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Updated: Jul 14, 2025
Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
An exploration of proactive health oriented symptom patterns in patients undergoing percutaneous coronary
Qi Wang1, Chaoyue Xu1, Zhiqing He1
1School of Nursing, Hengyang Medical School, University of South China, Hengyang, China.
Insights
This study explores symptom patterns and patient experiences after coronary stent implantation. Understanding these dynamics can lead to better management and improved outcomes for patients with coronary heart disease.
Area of Science:
- Cardiovascular Medicine
- Patient-Reported Outcomes
- Health Services Research
Background:
- Coronary Heart Disease (CHD) is a leading global chronic illness.
- Percutaneous Coronary Intervention (PCI) with stent implantation is a primary treatment for CHD.
- Despite PCI, recurrent adverse cardiovascular events and unknown symptom patterns post-stenting persist.
Purpose of the Study:
- To investigate the evolving symptom patterns in patients following PCI with stent implantation.
- To explore patient experiences and health conditions across different postoperative periods.
- To inform tailored patient management strategies and enhance survival outcomes.
Main Methods:
- A mixed-methods approach combining quantitative and qualitative data collection.
- Longitudinal surveys to identify symptom patterns across three postoperative periods.
- Individual interviews to capture patient experiences, feelings, and health status.
- Quantitative analysis using descriptive statistics, LCA, and LTA; qualitative analysis using content analysis.
Main Results:
- This study is the first to examine symptom dynamics and patient experiences post-stenting using a mixed-methods design.
- It provides insights into symptom patterns across different postoperative phases and patient subgroups.
- The research highlights the utility of the PROMIS profile-57 for patient engagement.
Conclusions:
- Understanding postoperative symptom patterns and experiences is crucial for improving CHD management after stenting.
- This research facilitates a shift from passive treatment to active patient health management.
- The findings support the development of more specific interventions to reduce adverse events and improve long-term survival.
Background:
Coronary Heart Disease (CHD) is one of the most prevalent chronic diseases worldwide. Currently, percutaneous coronary intervention (PCI) with stent implantation is the main clinical treatment for CHD, and patients can achieve better outcomes after stenting. However, adverse cardiovascular events continue to recur, ultimately failing to yield good results. Several symptoms exist after stenting and are associated with health outcomes. Little is known about the symptom patterns of patients during the different postoperative periods. Therefore, this study aims to explore the dynamics of symptoms and clarify the experiences of post-stenting in patients during different periods, which may help the delivery of more specific patient management and improve survival outcomes in the future.
Methods:
A mixed method (quantitative/qualitative) design will be adopted. Longitudinal research, including surveys regarding three different periods, will be sued to describe the symptom patterns of patients undergoing PCI with stent implantation, clarifying their focused symptom problems during different time periods or in populations with different features. Qualitative individual interviews aim to understand the feelings, experiences, opinions, and health conditions of patients post-stenting, which can explain and supplement quantitative data. Quantitative data will be analyzed using descriptive statistics, latent class analysis (LCA), and latent translation analysis (LTA). Qualitative data will be analyzed using content analysis.
Discussion:
This study is the first study to explore the symptom patterns and experiences of patients in various domains after stent implantation using a novel design including quantitative and qualitative methods, which will help the delivery of more specific patient management, reduce the recurrence of adverse cardiovascular events, and improve survival outcomes in the future. It is also meaningful to use PROMIS profile-57 to help patients to proactively focus on their health problems, promote health literacy, and incorporate active patient participation into health management, which is a successful transition from passive medical treatment to active management.
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