Effect of Lifestyle Changes after Percutaneous Coronary Intervention on Revascularization

Abstract

Objective. Whether optimal cardiovascular health metrics may reduce the risk of cardiovascular events in secondary prevention is uncertain. The study was conducted to evaluate the influence of lifestyle changes on clinical outcomes among the subjects underwent percutaneous coronary intervention (PCI). Methods. The study group consists of 17,099 consecutive PCI patients. We recorded data on subject lifestyle behavior changes after their procedure. Patients were categorized as ideal, intermediate, or poor CV health according to a modified Life’s Simple 7 score (on body mass, smoking, physical activity, diet, cholesterol, blood pressure, and glucose). Multivariable COX regression was used to evaluate the association between CV health and revascularization event. We also tested the impact of cumulative cardiovascular health score on reoccurrence of cardiovascular event. Results. During a 3-year median follow-up, 1,583 revascularization events were identified. The observed revascularization rate was 8.0%, 9.3%, and 10.6% in the group of patients with optimal (a modified Life’s Simple 7 score of 11–14), average (score = 9 or 10), or inadequate (less or equal than 8) CV health, respectively. After multivariable analysis, the adjusted hazard ratios were 0.83 (95% CI: 0.73–0.94) and 0.89 (95% CI: 0.79–0.99) for patients with optimal and average lifestyle changes comparing with the inadequate tertile (P for trend = 0.003). In addition, each unit increase in above metrics was associated with a decrease risk of revascularization (HR, 0.96; 95% confidence interval, 0.93–0.98; P<0.001). Conclusion. Ideal CV health related to lower incidence of cardiovascular events, even after the percutaneous coronary intervention. Revascularization can be reduced by lifestyle changes. The cardiovascular health metrics could be extrapolated to secondary prevention and need for further validation.

RETRACTED: Effect of comprehensive nursing education on self-care ability and psychological state of patients with coronary heart disease after percutaneous coronary intervention

“…7 In addition, the treatment effect of PCI is closely related to patient's dietary behavior and living habits, so it is of great significance to clinically strengthen the health education of patients and enhance their self-care management ability for improving the clinical symptoms and quality of life of patients. [8][9][10] Comprehensive nursing intervention not only carries out individualized nursing intervention to promote the change of the patient's behavior according to the patient's actual condition, personality and behavior, but also can alleviate negative emotions (depression, anxiety, et al) by correcting the patient's wrong cognition of the disease and reconstructing the correct cognition. It is a nursing method that has arisen in recent years and is beneficial to postoperative recovery.…”

Appliance of medical genogram and social network theory in cardiovascular health promotion intervention and non-laboratory-based risk monitoring

“…changes in meal preparation) in which individuals are born and receive resources for their growth and development. [75][76][77] family involvement has been defined as "a relationship between health care providers working together to promote and support active patient and public involvement in health care and to strengthen their influence on health care decisions at an individual and collective level". 78 Therefore, lifestyle changes are likely to be more effective when delivered to the whole family than to individuals as it works within the framework of biologic and sociocultural relationships to affect risk reduction.…”

Perceived Determinants of Health-Related Behaviors Among Patients with Coronary Heart Disease After Percutaneous Coronary Intervention: A Longitudinal Qualitative Study

“…As a chronic illness, CHD can only be managed and secondary prevention programs are especially important for patients with CHD after PCI, such as a healthy lifestyle and regular medication-taking. 7 , 8 However, these health behaviors in people after PCI are unsatisfactory. It is reported that although adherence to secondary prevention 3 months after discharge was relatively good in patients after PCI, only 15% to 50% of patients with CHD continue to exercise 3 to 6 months after cardiac rehabilitation program graduation and the number is decreasing with time going on.…”