Recovery after heart attack and stents
Pro Research Analysisby 
Searched over 200M research papers
Recovery After Heart Attack and Stents
Left Ventricular Function Recovery Post-Angioplasty
Segmental Wall Thickening and Ejection Fraction Improvement
Patients who undergo primary stenting with drug-eluting stents after an acute myocardial infarction (AMI) show significant recovery in left ventricular function. Key metrics such as segmental wall thickening (SWT) and ejection fraction (EF) improve notably within five months post-procedure. For instance, EF increased from 48% to 55% in a study group, indicating a marked recovery1. This improvement is closely related to the initial myocardial infarct size and perfusion scores, with delayed enhancement (DE) imaging serving as a strong prognosticator for recovery1.
Impact of Multiple Coronary Stents on Myocardial Recovery
Negative Correlation with Left Ventricular Ejection Fraction
The presence of multiple coronary stents can negatively impact myocardial recovery, especially after coronary artery bypass grafting (CABG). Patients with a history of percutaneous coronary intervention (PCI) and multiple stents are at a higher risk of non-recovery of left ventricular ejection fraction (LVEF). In a study, the number of coronary stents was inversely correlated with LVEF recovery, highlighting the challenges faced by these patients in achieving optimal cardiac function post-CABG2.
Enhancing Recovery Through Nursing Interventions
Role of Self-Efficacy and Family Support
Nursing interventions based on self-efficacy and family stress theory can play a crucial role in enhancing recovery post-heart surgery. Although initial studies showed limited significant differences in recovery metrics between experimental and control groups, factors such as age, gender, and preoperative cardiac status were found to significantly affect individual recovery outcomes3. Continued research with larger sample sizes is necessary to better understand the impact of these interventions on recovery.
Clinical Outcomes of Genous Bio-Engineered Stents
Low Incidence of Repeat Revascularization and Stent Thrombosis
The use of Genous EPC capturing stents has shown promising clinical outcomes, with low incidences of repeat revascularization and stent thrombosis. In a large-scale registry, the 12-month target vessel failure (TVF) rate was 8.4%, and the incidence of stent thrombosis was only 1.1%4. These results suggest that Genous stents are effective in promoting endothelial healing and reducing adverse cardiac events.
Predictors of Successful Recovery Post-Heart Surgery
Biopsychosocial Factors
A comprehensive study identified several biopsychosocial factors that predict successful recovery from heart surgery. Key predictors include low levels of preoperative symptoms such as angina pain, shortness of breath, and fatigue, as well as low levels of anxiety, depression, and hostility. High levels of self-esteem, well-being, and social support also contribute significantly to recovery outcomes5. These findings underscore the importance of addressing both psychological and social factors in addition to biomedical treatment to enhance recovery.
Conclusion
Recovery after a heart attack and stent placement involves a multifaceted approach that includes medical, psychological, and social interventions. Drug-eluting stents show significant promise in improving left ventricular function, while multiple stents can complicate recovery. Nursing interventions and biopsychosocial factors play crucial roles in enhancing recovery outcomes, highlighting the need for a holistic approach to patient care.
Sources and full results
Most relevant research papers on this topic
Recovery of left ventricular function after primary angioplasty for acute myocardial infarction.
Drug-eluting stents significantly improve left ventricular function after acute myocardial infarction, with delayed enhancement imaging being a better prognosticator than perfusion imaging.
Observational Study
Highly CitedMultiple coronary stenting negatively affects myocardial recovery after coronary bypass grafting
Multiple coronary stents negatively affect myocardial recovery after coronary bypass grafting, with a history of percutaneous coronary intervention being an exclusive risk factor for non-recovery.
Observational StudyImproving recovery following cardiac surgery: a randomized clinical trial.
Nursing interventions based on self-efficacy and family stress theory during cardiac surgery improved perceived self-efficacy for lifting and tolerating emotional distress, but did not significantly affect individual or family recovery at 6 months.
RCTHighly CitedClinical results after coronary stenting with the Genous™ Bio-engineered R stent™: 12-month outcomes of the e-HEALING (Healthy Endothelial Accelerated Lining Inhibits Neointimal Growth) worldwide registry.
Coronary stenting with the Genous stent results in good clinical outcomes and low incidences of repeat revascularization and stent thrombosis.
Observational StudyQuantifying and predicting recovery after heart surgery.
Preoperative factors like low angina pain, low anxiety, depression, and social support predict successful recovery from cardiac surgery.
Observational StudyHighly CitedBiological responses in stented arteries.
Stent placement induces neointimal proliferation/restenosis, which progresses through distinct phases of repair, with smooth muscle cells playing a dominant role in restenosis.
Highly CitedThree-year follow-up after implantation of metallic coronary-artery stents.
Up to three years after coronary-artery stenting, clinical and angiographic outcomes were favorable, with a low rate of revascularization of stented lesions and late improvement in luminal diameter.
Observational StudyHighly CitedChatbot to predict need of a stent in cardiac treatment
A machine learning-based chatbot model accurately predicts the need for a stent in cardiac treatment with an accuracy of 81%.
Rigorous JournalStenting in Chronic Coronary Occlusion (SICCO): a randomized, controlled trial of adding stent implantation after successful angioplasty.
Stent implantation improves long-term angiographic and clinical results after PTCA of chronic coronary occlusions, making it a recommended treatment regardless of the primary PTCA result.
RCTHighly CitedImproved adverse postoperative outcomes with revised American College of Cardiology/American Heart Association guidelines for patients with cardiac stents.
The revised guidelines for patients with cardiac stents delayed noncardiac surgery by 365 days and reduced major adverse cardiac events by 26%, but more factors influence management over time.
Observational Study