What the Study Adds
Angina, angina, anxiety, angina post-PCI.The, pre-PCI, post-PCI angina, depression
DISEASE
Patients with post-PCI angina reported more frequent angina and poorer quality of life at baseline yet had physiologically less severe disease and, accordingly, tended to achieve less improvement in coronary physiology metrics than those who were free from angina post-PCI.The degree of improvement in patient-reported outcome measures following PCI is not associated with post-PCI coronary physiology values. It relates instead to the pre-PCI value and the change from baseline. Lower pre-PCI values and larger increases in fractional flow reserve were associated with higher patient-reported outcome measures scores at follow-up.Intracoronary physiology assessment can inform expectations of angina relief and quality of life improvement after stenting and thereby help to determine the appropriateness of PCI intended to alleviate symptoms.
Angina after percutaneous coronary intervention (PCI) is associated with long-term anxiety, depression, impaired physical function, and quality of life.