Background

Evidence regarding the outcomes of percutaneous coronary intervention (PCI) in low-and-middle incomes countries remains limited.

Objectives

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.

Methods

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.

Results

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.

Conclusions

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.

中文翻译：

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当代越南实践中经皮冠状动脉介入治疗的结果：来自单中心前瞻性队列的见解

背景

关于中低收入国家经皮冠状动脉介入治疗 (PCI) 结果的证据仍然有限。

目标

在越南报告出院、30 天和 12 个月 PCI 后的结果，并确定与 12 个月不良结果相关的关键因素。

方法

我们使用了越南单中心前瞻性队列的数据。收集和分析有关人口统计学、临床表现、程序信息和患者结果的数据。主要结局是死亡率和主要不良心脑血管事件。

结果

总共包括926名患者。在接受 PCI 的患者中，不良结果相对较低。PCI 后 12 个月死亡率和主要不良心脑血管事件的预测因素包括年龄大于 75 岁、男性、患有急性心肌梗死、左心室射血分数 ≤ 40%、既往脑血管疾病和 PCI 失败。

结论

与亚太地区其他国家报告的患者相比，越南接受 PCI 患者的不良结局相对较低。识别与不良结果相关的因素有利于提高越南的心脏护理质量和开发 PCI 后结果的预测模型。