Investigation of the value of carotid-femoral pulse wave velocity and coronary artery lesions in prognosis of percutaneous coronary intervention patients

Objective: To investigate the value of carotid-femoral pulse wave velocity (CFPWV) and coronary artery lesions in assessing prognosis of percutaneous coronary intervention (PCI) patients. Methods: A total of 300 PCI patients admitted to our hospital were selected as study subjects, and were divided into Group A (0-13 m/s, n=180) and Group B (> 13 m/s, n=120) in accordance with different carotid-femoral pulse wave velocities (CFPWVs). Coronary artery lesions, incidence rates of major adverse cardiac events (MACE) at different stages, and differences in the indexes of cardiac function were compared between the two groups. Results: Compared to Group A, Group B had more severe coronary artery lesions and higher incidence rates of postoperative complications and MACE during hospital stay and 2-year follow-up (P < 0.05). At 1 month after surgery, the left ventricular stroke volume, left ventricular end-diastolic volume and left ventricular ejection fraction in Group A were higher than those of Group B. CFPWV was significantly correlated with Gensini score (GS) and incidence rate of MACE (P < 0.05), and the differences in the area under curve (AUC) of CFPWV for predicting the incidence rate of MACE were significant (P < 0.05). Conclusion: CFPEV, exhibits value in assessing the prognosis of PCI patients, and can effectively predict the postoperative incidence of MACE, which is conducive to the establishment of subsequent regimens. Therefore, CFPEV is worthy of clinical promotion and implementation.