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[Impact of multifactor intensive intervention on self management, risk factor control and outcome of post

Ya-ping He1, Zhi-gang Lu, Yong-wen Gu

  • 1Division of Cardiology, Shanghai 6th Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200233, China.

Zhonghua Xin Xue Guan Bing Za Zhi
|February 1, 2013
PubMed

Insights

Intensive intervention improves secondary prevention for patients after percutaneous coronary intervention (PCI). This multifactor approach enhances self-management and risk factor control, leading to better outcomes and fewer cardiovascular events.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Preventive Cardiology

Context:

  • Post-percutaneous coronary intervention (PCI) patients require comprehensive management for secondary prevention.
  • Standard care may not adequately address self-management and risk factor control in these patients.
  • Optimizing care pathways is crucial for improving long-term outcomes in coronary heart disease (CAD).

Purpose:

  • To evaluate the efficacy of a multifactor intensive intervention program for outpatients following PCI.
  • To assess the impact of the intervention on patient self-management, risk factor control, and clinical outcomes.
  • To compare the intensive intervention group with a usual care group over a 12-month follow-up period.

Summary:

  • A randomized trial involving 263 post-PCI patients compared intensive intervention with usual care.
  • The intensive group received frequent outpatient visits, telephone instructions, and optimal medication, alongside CAD lectures.
  • Significant improvements were observed in LDL-C control, adherence to lifestyle modifications (diet, exercise), and medication use (beta-blockers, statins) in the intensive group.

Impact:

  • The intensive intervention significantly reduced the rate of cardiovascular events compared to usual care (0% vs. 5.9%).
  • Improved lipid profiles (LDL-C < 2.6 mmol/L) were achieved in 71.2% of the intensive group versus 48.3% in the usual care group.
  • This multifactor approach demonstrates substantial benefits for secondary prevention in post-PCI patients, enhancing adherence and clinical results.
Abstract

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