{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T23:57:35Z","timestamp":1785455855887,"version":"3.56.0"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study sought to investigate the predictive effect of combining cardiac color Doppler ultrasound and carotid ultrasound for major adverse cardiac events (MACE) following percutaneous coronary intervention (PCI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective analysis was conducted on 475 coronary heart disease (CHD) patients who underwent PCI between May 2021 and April 2024. Cardiac ultrasound parameters (left atrial diameter [LAD], left ventricular diameter in diastole [LVDd]) and carotid ultrasound metrics (plaque score, intima\u2010media thickness [IMT], total plaque area [TPA], and gray scale median [GSM]) were collected within 48\u00a0h post\u2010PCI. Patients were monitored for a 12\u2010month period to record MACE incidence. After 12\u00a0months of follow\u2010up, patients were assigned to a Without MACE group (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0324) and a With MACE group (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0151). Correlation and multivariate logistic regression analyses were conducted to identify predictors, and receiver operating characteristic (ROC) curves evaluated predictive accuracy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 151 patients (31.8%) who experienced MACE, significant predictors included diabetes requiring medication (OR\u00a0=\u00a01.80,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.039), prior myocardial infarction (OR\u00a0=\u00a01.93,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.009), elevated discharge heart rate (OR\u00a0=\u00a01.10,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.013), Charlson Comorbidity Index (OR\u00a0=\u00a01.60,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002), maximum left ventricular thickness (OR\u00a0=\u00a01.181,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.003), higher Tei index (OR\u00a0=\u00a01.386,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001), plaque score (OR\u00a0=\u00a05.032,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.001), carotid IMT (OR\u00a0=\u00a02.216,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.002), and TPA (OR\u00a0=\u00a01.039,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.016). Protective factors included beta\u2010blocker use (OR\u00a0=\u00a00.468,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.027), higher LVEF (OR\u00a0=\u00a00.957,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.009), and higher GSM (OR\u00a0=\u00a00.894,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.045). The combined ultrasound model achieved an AUC of 0.833, demonstrating robust predictive accuracy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Cardiac color Doppler ultrasound combined with carotid ultrasound effectively predicts post\u2010PCI MACE by integrating cardiac function and atherosclerotic plaque characteristics. These non\u2010invasive imaging tools offer a valuable framework for early risk assessment and personalized treatment strategies in CHD patients following PCI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/echo.70326","type":"journal-article","created":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T11:57:51Z","timestamp":1761479871000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["RETRACTED: Analysis of the Predictive Effect of Cardiac Color Doppler Ultrasound Combined With Carotid Ultrasound on Major Adverse Cardiac Events Following Percutaneous Coronary Intervention"],"prefix":"10.1111","volume":"42","author":[{"given":"Jun","family":"Xue","sequence":"first","affiliation":[{"name":"Department of Cardiology Emergency General Hospital  Chaoyang District Beijing 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