Key result
High-intensity physical activity duration, admission cardiac enzyme levels, increased ejection fraction, and increased heart rate were identified as predictors of post-PCI chest pain.
Why the study?
Patients who undergo percutaneous coronary intervention frequently suffer post-PCI chest pain, but the changes in chest pain levels and its predictors were not well defined.
Observational
Identifying predictors of post-PCI chest pain can help risk-stratify patients and potentially reduce unnecessary investigations and readmissions.
May aid post-PCI risk stratification; hypothesis-generating for targeted interventions to reduce readmissions.
Patients who undergo percutaneous coronary intervention (PCI) procedure frequently suffer post-PCI chest pain (PPCP). This study aims to identify the changes in PPCP level and investigate the predictors of PPCP among patients with coronary heart disease at three measurement times: on admission (T1), 24 hours post-PCI (T2), and 30 days post-PCI (T3). A repeated-measure design was used. Significant differences were observed in PPCP levels between T1 and T2; between T2 and T3; and between T1 and T3. The predictors of PPCP are (1) high-intensity physical activities duration per week, (2) cardiac enzyme level upon admission, (3) increased ejection fraction, and (4) increased heart rate. The results highlight that identifying predictors of PPCP helps in determining high-risk patients, whereby evidence-based interventions can decrease readmission rates and reduce patient exposure to unnecessary investigations and procedures. More research is needed to explain the changes in PPCP level and to confirm these results.
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Abdelhaq et al. (2023) conducted an observational in Coronary heart disease. High-intensity physical activity, cardiac enzymes, ejection fraction, and heart rate was evaluated on Post-PCI chest pain (PPCP) level. High-intensity physical activity duration, admission cardiac enzyme levels, increased ejection fraction, and increased heart rate were identified as predictors of post-PCI chest pain.
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