School of Public Health, Curtin University, Perth, Australia; Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam.
School of Public Health, Curtin University, Perth, Australia.
Heart Lung. 2021 Sep-Oct;50(5):634-639. doi: 10.1016/j.hrtlng.2021.04.017. Epub 2021 Jun 3.
Evidence regarding the outcomes of percutaneous coronary intervention (PCI) in low-and-middle incomes countries remains limited.
To report the outcomes post PCI at discharge, 30 days and 12 months in Vietnam and identify the key factors associated with adverse outcomes at 12 months.
We used data from a single centre prospective cohort in Vietnam. Data regarding demographics, clinical presentation, procedural information, and outcomes of patients were collected and analysed. Primary outcomes were mortality and major adverse cardiac and cerebrovascular events.
In total, 926 patients were included. Poor outcomes were relatively low in those undergoing PCI. Predictors of mortality and major adverse cardiac and cerebrovascular events at 12 months post-PCI included being older than 75, being male, having acute myocardial infarction, left ventricular ejection fraction ≤ 40%, prior cerebral vascular disease and having an unsuccessful PCI.
Adverse outcomes of patients undergoing PCI in Vietnam are relatively low in comparison with those reported in other countries across the Asia Pacific region. Identification of factors associated with poor outcomes is beneficial for improving the quality of cardiac care and developing the prediction model of outcomes post-PCI in Vietnam.
有关中低收入国家经皮冠状动脉介入治疗（PCI）结局的证据仍然有限。
报告越南患者 PCI 后出院时、30 天和 12 个月的结局，并确定与 12 个月时不良结局相关的关键因素。
我们使用了越南单中心前瞻性队列的数据。收集和分析了患者的人口统计学、临床表现、手术信息和结局数据。主要结局是死亡率和主要心脏和脑血管不良事件。
共纳入 926 例患者。PCI 患者的不良结局相对较低。PCI 后 12 个月死亡和主要心脏和脑血管不良事件的预测因素包括年龄>75 岁、男性、急性心肌梗死、左心室射血分数≤40%、既往脑血管疾病和 PCI 不成功。
与亚太地区其他国家报告的结果相比，越南 PCI 患者的不良结局相对较低。确定与不良结局相关的因素有助于改善心脏护理质量，并在越南开发 PCI 后结局预测模型。
