The Follow-Up Study Of The Coronary Heart Disease Patients After Percutaneous Coronary Intervention At One Year

Objective: to observe the correlation between the factors of the high sensitivity C-reactive protein(hs-CRP), health education about coronary heart disease(CHD) at periopration period or after discharging hospital in community and the medication compliance of the drug therapy of the second prevention on coronary heart disease with the long turn outcomes after percutaneous coronary stenting at one year.Methods: Using the method of questionnaire . Statistics the age, sex, smoking ,diabetes, low density lipoprotein, preprocedural hsCRP and hypertension at pre-operation from the 431 cases of patients who had been successfully accepted the percutaneous coronary stent implantation in our hospital's interventional heart center during Apr 2007 to Jan 2010 and started the drug therapy of the second prevention on coronary heart disease after discharge. Followed up the cardiovascular event within the first year after PCI, whether to had learning the health education about CHD and the medication compliance of the second prevention on CHD through the teleghone and/or face-to-face interview at outpatient room. At last, with the method of Univariate analysis and Binary-Logistic regression analysis, obtained the index which could independently evaluate the prognosis of the post-percutaneous coronary intervention.Results: 157 cases in follow-up patients recurred cardiovascular events, including acute myocardial infarction 30 cases , heart failure 36cases , revascularization 53cases , cardiogenic death 25cases. The rate of the cardiovascular event on the elevation of hsCRP was significantly higher than the normal hsCRP (ACS-group:OR= 2.674,P=0.007 SAP-group:OR 4.684,P<0.001).The rate of the cardiovascular event on the good medication compliance of the second prevention on CHD was significantly lower than the poor medication compliance(ACS-group : OR=0.855 , P=0.020 SAP-group :OR=0.899,P=0.017).The rate of the cardiovascular event on the group had accepted the health education of CHD was significantly lower than the group who never had done(SAP-goup:OR=0.554 , P=0.042 ACS-group: OR=0.465 ,P=0.021).Designated a doctor for long turn follow-up and access to social health insurance would have a good medication compliance of the second prevention on CHD.Conclusion: The elevation of hsCRP, the medicion compliance of the second prevention on CHD and the health education of CHD are valuable to assessing of prognosis on post-stenting. The hsCRP is an independent risk factor on the cardiovascular event after percutaneous coronary intervention(PCI) in one year. Good medication compliance of the second prevention on CHD and the health education of CHD at early stage can reduce the cardiovascular event and improve the quality of life of patients who had accommpplished PCI and their prognosis on CHD.