Knowledge and prevalence of risk factors for coronary artery disease in patients after the first and repeated

Krzysztof Wójcicki1, Róża Krycińska1, Tomasz Tokarek2

  • 12nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Kraków, Poland

Kardiologia Polska
|November 26, 2019
PubMed

Insights

Education during percutaneous coronary intervention (PCI) hospitalization does not improve patient knowledge of coronary artery disease (CAD) risk factors. Many patients undergoing PCI do not attend cardiac rehabilitation, correlating with poor risk factor control.

Area of Science:

  • Cardiology
  • Public Health
  • Health Education

Background:

  • Percutaneous coronary intervention (PCI) is a common treatment for coronary artery disease (CAD).
  • PCI patients often exhibit poor adherence to lifestyle changes and do not attend cardiac rehabilitation.
  • Existing post-PCI education may be insufficient for improving patient outcomes.

Purpose of the Study:

  • To assess the impact of in-hospital education during PCI on patients' knowledge and self-reported control of CAD risk factors.
  • To evaluate the correlation between PCI, cardiac rehabilitation attendance, and risk factor management.

Main Methods:

  • A 56-item questionnaire was used to collect data on CAD risk factor knowledge and control.
  • The study included 200 patients undergoing PCI, divided into pre-PCI and prior-PCI groups.
  • Knowledge and risk control scores were compared between groups, and correlations were analyzed.

Main Results:

  • No significant difference in knowledge or risk control scores was found between pre-PCI and prior-PCI groups.
  • Knowledge of CAD risk factors did not correlate with the actual prevalence of these factors.
  • 50% of patients with prior PCI did not attend cardiac rehabilitation, which was linked to poor risk factor control (P = 0.001).

Conclusions:

  • Current educational interventions during PCI hospitalization are inadequate for enhancing patient knowledge and promoting lifestyle modifications.
  • Improved strategies are needed to increase cardiac rehabilitation attendance and improve risk factor control in PCI patients.
Abstract

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
198
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
827
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
551
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
188
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
318
Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
322