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Vu HTT, Norman R, Pham NM, Nguyen HTT, Pham HM, Nguyen QN, Do LD, Tran HB, Huxley RR, Lee CMY, Hoang TM, Reid CM. Outcomes following the percutaneous coronary intervention in contemporary Vietnamese practice: Insight from a single centre prospective cohort. Heart Lung 2021; 50:634-639. [PMID: 34091109 DOI: 10.1016/j.hrtlng.2021.04.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 03/31/2021] [Accepted: 04/01/2021] [Indexed: 10/21/2022]
Abstract
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.
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Affiliation(s)
- Hoa T T Vu
- School of Public Health, Curtin University, Perth, Australia; Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam
| | - Richard Norman
- School of Public Health, Curtin University, Perth, Australia
| | - Ngoc M Pham
- School of Public Health, Curtin University, Perth, Australia; Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam; Menzies Institute for Medical Research, University of Tasmania, Hobart, Australia
| | | | - Hung M Pham
- Vietnam National Heart Institute, Hanoi, Vietnam
| | | | - Loi D Do
- Vietnam National Heart Institute, Hanoi, Vietnam
| | - Hieu B Tran
- Vietnam National Heart Institute, Hanoi, Vietnam
| | - Rachel R Huxley
- School of Public Health, Curtin University, Perth, Australia; Faculty of Health, Deakin University, Melbourne, Australia; The George Institute for Global Health, University of New South Wales, Sydney, Australia
| | - Crystal M Y Lee
- School of Public Health, Curtin University, Perth, Australia; School of Psychology and Public Health, La Trobe University, Melbourne, Australia; Boden Collaboration for Obesity, Nutrition, Exercise & Eating Disorders, University of Sydney, Sydney, Australia
| | - Tu M Hoang
- Thai Nguyen National Hospital, Thai Nguyen, Vietnam
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