title: [A Single Preventive Counseling in the Hospital Does Not Improve the Prognosis of Patients After Percutaneous Coronary Intervention].
abstract: The purpose of the study "Invasive Techniques for the treatment of atherosclerosis: the effectiveness of secondary preventive intervention" (IMLA-TRAC) - long-term efficacy of single preventive counseling of patients with coronary heart disease (CHD) in a stationary treatment for percutaneous coronary intervention (PCI).
  
  
  
  In a prospective, randomized, controlled trial included 160 patients with coronary artery disease who underwent PCI between the ages of 38 to 87 years (mean age 59,43+/-8,94 years, 81.9% male). Included in the study, patients were randomized in a ratio of 1: 1 into 2 groups - the primary (n=80) and control (n=80). Patients in both groups received standard hospital treatment and hospital doctors recommendations. In addition to these patients of the main group carried out a preventive educational program After being discharged from hospital patients in both groups were followed for 12 months.
  
  
  
  The study showed that a single prevention counseling, conducted in patients with coronary heart disease at the stage of hospital treatment over a planned or emergency PCI, does not provide a stable positive dynamics of the main risk factors and has no effect on mortality and combined end point. There is only a small positive dynamics of individual indicators, for example, significantly lower intake of saturated fats, an increase in adherence to treatment, in particular, receive aspirin.
  
  
  
  Further studies are needed to determine the most effective models for preventive intervention in patients with coronary artery disease, which can start in a hospital, but should continue on an outpatient or remote formats.
authors.affiliation: National Research Center for Preventive Medicine, Moscow, Russia.
authors.forename: N V
authors.initials: NV
authors.lastname: Pogosova
authors.affiliation: National Research Center for Preventive Medicine, Moscow, Russia.
authors.forename: O J
authors.initials: OJ
authors.lastname: Sokolova
authors.affiliation: National Research Center for Preventive Medicine, Moscow, Russia.
authors.forename: A K
authors.initials: AK
authors.lastname: Ausheva
authors.affiliation: National Research Center for Preventive Medicine, Moscow, Russia.
authors.forename: A V
authors.initials: AV
authors.lastname: Karpova
authors.affiliation: National Research Center for Preventive Medicine, Moscow, Russia.
authors.forename: Yu M
authors.initials: YM
authors.lastname: Yufereva
authors.affiliation: National Research Center for Preventive Medicine, Moscow, Russia.
authors.forename: S A
authors.initials: SA
authors.lastname: Salbieva
authors.affiliation: National Research Center for Preventive Medicine, Moscow, Russia.
authors.forename: A I
authors.initials: AI
authors.lastname: Yusubova
authors.affiliation: National Research Center for Preventive Medicine, Moscow, Russia.
authors.forename: S S
authors.initials: SS
authors.lastname: Isakova
authors.affiliation: National Research Center for Preventive Medicine, Moscow, Russia.
authors.forename: M A
authors.initials: MA
authors.lastname: Iosifyan
authors.affiliation: National Research Center for Preventive Medicine, Moscow, Russia.
authors.forename: V A
authors.initials: VA
authors.lastname: Vygodin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D003327:Coronary Disease / Q000503:physiopathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D011379:Prognosis; D011446:Prospective Studies; D011897:Random Allocation; D012307:Risk Factors; D016896:Treatment Outcome
keywords: coronary heart disease; percutaneous coronary intervention; prevention counseling; risk factors