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Outcomes following the percutaneous coronary intervention in contemporary Vietnamese practice: Insight from a single
Hoa T T Vu1, Richard Norman2, Ngoc M Pham3
1School of Public Health, Curtin University, Perth, Australia; Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam.
Insights
Outcomes after percutaneous coronary intervention (PCI) in Vietnam were favorable. Key factors for adverse events at 12 months included advanced age, male sex, acute myocardial infarction, and prior stroke.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Public Health in Low-and-Middle Income Countries
Background:
- Limited data exists on percutaneous coronary intervention (PCI) outcomes in low-and-middle income countries.
- Understanding PCI results in Vietnam is crucial for regional cardiovascular health.
- Vietnam's healthcare system context for interventional cardiology is under-researched.
Purpose of the Study:
- To evaluate post-PCI outcomes at discharge, 30 days, and 12 months in Vietnam.
- To identify predictors of adverse events 12 months after PCI.
- To contribute data on PCI efficacy in a Southeast Asian population.
Main Methods:
- Prospective cohort study conducted at a single center in Vietnam.
- Data collected on demographics, clinical presentation, procedural details, and patient outcomes.
- Primary outcomes assessed: mortality and major adverse cardiac and cerebrovascular events (MACCE).
Main Results:
- 926 patients were included in the analysis.
- Overall adverse outcomes following PCI were found to be relatively low.
- Predictors of 12-month mortality and MACCE included age >75, male sex, acute myocardial infarction, LVEF ≤ 40%, prior cerebrovascular disease, and failed PCI.
Conclusions:
- Adverse outcomes post-PCI in Vietnam are comparable or lower than in other Asia Pacific regions.
- Identifying adverse outcome predictors can enhance cardiac care quality in Vietnam.
- Findings support the development of localized outcome prediction models for PCI patients in Vietnam.
Background:
Evidence regarding the outcomes of percutaneous coronary intervention (PCI) in low-and-middle incomes countries remains limited.
Objectives:
To report the outcomes post PCI at discharge, 30 days and 12 months in Vietnam and identify the key factors associated with adverse outcomes at 12 months.
Methods:
We used data from a single centre prospective cohort in Vietnam. Data regarding demographics, clinical presentation, procedural information, and outcomes of patients were collected and analysed. Primary outcomes were mortality and major adverse cardiac and cerebrovascular events.
Results:
In total, 926 patients were included. Poor outcomes were relatively low in those undergoing PCI. Predictors of mortality and major adverse cardiac and cerebrovascular events at 12 months post-PCI included being older than 75, being male, having acute myocardial infarction, left ventricular ejection fraction ≤ 40%, prior cerebral vascular disease and having an unsuccessful PCI.
Conclusions:
Adverse outcomes of patients undergoing PCI in Vietnam are relatively low in comparison with those reported in other countries across the Asia Pacific region. Identification of factors associated with poor outcomes is beneficial for improving the quality of cardiac care and developing the prediction model of outcomes post-PCI in Vietnam.
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