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Perceived health over 3 years after percutaneous coronary balloon angioplasty
G Permanyer-Miralda1, J Alonso, C Brotons
1Cardiology Department, Hospital General Universitari Vall d'Hebron, Barcelona, Spain.
Insights
Percutaneous transluminal coronary angioplasty (PTCA) significantly improves perceived health. However, outcomes vary based on patient factors like angina and comorbidities, with some experiencing no improvement.
Area of Science:
- Cardiology
- Health Outcomes Research
- Interventional Cardiology
Background:
- Randomized clinical trials often have restrictive criteria, limiting understanding of percutaneous transluminal coronary angioplasty (PTCA) benefits on quality of life.
- Real-world data is needed to assess long-term perceived health outcomes after elective PTCA.
Purpose of the Study:
- To evaluate perceived health outcomes 3 years after successful elective PTCA.
- To identify clinical variables associated with health outcomes post-PTCA.
Main Methods:
- Prospective cohort study of 106 patients undergoing elective PTCA.
- Health status questionnaires administered pre-procedure, 1 month, and 3.4 years post-procedure.
Main Results:
- Perceived health scores significantly improved 1 month post-PTCA and were maintained at 3.4 years.
- Greatest improvement seen in patients free from angina, myocardial infarction, or revascularization.
- Patients with comorbidities showed moderately reduced improvement; those with rest angina/dyspnea post-procedure did not improve.
Conclusions:
- Elective PTCA leads to significant perceived health improvements, but outcomes are influenced by clinical status and comorbidities.
- Initial perceived health and comorbidities impact outcomes but do not prevent improvement.
Abstract:
The magnitude of the benefit of percutaneous transluminal coronary angioplasty (PTCA) in terms of quality of life depending on baseline and outcome clinical variables is not sufficiently understood because of the restrictive inclusion criteria of randomized clinical trials. The present study was designed to assess perceived health outcome at 3 years and its association with clinical variables after successful elective PTCA in a tertiary hospital throughout a prospective cohort study. Questionnaires were administered on the day before the procedure and 1 month and 3.4 years later (as mean follow-up) to 106 patients recruited during a 15-month period. Mean perceived health scores improved significantly for the population as a whole 1 month after PTCA, and improvement was maintained at the end of follow-up. The magnitude of the effect was different depending on clinical subgroups: (a) It was greatest in patients free from angina, myocardial infarction, or new revascularization procedures at the end of follow-up; (b) It was moderately reduced in patients with comorbidity; (c) Patients who reported to have dyspnea or angina at rest after the latest revascularization procedure did not improve, with poor final perceived health scores. Elective PTCA is associated with a significant improvement in perceived health, which varies depending on the clinical outcome. Comorbidity and initial perceived health influence outcome but do not preclude improvement.