[Impact of multifactor intensive intervention on self management, risk factor control and outcome of post percutaneous transluminal coronary intervention patients].
OBJECTIVE
To test the efficacy of multifactor intensive intervention for post percutaneous transluminal coronary intervention (post-PCI) outpatients on self management, risk factor control and outcome.


METHODS
A total of 263 patients with coronary heart disease (CAD) discharged from our cardiac center were randomized into usual care (4 CAD lectures focusing on the 2(nd) CAD prevention and patients-oriented outpatient visit) and intensive intervention (4 CAD lectures focusing on the 2(nd) CAD prevention, CAD outpatient visit twice a month, monthly telephone instructions on risk factor control and optimal medication). Patients were followed for 12 months and 250 patients completed follow-up.


RESULTS
There were more patients achieved a LDL-C level of less than 2.6 mmol/L in intensive intervention group than in usual care group (71.2% vs. 48.3%, P < 0.01). The percentages of patients taking dietary control (55.3% vs. 26.2%, P < 0.01) and physical exercises (64.4% vs. 39.0%, P < 0.01), receiving beta-adrenergic receptor blocker (75.0% vs. 50.8%, P < 0.01) and statins (72.0% vs. 54.2%, P < 0.01) were significantly higher while cardiovascular event rate (5.9% vs. 0%, P = 0.005)was significantly lower in intensive intervention group than in usual care group.


CONCLUSIONS
Multifactor intensive intervention is helpful on improving the second prevention for post-PCI coronary heart disease patients.
Division of Cardiology, Shanghai 6th Hospital Affiliated to Shanghai Jiaotong University, Shanghai 200233, China.
Ya-ping
YP
He
Zhi-gang
ZG
Lu
Yong-wen
YW
Gu
Jing-wei
JW
Pan
Mei-fang
MF
Gao
Meng
M
Wei
D000368:Aged; D015984:Causality; D003327:Coronary Disease / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D062645:Percutaneous Coronary Intervention; D011446:Prospective Studies; D012307:Risk Factors; D016896:Treatment Outcome