Effect of Lifestyle Changes after Percutaneous Coronary Intervention on Revascularization
Joint Authors
Wang, Yang
Xian, Ying
Chen, Tao
Zhao, Yanyan
Yang, Jinggang
Xu, Bo
Li, Wei
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-14
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Wang, Yang& Xian, Ying& Chen, Tao& Zhao, Yanyan& Yang, Jinggang& Xu, Bo…[et al.]. 2020. Effect of Lifestyle Changes after Percutaneous Coronary Intervention on Revascularization. BioMed Research International،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1132539
Modern Language Association (MLA)
Wang, Yang…[et al.]. Effect of Lifestyle Changes after Percutaneous Coronary Intervention on Revascularization. BioMed Research International No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1132539
American Medical Association (AMA)
Wang, Yang& Xian, Ying& Chen, Tao& Zhao, Yanyan& Yang, Jinggang& Xu, Bo…[et al.]. Effect of Lifestyle Changes after Percutaneous Coronary Intervention on Revascularization. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1132539
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1132539