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The impact of perceived stress on the prognosis in patients undergoing percutaneous coronary intervention

Qiuyin Shi1, Xuefei Wang2, Dongxia Zhao1

  • 1Department of Cardiology, Zhongda Hospital Affiliated to Southeast University.

Coronary Artery Disease
|December 18, 2024
PubMed

Insights

High perceived stress after percutaneous coronary intervention (PCI) significantly increases the risk of major adverse cardiovascular events (MACE). This finding helps identify high-risk patients for closer monitoring post-procedure.

Area of Science:

  • Cardiology
  • Psychosomatic Medicine
  • Clinical Research

Background:

  • Percutaneous coronary intervention (PCI) is a common procedure for coronary heart disease.
  • Understanding factors influencing post-PCI outcomes is crucial for patient management.
  • The role of psychological stress in cardiovascular events requires further investigation.

Purpose of the Study:

  • To investigate the association between perceived stress levels and major adverse cardiovascular events (MACE) after PCI.
  • To determine if baseline perceived stress predicts short-term MACE occurrence.

Main Methods:

  • Prospective cohort study of 339 patients undergoing initial PCI.
  • Baseline data collected, including Chinese Perceived Stress Scale (CPSS) scores.
  • MACE assessed at 3 and 6 months post-PCI using Kaplan-Meier and Cox regression analyses.

Main Results:

  • 16.22% of patients experienced MACE within 6 months post-PCI.
  • High baseline CPSS scores were significantly linked to an increased risk of short-term MACE (HR: 6.48, P < 0.05).

Conclusions:

  • Elevated perceived stress post-PCI is a significant predictor of short-term MACE.
  • Perceived stress levels can aid in identifying PCI patients at higher risk for adverse cardiovascular events.
Abstract

Keywords:
coronary heart diseasemajor adverse cardiovascular eventperceived stresspercutaneous coronary interventionprognosis

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