Impact of multifactor intensive intervention on self management, risk factor control and outcome of post percutaneous transluminal coronary intervention patients
10.3760/cma.j.issn.0253-3758.2012.12.012
- VernacularTitle:对经皮冠状动脉介入术后患者进行院外多因素强化干预的研究
- Author:
Ya-Ping HE
1
;
Zhi-Gang LU
;
Yong-Wen GU
;
Jing-Wei PAN
;
Mei-Fang GAO
;
Meng WEI
Author Information
1. 200233,上海交通大学附属第六人民医院心内科
- Keywords:
Coronary disease;
Angioplasty,transluminal,percutaneous coronary;
Intervention studies
- From:
Chinese Journal of Cardiology
2012;40(12):1037-1040
- CountryChina
- Language:Chinese
-
Abstract:
Objective To test the efficacy of multifactor intensive intervention for post percutaneous transluminal coronary intervention (post-PCI) outpatients on self management,risk factor control and outcome.Methods A total of 263 patients with coronary heart disease (CAD) discharged from our cardiac center were randomized into usual care (4 CAD lectures focusing on the 2nd CAD prevention and patientsoriented outpatient visit) and intensive intervention (4 CAD lectures focusing on the 2nd CAD prevention,CAD outpatient visit twice a month,monthly telephone instructions on risk factor control and optimal medication).Patients were followed for 12 months and 250 patients completed follow-up.Results There were more patients achieved a LDL-C level of less than 2.6 mmol/L in intensive intervention group than in usual care group (71.2％ vs.48.3％,P ＜ 0.01).The percentages of patients taking dietary control (55.3％ vs.26.2％,P ＜0.01) and physical exercises (64.4％ vs.39.0％,P ＜0.01),receiving betaadrenergic receptor blocker (75.0％ vs.50.8％,P ＜0.01) and statins (72.0％ vs.54.2％,P ＜0.01)were significantly higher while cardiovascular event rate (5.9％ vs.0％,P =0.005)was significantly lower in intensive intervention group than in usual care group.Conclusion Muhifactor intensive intervention is helpful on improving the second prevention for post-PCI coronary heart disease patients.
