Despite successful PTCA without restenosis at 4 months, subjective general well-being was unchanged in 26% and worse in 71% of male patients.
Cohort (n=148)
In a prospective pilot study, subjective and objective parameters of the health status were assessed in 148 male patients (mean age 56 +/- 8.4 years) before and 4 months after successful coronary angioplasty (PTCA). Restenosis was defined as residual diameter stenosis > 50%. Although 96 patients (65%) had not developed restenosis at 4 months' invasive follow-up, subjective assessment of general well-being was unchanged in 26% or worse in 71%; overall anginal status and exercise performance had however improved. Of 71 men younger than 60 years who had no restenosis at follow-up, 4 men retired and 13 remained on medical leave. The striking disparity between subjective and objective parameters was not related to significant differences of age, exercise capacity, and left ventricular ejection fraction, as well as to baseline characteristics (previous myocardial infarction, extent of coronary heart disease, comorbidity) compared with 52 patients with restenosis. Thus, despite documented sustained success after PTCA, the majority of patients failed to resume the status of subjective well-being.
Franzen et al. (Mon,) conducted a cohort in Coronary heart disease post-PTCA (n=148). Absence of restenosis post-PTCA vs. Restenosis post-PTCA was evaluated on Subjective assessment of general well-being. Despite successful PTCA without restenosis at 4 months, subjective general well-being was unchanged in 26% and worse in 71% of male patients.
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