Assessment of Non-Ischemic Chest Pain and its Association with Socio-Demographic Characteristics among Post Percutaneous Coronary Interventions (PCI) Patients : Non-Ischemic Chest Pain among Post PCI Patient

Subia Naz; Amjad Ali; Abdur Rasheed; Tanseer Ahmed

doi:10.54393/pjhs.v4i11.1162

Authors

Subia Naz Dow Institute of Nursing and Midwifery, Dow University of Health Sciences, Karachi, Pakistan
Amjad Ali Dow Institute of Nursing and Midwifery, Dow University of Health Sciences, Karachi, Pakistan
Abdur Rasheed School of Public Health, Dow University of Health Sciences, Karachi, Pakistan
Tanseer Ahmed Dow Institute of Nursing and Midwifery, Dow University of Health Sciences, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i11.1162

Keywords:

Non-ischemic Chest Pain, Percutaneous Coronary Intervention, Numerical Rating Scale, Tertiary Care Hospital

Abstract

The most common procedure used in cardiovascular medicine is percutaneous coronary intervention (PCI) that can create some physiological complications, such as decreasing heart rate, mechanical issues, and cardiac arrest among patients. Objective: To determine the frequency of non-ischemic chest pain and its relation with socio-demographic features amongst post PCI patients in a tertiary care hospital in Karachi. Methods: This analytical cross-sectional study was led at National Institute of Cardiovascular Diseases (NICVD) Hospital, Karachi. A total of 195 patients with Post PCI non-ischemic chest pain were recruited by using the Numerical rating scale (NRS). Non-probability purposive sampling technique was used and permission was taken from Institutional Review Board (IRB) of DUHS and Ethical Review Committee (ERC) of NICVD. Data were analyzed by using SPSS Version-26.0. Percentages and frequency were used for categorical variables while, a chi-square test was applied to check the associations of non-ischemic chest pain with demographic features of the patients. Results: In this study, 63.60% of the participants were male. Most of the participants (75.4%) were married. Non-ischemic chest pain was found significantly associated with age, gender, marital status, history of disease and drug history with p-values <0.001, 0.001, <0.001, <0.001, <0.001 respectively. The majority of the participants (90.26%) were suffered with non-ischemic chest pain. Conclusions: This study revealed that majority of the patients suffered with non-ischemic chest pain and moderate pain level was prevailing in the majority of the post PCI patients.

References

Bekkouche NS, Wawrzyniak AJ, Whittaker KS, Ketterer MW, Krantz DS. Psychological and physiological predictors of angina during exercise-induced ischemia in patients with coronary artery disease. Psychosomatic Medicine. 2013 May; 75(4): 413. doi: 0.1097/PSY.0b013e31828c4cb4. DOI: https://doi.org/10.1097/PSY.0b013e31828c4cb4

Xaplanteris P, Fournier S, Pijls NH, Fearon WF, Barbato E, Tonino PA, et al. Five-year outcomes with PCI guided by fractional flow reserve. New England Journal of Medicine. 2018 Jul; 379(3): 250-9. doi: 10.1056/NEJMoa1803538. DOI: https://doi.org/10.1056/NEJMoa1803538

Ben‐Yehuda O, Kazi DS, Bonafede M, Wade SW, Machacz SF, Stephens LA, et al. Angina and associated healthcare costs following percutaneous coronary intervention: a real‐world analysis from a multi‐payer database. Catheterization and Cardiovascular Interventions. 2016 Dec; 88(7): 1017-24. doi: 10.1002/ccd.26365. DOI: https://doi.org/10.1002/ccd.26365

Benjamin EJ, Muntner P, Alonso A, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics—2019 update: a report from the American Heart Association. Circulation. 2019 Mar; 139(10): e56-28. doi: 10.1161/CIR.0000000000000659. DOI: https://doi.org/10.1161/CIR.0000000000000659

Peiyuan H, Jingang Y, Haiyan X, Xiaojin G, Ying X, Yuan W, et al. The comparison of the outcomes between primary PCI, fibrinolysis, and NO reperfusion in patients≥ 75 years old with ST-segment elevation myocardial infarction: results from the Chinese acute myocardial infarction (CAMI) registry. PLoS One. 2016 Nov; 11(11): e0165672. doi: 10.1371/journal.pone.0165672. DOI: https://doi.org/10.1371/journal.pone.0165672

Gorenoi V, Schönermark MP, Hagen A. Percutaneous coronary intervention with optimal medical therapy vs. optimal medical therapy alone for patients with stable angina pectoris. GMS Health Technology Assessment. 2011 Nov; 7: Doc07. doi: 10.3205/hta000098.

Koziński M and Sukiennik A. Revisiting the role of percutaneous coronary interventions in stable angina: The landscape after the COURAGE trial. Cardiology Journal. 2007; 14(4): 321-5.

Maragiannis D, Lazaros G, Vavuranakis M, Chrysohoou C, Athanassopoulou S, Patialiakas A, et al. Chronic stable angina: percutaneous coronary intervention or medication. Hellenic Journal of Cardiology. 2011 May; 52(3): 246-52.

Kozuch M, Kralisz P, Korecki J, Rog-Makal M, Prokopczuk P, Bachorzewska-Gajewska H, et al. Early and long-term prognosis of patients with coronary artery disease treated with percutaneous coronary interventions in 2005. Experience of single large-volume PCI center. Advances in Medical Sciences. 2011 Dec; 56(2): 222-30. doi: 10.2478/v10039-011-0029-8. DOI: https://doi.org/10.2478/v10039-011-0029-8

Tebbe U, Hochadel M, Bramlage P, Kerber S, Hambrecht R, Grube E, et al. In-hospital outcomes after elective and non-elective percutaneous coronary interventions in hospitals with and without on-site cardiac surgery backup. Clinical Research in Cardiology. 2009 Nov; 98: 701-7. doi: 10.1007/s00392-009-0045-x. DOI: https://doi.org/10.1007/s00392-009-0045-x

Schüepp M, Ullmer E, Weinbacher M, Pfisterer M, Scholer A, Ritz R, et al. Chest pain early after percutaneous coronary intervention: incidence and relation to ECG changes, cardiac enzymes and follow-up events. The Journal of Invasive Cardiology. 2001 Mar; 13(3): 211-6.

Kini AS, Lee P, Mitre CA, Duffy ME, Sharma SK. Postprocedure chest pain after coronary stenting: implications on clinical restenosis. Journal of the American College of Cardiology. 2003 Jan; 41(1): 33-8. doi: 10.1016/S0735-1097(02)02617-7. DOI: https://doi.org/10.1016/S0735-1097(02)02617-7

Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). European Heart Journal. 2018 Jan; 39(2): 119-77.

Neumann FJ, Sousa-Uva M, Ahlsson A, Alfonso F, Banning AP, Benedetto U, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. European Heart Journal. 2019 Jan; 40(2): 87-165. doi: 10.1093/eurheartj/ehy855. DOI: https://doi.org/10.1093/eurheartj/ehy855

Thong IS, Jensen MP, Miró J, Tan G. The validity of pain intensity measures: what do the NRS, VAS, VRS, and FPS-R measure? Scandinavian Journal of Pain. 2018 Jan; 18(1): 99-107. doi: 10.1515/sjpain-2018-0012. DOI: https://doi.org/10.1515/sjpain-2018-0012

Ronnevig M, Bjorsvik E, Gullestad L, Forfang K. A descriptive study of early nonspecific chest pain after PTCA: important area for the acute health care personnel. Heart & lung. 2003 Jul; 32(4): 241-9. doi: 10.1016/S0147-9563(03)00024-4. DOI: https://doi.org/10.1016/S0147-9563(03)00024-4

Cannon RO. Microvascular angina and the continuing dilemma of chest pain with normal coronary angiograms. Journal of the American College of Cardiology. 2009 Sep; 54(10): 877-85. doi: 10.1016/j.jacc.2009.03.080. DOI: https://doi.org/10.1016/j.jacc.2009.03.080

Davies RF, Linden W, Habibi H, Klinke WP, Nadeau C, Phaneuf DC, et al. Relative importance of psychologic traits and severity of ischemia in causing angina during treadmill exercise. Journal of the American College of Cardiology. 1993 Feb; 21(2): 331-6. doi: 10.1016/0735-1097(93)90671-M. DOI: https://doi.org/10.1016/0735-1097(93)90671-M

McGillion M, Arthur HM, Natarajan M, Cook A, Gunn E, Watt-Watson J, et al. Nonischemic chest pain following successful percutaneous coronary intervention at a regional referral centre in southern Ontario. Canadian Journal of Cardiology. 2012 Mar; 28(2): S60-9. doi: 10.1016/j.cjca.2011.10.017. DOI: https://doi.org/10.1016/j.cjca.2011.10.017

Pohlen M, Bunzemeier H, Husemann W, Roeder N, Breithardt G, Reinecke H. Risk predictors for adverse outcomes after percutaneous coronary interventions and their related costs. Clinical Research in Cardiology. 2008 Jul; 97: 441-8. doi: 10.1007/s00392-008-0647-8. DOI: https://doi.org/10.1007/s00392-008-0647-8

You B, Zhu B, Su X, Liu F, Wang B. Gender differences among elderly patients with primary percutaneous coronary intervention. Aging and Disease. 2018 Oct; 9(5): 852. doi: 10.14336/AD.2017.1129. DOI: https://doi.org/10.14336/AD.2017.1129

Epps KC, Holper EM, Selzer F, Vlachos HA, Gualano SK, Abbott JD, et al. Sex differences in outcomes following percutaneous coronary intervention according to age. Circulation: Cardiovascular Quality and Outcomes. 2016 Feb; 9(2_suppl_1): S16-25. doi: 10.1161/CIRCOUTCOMES.115.002482. DOI: https://doi.org/10.1161/CIRCOUTCOMES.115.002482

Huynh T, Perron S, O'Loughlin J, Joseph L, Labrecque M, Tu JV, et al. Comparison of primary percutaneous coronary intervention and fibrinolytic therapy in ST-segment-elevation myocardial infarction: bayesian hierarchical meta-analyses of randomized controlled trials and observational studies. Circulation. 2009 Jun; 119(24): 3101-3109. doi: 10.1161/CIRCULATIONAHA.108.793745. DOI: https://doi.org/10.1161/CIRCULATIONAHA.108.793745

Jeremias A, Kutscher S, Haude M, Heinen D, Holtmann G, Senf W, et al. Nonischemic chest pain induced by coronary interventions: a prospective study comparing coronary angioplasty and stent implantation. Circulation. 1998 Dec; 98(24): 2656-8. doi: 10.1161/01.CIR.98.24.2656. DOI: https://doi.org/10.1161/01.CIR.98.24.2656

Darvishpour A, Javadi-Pashaki N, Salari A, Sadeghi T, Taleshan-Nejad M. Factors associated with quality of life in patients undergoing coronary angioplasty. International Journal of Health Sciences. 2017 Sep; 11(4): 35.

Fanaroff AC, Kaltenbach LA, Peterson ED, Hess CN, Cohen DJ, Fonarow GC, et al. Management of Persistent Angina After Myocardial Infarction Treated With Percutaneous Coronary Intervention: Insights From the TRANSLATE‐ACS Study. Journal of the American Heart Association. 2017 Oct; 6(10): e007007. doi: 10.1161/JAHA.117.007007. DOI: https://doi.org/10.1161/JAHA.117.007007

Radico F, Zimarino M, Fulgenzi F, Ricci F, Di Nicola M, Jespersen L, et al. Determinants of long-term clinical outcomes in patients with angina but without obstructive coronary artery disease: a systematic review and meta-analysis. European Heart Journal. 2018 Jun; 39(23): 2135-46. doi: 10.1093/eurheartj/ehy185. DOI: https://doi.org/10.1093/eurheartj/ehy185

Yang XL, Xie WY, Cai YM, Tang HY, Tao MY, Shen ZM, et al. Investigation of the negative emotions exhibited in patients with coronary heart disease after PCI and any influencing factors. Psychology Research and Behavior Management. 2022 Oct; 15: 3027-37. doi: 10.2147/PRBM.S379422. DOI: https://doi.org/10.2147/PRBM.S379422

Tsoulou V, Vasilopoulos G, Kapadochos T, Pavlatou N, Kalogianni A, Toulia G, et al. Quality of Life in Patients Undergoing Percutaneous Coronary Intervention. Clinics and Practice. 2023 May; 13(3): 621-37. doi: 10.3390/clinpract13030057. DOI: https://doi.org/10.3390/clinpract13030057

Abdelhaq MJ, Shajrawi AM, Ismaile S, Al-Smadi AM, Al-Akash HY, Ashour A, et al. Predictors of Post-Percutaneous Coronary Intervention Chest Pain Among Coronary Heart Disease Patients. Clinical Nursing Research. 2023 Sep; 32(7): 1010-20. doi: 10.1177/10547738231184085. DOI: https://doi.org/10.1177/10547738231184085