Key result
NYHA III-IV linked to ~681% higher odds of low locomotion-vitality intrinsic capacity post-PCI.
Why the study?
The contributing factors to intrinsic capacity subtypes in middle-aged and older post-PCI patients were not well understood.
Cross-Sectional (n=318)
No
Identifying intrinsic capacity subtypes in post-PCI patients may help target focused interventions based on specific functional, cognitive, and psychological profiles.
Subtype identification may inform post-PCI risk stratification; hypothesis-generating and should not yet change practice.
We aim to explore the contributing factors to intrinsic capacity (IC) in middle-aged and older patients after percutaneous coronary intervention (PCI). Intrinsic capacity comprises six core domains: cognition, locomotion, vitality, psychology, vision, and hearing. Each domain was assessed in detail using different scales, based on which the composite IC score was calculated. The study employed latent class analysis (LCA) to identify the various IC subtypes. Logistic regression analyses were used to determine the effect variables of IC subtypes. 318 middle-aged and older post-PCI patients filled out the assessments. Three distinct IC subtypes were found: 47.8% poor audition-vision group (class 1), 38% high cognition-psychology group (class 2), and 14.2% low locomotion-vitality group (class 3). The IC subtype classification may be impacted by factors such as cTnI, NT proBNP, cardiac function, exercise frequency, and comorbidities. Examining IC subtypes may be helpful for focused intervention, and further empirical research is still needed to determine their drivers.
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Yuan et al. (2025) conducted a cross-sectional in Post-percutaneous coronary intervention (PCI) (n=318). NYHA Grade III-IV vs. NYHA Grade I-II was evaluated on Categorization into the low locomotion-vitality intrinsic capacity subtype (Class 3) compared to the high cognition-psychology subtype (Class 2) (OR 7.81, 95% CI 1.45-41.67). Latent class analysis identified three distinct intrinsic capacity subtypes among post-PCI patients, with NYHA Grade III-IV significantly increasing the odds of belonging to the low locomotion-vitality group (OR 7.81).
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