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Predictive Value of Cardiovascular Health Score for Health Outcomes in Patients with PCI: Comparison between Life’s Simple 7 and Life’s Essential 8

Author

Listed:
  • Xueqin Gao

    (Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin 150086, China
    Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China)

  • Xinrui Ma

    (Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China)

  • Ping Lin

    (Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China)

  • Yini Wang

    (Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China)

  • Zhenjuan Zhao

    (Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China)

  • Rui Zhang

    (Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China)

  • Bo Yu

    (Department of Cardiology, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China)

  • Yanhua Hao

    (Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin 150086, China)

Abstract

The American Heart Association recently published an updated algorithm for quantitative assessments of cardiovascular health (CVH) metrics, namely Life’s Essential 8 (LE8). This study aimed to compare the predictive value between Life’s Simple 7 (LS7) and LE8 and predict the likelihood of major adverse cardiac events (MACEs) in patients undergoing percutaneous coronary intervention (PCI) to determine the utility of the LE8 in predicting CVH outcomes. A total of 339 patients with acute coronary syndrome (ACS) who had undergone PCI were enrolled to assess the CVH scores using the LS7 and LE8. Multivariable Cox regression analysis was employed to evaluate the predictive value of the two different CVH scoring systems at 2 years for MACEs. Multivariable Cox regression analysis revealed that both the LS7 and LE8 scores were protective factors for MACEs (HR = 0.857, [95%CI: 0.78–0.94], HR = 0.964, [95%CI: 0.95–0.98]; p < 0.05, respectively). Receiver operator characteristic analysis indicated that the area under the curve (AUC) of LE8 was higher than that of LS7 (AUC: 0.662 vs. 0.615, p < 0.05). Lastly, in the LE8 score, diet, sleep health, serum glucose levels, nicotine exposure, and physical activity were found to be correlated with MACEs (HR = 0.985, 0.988, 0.993, 0.994, 0.994, respectively). Our study established that LE8 is a more reliable assessment system for CVH. This population-based prospective study reports that an unfavorable cardiovascular health profile is associated with MACEs. Future research is warranted to evaluate the effectiveness of optimizing diet, sleep health, serum glucose levels, nicotine exposure, and physical activity in reducing the risk of MACEs. In conclusion, our findings corroborated the predictive value of Life’s Essential 8 and provided further evidence for the association between CVH and the risk of MACEs.

Suggested Citation

  • Xueqin Gao & Xinrui Ma & Ping Lin & Yini Wang & Zhenjuan Zhao & Rui Zhang & Bo Yu & Yanhua Hao, 2023. "Predictive Value of Cardiovascular Health Score for Health Outcomes in Patients with PCI: Comparison between Life’s Simple 7 and Life’s Essential 8," IJERPH, MDPI, vol. 20(4), pages 1-11, February.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:4:p:3084-:d:1063807
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