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Percutaneous Coronary Intervention

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Patient Reported Outcomes and Quality of Life in Cardiovascular Interventions

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Abstract

Percutaneous coronary intervention (PCI) is a widely performed minimally-invasive procedure to treat coronary artery luminal stenosis. This can be performed to improve blood flow in the elective setting for angina pectoris, or performed as an emergency procedure to treat plaque rupture in acute coronary syndromes. PCI for stable angina is often performed for symptomatic benefit, yet there is limited evidence in terms of patient reported health-related quality of life (HRQOL) outcomes in comparison to other management approaches. This systematic review provides an outline of all available literature comparing PCI to medical therapy or coronary artery bypass grafting with HRQOL outcome measures. In total, 25 studies were identified, encompassing 16,482 patients undergoing an average of 12-month follow up. In general, post-procedural HRQOL gain was found with PCI, but the size of these improvements was often limited compared to other approaches. Future studies should focus on a few well-validated HRQOL tools, provide long term follow up and if possible, use a placebo procedure in order to better quantify the patient reported benefits of PCI.

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Author information

Authors and Affiliations

  1. National Heart and Lung Institute, Imperial College London, London, UK

    Adam Hartley & Sukhjinder Nijjer

  2. Imperial College Healthcare NHS Trust, London, UK

    Adam Hartley

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  1. Adam Hartley
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  2. Sukhjinder Nijjer
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Correspondence to Sukhjinder Nijjer .

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Editors and Affiliations

  1. Imperial College London, London, UK

    Thanos Athanasiou

  2. Imperial College London, London, UK

    Ara Darzi

  3. Aortovascular Surgery, Barts Heart Centre, St Bartholomew’s Hospital, London, UK

    Aung Ye Oo

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A.H. is funded by a Wellcome Trust Clinical Research Fellowship.

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None declared.

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Hartley, A., Nijjer, S. (2022). Percutaneous Coronary Intervention. In: Athanasiou, T., Darzi, A., Oo, A.Y. (eds) Patient Reported Outcomes and Quality of Life in Cardiovascular Interventions. Springer, Cham. https://doi.org/10.1007/978-3-031-09815-4_13

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  • DOI: https://doi.org/10.1007/978-3-031-09815-4_13

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