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Effect of Lifestyle Changes after Percutaneous Coronary Intervention on Revascularization

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Wang, Yang, Xian, Ying, Chen, Tao ORCID: https://orcid.org/0000-0002-5489-6450, Zhao, Yanyan, Yang, Jinggang, Xu, Bo and Li, Wei (2020) 'Effect of Lifestyle Changes after Percutaneous Coronary Intervention on Revascularization'. Biomed Research International, Vol 2020, pp. 1-6.

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Abstract

Objective. Whether optimal cardiovascular health metrics may reduce the risk of cardiovascular events in secondary prevention is uncertain. The study was conducted to evaluate the influence of lifestyle changes on clinical outcomes among the subjects underwent percutaneous coronary intervention (PCI). Methods. The study group consists of 17,099 consecutive PCI patients. We recorded data on subject lifestyle behavior changes after their procedure. Patients were categorized as ideal, intermediate, or poor CV health according to a modified Life’s Simple 7 score (on body mass, smoking, physical activity, diet, cholesterol, blood pressure, and glucose). Multivariable COX regression was used to evaluate the association between CV health and revascularization event. We also tested the impact of cumulative cardiovascular health score on reoccurrence of cardiovascular event. Results. During a 3-year median follow-up, 1,583 revascularization events were identified. The observed revascularization rate was 8.0%, 9.3%, and 10.6% in the group of patients with optimal (a modified Life’s Simple 7 score of 11–14), average (score = 9 or 10), or inadequate (less or equal than 8) CV health, respectively. After multivariable analysis, the adjusted hazard ratios were 0.83 (95% CI: 0.73–0.94) and 0.89 (95% CI: 0.79–0.99) for patients with optimal and average lifestyle changes comparing with the inadequate tertile ( for trend = 0.003). In addition, each unit increase in above metrics was associated with a decrease risk of revascularization (HR, 0.96; 95% confidence interval, 0.93–0.98; ). Conclusion. Ideal CV health related to lower incidence of cardiovascular events, even after the percutaneous coronary intervention. Revascularization can be reduced by lifestyle changes. The cardiovascular health metrics could be extrapolated to secondary prevention and need for further validation.

Item Type: Article
Subjects: WG Cardiovascular System > WG 100 General works
WG Cardiovascular System > WG 120 Cardiovascular diseases
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI): https://doi.org/10.1155/2020/2479652
Depositing User: Stacy Murtagh
Date Deposited: 18 Feb 2020 16:11
Last Modified: 18 Feb 2020 16:11
URI: https://archive.lstmed.ac.uk/id/eprint/13778

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