Lifestyle changes could prevent 400 cardiac events and 200 deaths in Swedish PCI patients

August 28, 2012

Up to 400 cardiac events and 200 deaths in Swedish PCI patients could be avoided by following a heart healthy lifestyle, according to research from the SPICI study presented at ESC Congress 2012. The results were presented at ESC press conference by Professor Joep Perk from Linnaeus University and at the scientific session by Dr Roland CARLSSON.

The benefits of adherence to a heart in combination with drug treatment after an treated with coronary artery balloon intervention (PCI) have recently been examined. The Fifth Organization to Assess Strategies in Acute Ischemic Syndromes (OASIS-5) trial showed an up to four-fold reduction of new within six months after PCI among patients who followed lifestyle recommendations as compared to those who failed to do so.

The Study of Patient Information after (SPICI) investigated the possible gains of a heart healthy lifestyle in a large sample of Swedish patients after PCI (n=1073, 26% females, 74% males, average age 66 years). Within the first two months after PCI patients were asked to report on their current use of tobacco, physical activity and food habits.

The researchers found that although half of the previous smokers had quit, 16% still continued to use tobacco. Following nutritional guidance was reported by 55% but only 40% had changed their dietary habits. Approximately 50% were engaged in , mainly through training sessions in patient groups, but only 31% had actually increased their activity after PCI.

"A possible explanation may be the finding that many patients rated heredity and age as a more plausible cause of their disease than smoking, a lack of physical activity or poor ," said Professor Perk. "Furthermore, a majority reported that as a result of PCI they were cured from the underlying , thus adding to a lack of interest in changing lifestyle."

"Each year 18,000 patients undergo PCI in Sweden," he added. "Using the data from the OASIS-5 study we estimate the expected event rate in the Swedish population during the first half year after PCI to be more than 1,000 new cardiac events (, stroke and cardiovascular death)."

He continued: "If a 100% compliance to lifestyle recommendations could be reached among our patients instead of the less than satisfactory outcome in the present study there may be major health benefits: one third of the events in Sweden might be prevented annually. That equates to preventing 300 to 400 cardiac events, of which 150 to 200 would have resulted in death."

Professor Perk concluded: "Current practice after PCI in Sweden needs an in-depth revision. Greater emphasis on lifestyle factors and on methods to support a long-term commitment to behavioural change, are urgently needed."

Explore further: Long-term outcome similar with thrombus aspiration and stents in PCI

Related Stories

Long-term outcome similar with thrombus aspiration and stents in PCI

May 2, 2012
New research confirms thrombus aspiration (TA) during percutaneous coronary intervention (PCI) in patients with acute ST-segment elevation myocardial infarction (STEMI) provides long-term outcomes similar to conventional ...

CABG still preferred over PCI in patients with triple vessel disease

August 29, 2011
Results from CREDO-Kyoto PCI/CABG Registry Cohort-2 show that percutaneous coronary intervention (PCI) was associated with significantly higher risk for serious adverse events in patients with triple vessel disease than coronary ...

Positive results for unprotected left main coronary artery PCI with drug-eluting stents

June 22, 2011
Patients with normal left ventricular function who undergo elective unprotected left main coronary artery (ULMCA) percutaneous coronary intervention (PCI) with drug-eluting stents (DES) had favorable outcomes according to ...

Results of the TRIGGER-PCI trial reported at TCT 2011

November 9, 2011
A clinical trial comparing prasugrel to clopidogrel for patients with high on-clopidogrel platelet reactivity (HCPR) following percutaneous coronary intervention (PCI) was ended early due to relatively few occurrences of ...

Angiotensin receptor blockers reduce no-reflow post-PCI

April 24, 2012
(HealthDay) -- For patients with acute myocardial infarction (AMI), pretreatment with angiotensin receptor blockers (ARBs) is linked with reduced incidence of the no-reflow phenomenon after percutaneous coronary intervention ...

Follow-up rehabilitation boosts survival odds for angioplasty patients

May 16, 2011
Patients who undergo a procedure to unblock a coronary artery are more likely to survive longer if they participate in structured follow-up care, according to research in Circulation: Journal of the American Heart Association.

Recommended for you

How genes and environment interact to raise risk of congenital heart defects

October 19, 2017
Infants of mothers with diabetes have a three- to five-fold increased risk of congenital heart defects. Such developmental defects are likely caused by a combination of genetic and environmental factors. However, the molecular ...

Mouse studies shed light on how protein controls heart failure

October 18, 2017
A new study on two specially bred strains of mice has illuminated how abnormal addition of the chemical phosphate to a specific heart muscle protein may sabotage the way the protein behaves in a cell, and may damage the way ...

Newborns with trisomy 13 or 18 benefit from heart surgery, study finds

October 18, 2017
Heart surgery significantly decreases in-hospital mortality among infants with either of two genetic disorders that cause severe physical and intellectual disabilities, according to a new study by a researcher at the Stanford ...

Saving hearts after heart attacks: Overexpression of a gene enhances repair of dead muscle

October 17, 2017
University of Alabama at Birmingham biomedical engineers report a significant advance in efforts to repair a damaged heart after a heart attack, using grafted heart-muscle cells to create a repair patch. The key was overexpressing ...

High blood pressure linked to common heart valve disorder

October 17, 2017
For the first time, a strong link has been established between high blood pressure and the most common heart valve disorder in high-income countries, by new research from The George Institute for Global Health at the University ...

Blood cancer gene could be key to preventing heart failure

October 16, 2017
A new study, published today in Circulation, shows that the gene Runx1 increases in damaged heart muscle after a heart attack. An international collaboration led by researchers from the University of Glasgow, found that mice ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.