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Comparison of Secondary Prevention Status between Percutaneous Coronary Intervention and Coronary Artery Bypass
Xia-Qing Gao1,2, Yanfang Li1,2, Zhi-Li Jiang1,2
1Beijing Anzhen Hospital - Capital Medical University, Beijing - China.
Insights
Percutaneous coronary intervention (PCI) patients achieved better low-density lipoprotein cholesterol and blood pressure goals than coronary artery bypass grafting (CABG) patients. Cardiovascular risk factor control varied by age and sex, with females less likely to meet lipid and glucose targets.
Area of Science:
- Cardiology
- Interventional Cardiology
- Public Health
Background:
- Limited data exists on cardiovascular risk factor management disparities between percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) patients.
- Understanding these differences is crucial for optimizing patient care and outcomes.
Purpose of the Study:
- To compare the goal achievement rates of cardiovascular risk factors in patients undergoing PCI versus CABG.
- To identify potential disparities in risk factor management based on treatment modality, age, and sex.
Main Methods:
- Retrospective review of clinical records from Beijing Anzhen Hospital (2014).
- Inclusion of patients who underwent either PCI or CABG.
- Analysis of achievement rates for low-density lipoprotein cholesterol (LDL-C), blood pressure (BP), fasting blood-glucose (FBG), and HbA1c.
Main Results:
- PCI patients showed significantly higher achievement rates for LDL-C < 1.8 mmol/L and < 2.07 mmol/L, and BP < 140/90 mm Hg compared to CABG patients.
- Younger patients (< 60 years) had better BP control in the PCI group, while the CABG group showed better FBG and HbA1c control in this age group.
- Male patients demonstrated better LDL-C, FBG, and HbA1c goal achievement than females in the PCI group.
Conclusions:
- PCI patients are more likely to achieve LDL-C and BP goals compared to CABG patients.
- Age and sex significantly influence cardiovascular risk factor control, with notable differences observed between treatment groups.
- Female patients face greater challenges in achieving lipid and glycemic control targets.
Background:
Data are scarce regarding disparities in cardiovascular risk factor management between patients treated with percutaneous coronary intervention (PCI) and those treated with coronary artery bypass grafting (CABG).
Objective:
Whether the goal achievement rates of cardiovascular risk factors were different between PCI and CABG patients.
Methods:
We retrospectively reviewed the data retrieved from a clinical record database of patients admitted to Beijing Anzhen Hospital between January 1, 2014, and December 31, 2014, who underwent PCI or CABG.
Results:
Compared with the CABG group, low-density lipoprotein cholesterol (LDL-C) < 1.8 mmol/L (28.6% vs. 24.7%; p < 0.01), LDL-C < 2.07 mmol/L (43.5% vs. 39.4%; p < 0.01) and blood pressure (BP) < 140/90 mm Hg (85.6% vs. 77.7%; p < 0.01) goal achievement rates were significantly higher in the PCI group. Compared with patients ≥ 60 years old: patients < 60 years old had better BP < 140/90 mm Hg goal achievement rates (87.7% vs. 84.4%; p < 0.01) in the PCI group, and better fasting blood-glucose (FBG) < 7 mmol/L (79.4% vs.72.0%; p < 0.01) and HbA1c < 7% (79.4% vs. 70.1%; p < 0.01) goal achievement rates in the CABG group. Compared with females: males had better LDL-C < 2.07 mmol/L (24.7% vs. 28.5%; p < 0.01), FBG < 7 mmol/L (71.8% vs.75.2%; p < 0.01) and HbA1c < 7% (70.4% vs. 74.1%; p < 0.01) goal achievement rates in the PCI group.
Conclusion:
Patients in the PCI group were generally more likely than those in the CABG group to achieve LDL-C < 1.8 mmol/L and BP goals. The control of cardiovascular risk factors differed between patients ≥ 60 years old and < 60 years old. Female patients were less likely to achieve LDL-C, FBG and HbA1c goals.
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