ArticleFrontiers in cardiovascular medicine2025
Effectiveness of integrated nurse-physician management in post-PCI coronary heart disease patients: an analysis based on follow-up data.
Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Background: Post-PCI patients often require coordinated secondary prevention and education. We evaluated whether an integrated nurse-physician management program improves health behaviors, disease knowledge, angina-related health status, and cardiac function vs. routine care. Methods: In a single-center, retrospective, non-randomized cohort, adults after PCI received either an integrated program or routine care. Outcomes were assessed at baseline, 1 month, and 3 months and included: Health-Promoting Lifestyle Profile II (HPLP-II), Coronary Artery Disease Education Questionnaire-Short Version (CADE-Q SV), Seattle Angina Questionnaire (SAQ-overall), echocardiographic indices (e.g., LVEF, LVFS), and physiological/biochemical markers (SBP, DBP, BMI, triglycerides, LDL). The primary endpoint was change in SAQ-overall from baseline to 3 months. Linear mixed-effects models with fixed effects for group, time, and group × time and a subject-level random intercept estimated estimated marginal means (EMMs) and the between-group difference-in-change ( Results: 128 patients were analyzed (64 integrated; 64 routine). At 3 months, the integrated program produced a significantly greater improvement in SAQ-overall vs. routine care ( Conclusions: Over 3 months post-PCI, integrated nurse-physician management improved patient-reported outcomes and cardiac function beyond routine care, while changes in physiological/biochemical markers were variable. These results support integrating structured nursing-led secondary prevention and education into routine post-PCI management and warrant confirmation in prospective randomized studies.
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