The impact of perceived stress on the prognosis in patients undergoing percutaneous coronary intervention.

IF 1.5 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Coronary artery disease Pub Date : 2024-12-18 DOI:10.1097/MCA.0000000000001478

Qiuyin Shi, Xuefei Wang, Dongxia Zhao, Weihong Tang, Yongzhen Mo

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Abstract

Objective: To assess the impact of perceived stress levels in patients undergoing percutaneous coronary intervention (PCI) on the occurrence of major adverse cardiovascular events (MACEs) within a 6-month follow-up period postprocedure.

Methods: A cohort of 339 hospitalized patients with coronary heart disease undergoing initial PCI was prospectively enrolled in the Department of Cardiology at two branches of Zhongda Hospital Affiliated to Southeast University between January 2022 and July 2022. Baseline data including demographic and clinical characteristics, along with the Chinese Perceived Stress Scale (CPSS), were collected. The occurrence of MACE was evaluated at 3 and 6 months post-PCI. Kaplan-Meier survival analysis and Cox regression models were engaged to analyze the relationship between perceived stress and MACE within 6 months after PCI.

Results: MACE occurred in 16.22% (55/339) of patients during the 6 following months. High CPSS at baseline was significantly associated with an increasing risk of short-term MACE occurrence (HR: 6.48, 95% confidence interval: 2.98-14.11, P < 0.05).

Conclusion: High perceived stress during the baseline period after PCI was significantly correlated with increased incidence of MACE within 6 months postprocedure. The perceived stress level could help to identify patients undergoing PCI at heightened risk of short-term MACE.

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感知应激对经皮冠状动脉介入治疗患者预后的影响。

目的：评估经皮冠状动脉介入治疗（PCI）患者感知应激水平对术后6个月随访期间主要不良心血管事件（mace）发生的影响。方法：前瞻性纳入于2022年1月至2022年7月在东南大学附属中大医院两家分院心内科接受首次PCI治疗的冠心病住院患者339例。基线数据包括人口统计学和临床特征，以及中国感知压力量表（CPSS）。在pci术后3个月和6个月评估MACE的发生情况。采用Kaplan-Meier生存分析和Cox回归模型分析PCI术后6个月内感知应激与MACE的关系。结果：术后6个月内MACE发生率为16.22%（55/339）。基线时高CPSS与短期MACE发生风险增加显著相关（HR: 6.48, 95%可信区间：2.98 ~ 14.11,P < 0.05）。结论：PCI术后基线期的高感知应激与术后6个月内MACE的发生率显著相关。感知压力水平可以帮助识别接受PCI的患者短期MACE风险增高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Coronary artery disease 医学-外周血管病

CiteScore

2.50

自引率

0.00%

发文量

190

审稿时长

6-12 weeks

期刊介绍： Coronary Artery Disease welcomes reports of original research with a clinical emphasis, including observational studies, clinical trials, translational research, novel imaging, pharmacology and interventional approaches as well as advances in laboratory research that contribute to the understanding of coronary artery disease. Each issue of Coronary Artery Disease is divided into four areas of focus: Original Research articles, Review in Depth articles by leading experts in the field, Editorials and Images in Coronary Artery Disease. The Editorials will comment on selected original research published in each issue of Coronary Artery Disease, as well as highlight controversies in coronary artery disease understanding and management. Submitted artcles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.