Occurrence of MACE after PCI in patients with ACS and its influencing factors
10.3760/cma.j.issn.1674-2907.2016.30.005
- VernacularTitle:急性冠脉综合征患者PCI术后心脏不良事件发生情况及其影响因素分析
- Author:
Lingyu WANG
1
;
Guodi MA
;
Ping LIN
Author Information
1. 150086 哈尔滨医科大学护理学院 哈尔滨医科大学附属第二医院
- Keywords:
Nursing;
Acute coronary syndromes;
Percutaneous coronary intervention;
Major adverse cardiac events;
Influencing factor
- From:
Chinese Journal of Modern Nursing
2016;22(30):4311-4315
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the occurrence of major adverse cardiac events ( MACE ) after percutaneous coronary intervention ( PCI) in patients with acute coronary syndromes ( ACS) and its influencing factors.Methods A total of 336 patients diagnosed with ACS and underwent PCI in a tertiary hospital of Harbin were selected as the research object, and the influencing factors questionnaire of MACE was used to investigate the occurrence of MACE and its influencing factors. Results One year after surgery, the incidence rate of MACE was 22.2%. Logistic regression analysis showed that living alone ( OR=3.471,95%CI=1.329-9.063,P=0.011 ), smoking (OR=2.463,95%CI=1.225-4.834,P=0.009), total cholesterol (TC) (OR=1.968,95%CI=1.251-3.097,P=0.003), low-density lipoprotein cholesterol (LDL-C) (OR=1.501,95%CI=1.046-2.154, P=0.027) , body mass index ( BMI) ( OR=1.365,95%CI=1.207-1.544,P<0.001) and white blood cell count (OR=1.111,95%CI=1.005-1.228,P=0.039) were independent factors of MACE.Conclusions The results of this study shows that the rate of MACE are affected by many factors, and early identification and control are especially important.
