and 84.3%, respectively; р<0.01). Diabetes mellitus was more often detected in the group of Azerbaijanis as compared to others. Analysis of angiographic parameters showed more frequent hemodynamically significant lesions of the circumflex branch in Armenian patients compared to Russians and Ukrainians (50.0% vs 32.0% and 29.9%, respectively; р<0.05). There were no significant differences among the groups in other angiographic parameters. No significant intergroup differences were detected in the results of intracoronary intervention and the number of in-hospital complications.
Conclusion. When comparing ethnic groups according to the “Register of the performed operations of transluminal balloon coronary angioplasty”, no significant differences were detected in frequency, features and outcomes of percutaneous coronary interventions. Comparison of clinical and functional parameters showed that the Azerbaijanis group looked least favorable due to a higher prevalence of some risk factors, despite their younger age.

Received 19 December 2017. Revised 19 February 2018. Accepted 12 March 2018.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

PDF (Русский)

References

  1. Суринов А.Е. Российский статистический ежегодник 2012: Статистический сборник. М.: Росстат, 2012. 786 с. [Surinov A.E. Russian statistical yearbook 2012: Statistical compilation. Мoscow: Rosstat; 2012. 786 p. (In Russ.)]
  2. Nelson A. Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. J Natl Med Assoc. 2002;94(8):666-668. PMID: 12152921, PMCID: PMC2594273.
  3. Leborgne L., Cheneau E., Wolfram R., Pinnow E.E., Canos D.A., Pichard A.D., Suddath W.O., Satler L.F., Lindsay J., Waksman R. Comparison of baseline characteristics and one-year outcomes between African-Americans and Caucasians undergoing percutaneous coronary intervention. Am J Cardiol. 2004;93(4):389-93. PMID: 14969608. http://dx.doi.org/10.1016/j.amjcard.2003.10.029
  4. Napan S., Kashinath R., Orig M. Kadri S., Khadra S. Racial difference in cardiovascular outcomes following percutaneous coronary intervention in a public health service patient population. J Invasive Cardiol. 2010;22(4):168-73. PMID: 20351387.
  5. Бокерия Л.А., Гудкова Р.Г. Сердечно-сосудистая хирургия – 2009. Болезни и врожденные аномалии системы кровообращения. М.: НЦССХ им. А.Н. Бакулева РАМН, 2010. 180 с. [Bokeriya L.A., Gudkova R.G. Cardiovascular Surgery – 2009. Disease and congenital anomalies of circulatory system. Мoscow: A.N. Bakoulev Scientific Center for Cardiovascular Surgery; 2010. 180 p. (In Russ.)]
  6. Кузнецов В.А., Марьинских Л.В., Зырянов И.П., Колунин Г.В., Евлампиева Л.Г., Бессонова М.И., Горбатенко Е.А, Панин А.В. Этнические особенности при интракоронарном стентировании. Кардиоваскулярная терапия и профилактика. 2009;8(6 S1):198. [Kuznetsov V.A., Marinskikh L.V., Zyryanov I.P., Kolunin G.V., Evlampieva L.G., Bessonova M.I., Gorbatenko E.A., Panin A.V. Ethnic peculiar properties of intracoronary stenting. Cardiovascular Therapy and Prevention (Russian Federation). 2009;8(6 S1):198. (In Russ.)]
  7. Кузнецов В.А., Зырянов И.П., Колунин Г.В., Криночкин Д.В., Семухин М.В., Панин А.В., Бухвалов В.А., Бессонов И.С., Горбатенко Е.А., Марьинских Л.В. Регистр проведенных операций транслюминальной баллонной коронарной ангиопластики. Свидетельство о государственной регистрации базы данных № 2010620076. Рег. 01.02.2010. [Kuznetsov V.A., Zyryanov I.P., Kolunin G.V., Krinochkin D.V, Semukhin M.V., Panin A.V., Bukhvalov V.A., Bessonov I.S., Gorbatenko E.A., Mar'inskikh L.V. Register of Percutaneous Transluminal Balloon Angioplasty. Certificate of State Registration Database No. 2010620076. Reg. 01.02.2010. (In Russ.)]
  8. Sabatine M.S., Blake G.J., Drazner M.H., Morrow D.A., Scirica B.M., Murphy S.A., McCabe C.H., Weintraub W.S., Gibson C.M., Cannon C.P. Influence of race on death and ischemic complications in patients with non-ST-elevation acute coronary syndromes despite modern, protocol-guided treatment. Circulation. 2005;111(10):1217-24. https://doi.org/10.1161/01.CIR.0000157733.50479.B9
  9. Devereux R.B., Alonso D.R., Lutas E.M., Gottlieb G.J., Campo E., Sachs I., Reichek N. Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings. Am J Cardiol. 1986;57:450-458. PMID: 2936235.
  10. Медик В.А., Токмачев М.С. Математическая статистика в медицине. М.: Финансы и статистика, 2007. 798 с. [Medik V.A., Tokmachev M.S. Mathematical statistics in medicine. Мoscow: Finance and Statistics; 2007. 798 p. (In Russ.)]
  11. Koh A.S., Khin L.W., Choi L.M., Sim L.L., Chua T.S., Koh T.H., Tan J.W., Chia S. Percutaneous coronary intervention in Asians – are there differences in clinical outcome? BMC Cardiovasc Disord. 2011;11:22. PMID: 21605387, PMCID: PMC3114787. https://doi.org/10.1186/1471-2261-11-22
  12. Slater J., Selzer F., Dorbala S., Tormey D., Vlachos H.A., Wilensky R.L., Jacobs A.K., Laskey W.K., Douglas J.S. Jr, Williams D.O., Kelsey S.F. Ethnic differences in the presentation, treatment strategy, and outcomes of percutaneous coronary intervention (a report from the National Heart, Lung, and Blood Institute Dynamic Registry). Am J Cardiol. 2003;92(7):773-8. PMID: 14516874.
  13. Quan H., Khan N., Li B., Humphries K.H., Faris P., Galbraith P.D., Graham M., Knudtson M.L., Ghali W.A. Invasive cardiac procedure use and mortality among South Asian and Chinese Canadians with coronary artery disease. Can J Cardiol. 2010;26(7):e236-e242. PMID: 20847970, PMCID: PMC2950730.