Related Experiment Video

Updated: Jul 30, 2025

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

5.1K

Challenges and Burdens in the Coronary Artery Disease Care Pathway for Patients Undergoing Percutaneous Coronary

Monika Kodeboina1,2,3, Kerstin Piayda4,5, Inge Jenniskens6

  • 1Cardiovascular Center Aalst, OLV Clinic, 9300 Aalst, Belgium.

International Journal of Environmental Research and Public Health
|May 13, 2023
PubMed

Insights

Inefficiencies in coronary artery disease (CAD) care, including percutaneous coronary intervention (PCI), lead to significant burdens. Solutions involve integrating technology and automation to improve CAD patient outcomes and reduce healthcare costs.

Area of Science:

  • Cardiovascular Medicine
  • Health Services Research
  • Medical Technology

Background:

  • Coronary artery disease (CAD) care pathways face clinical and economic challenges despite advancements in diagnosis, treatment, and percutaneous coronary intervention (PCI) utilization.
  • A comprehensive assessment of these pathway-wide challenges, encompassing clinician, patient, and economic burdens, is notably scarce in current research.
  • Recent studies highlight the potential benefits of integrating and automating processes within catheterization laboratories and the broader CAD care continuum.

Purpose of the Study:

  • To conduct a contemporary review identifying inefficiencies across the CAD care pathway, focusing on diagnosis, treatment, and management.
  • To analyze clinician, patient, and economic burdens associated with CAD care, particularly concerning percutaneous coronary intervention (PCI).
  • To explore studies demonstrating the advantages of technological integration and automation in improving the CAD care pathway.

Main Methods:

  • Systematic literature review of studies published within the last 5-10 years, primarily from North America and Europe.
  • Inclusion of research focusing on inefficiencies in CAD diagnosis, treatment, and management, including PCI-related aspects.
  • Identification of studies examining the impact of integration and automation on the CAD care pathway and catheterization laboratory workflow.

Main Results:

  • Multiple avoidable inefficiencies were identified across the CAD care pathway, specifically related to PCI access, appropriate use, conduct, and follow-up.
  • Documented inefficiencies include misdiagnosis, emergency care delays, suboptimal testing, prolonged procedure times, recurrent cardiac event risks, incomplete treatment, and post-acute care access/adherence issues.
  • Factors negatively impacting workflow and patient care within the CAD pathway include clinician burnout, complex technologies, radiation exposure, and contrast media use.

Conclusions:

  • Greater integration and interoperability of technologies and systems are crucial for addressing CAD care inefficiencies.
  • Improved standardization and increased automation offer potential solutions to reduce burdens on clinicians and patients within the CAD pathway.
  • Implementing these solutions can lead to significant improvements in patient outcomes and overall efficiency in coronary artery disease management.

Keywords:
automationburdenscoronary artery diseasediagnostic imagingechocardiographyinefficienciesintegrationmyocardial ischemiapercutaneous coronary interventiontreatment

More Related Videos

Author Spotlight: Enhancing Coronary Artery Revascularization05:25

Author Spotlight: Enhancing Coronary Artery Revascularization

Published on: September 15, 2023

789
Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control05:41

Left Anterior Descending Coronary Artery Ligation for Ischemia-Reperfusion Research: Model Improvement via Technical Modifications and Quality Control

Published on: December 16, 2022

3.5K

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...
12
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...
16
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
14
Angina IV: Management01:26

Angina IV: Management

IntroductionThe management of angina requires a comprehensive approach that includes pharmacological therapies, medical procedures, and lifestyle modifications.Pharmacological TherapiesAntiplatelet agents, such as aspirin, clopidogrel, prasugrel, and ticagrelor, play a pivotal role in preventing thrombus formation in patients with angina. These medications inhibit platelet aggregation and reduce the likelihood of myocardial infarction and other cardiovascular events.Anticoagulants, including...
11
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
67
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
84