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Updated: Mar 10, 2026
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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
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Post PCI Angina: Painful in Many Ways!
Ahmed Al Badri1, Timothy D Henry1
1Cedars-Sinai Heart Institute, Los Angeles, California.
Summary
Post-percutaneous coronary intervention (PCI) angina is common, affecting up to 40% of patients within 3 years. This chest pain significantly increases healthcare utilization and costs, necessitating further research.
Area of Science:
- Cardiovascular Medicine
- Health Economics
- Clinical Outcomes Research
Background:
- Post-percutaneous coronary intervention (PCI) angina is a frequent complication.
- A multi-payer claims database was used to analyze patient outcomes and costs.
Discussion:
- Patients experiencing post-PCI angina incur higher healthcare costs due to increased medical visits and procedures.
- The economic burden associated with post-PCI angina is substantial.
Key Insights:
- Angina after PCI occurred in 28% of patients at 1 year and 40% at 3 years.
- Post-PCI angina patients had more physician visits, ED visits, diagnostic tests (29% vs 4% repeat cardiac catheterization), and hospitalizations.
- This leads to markedly higher direct medical costs.
Outlook:
- Further research is needed to understand the causes of post-PCI angina.
- Developing strategies to reduce the incidence and economic impact of post-PCI angina is crucial.
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