Impact of continuous care on cardiac function in patients with lung cancer complicated by coronary heart disease

World J Clin Cases. 2024 Jan 16;12(2):314-321. doi: 10.12998/wjcc.v12.i2.314.

Abstract

Background: Despite sharing similar pathogenic factors, cancer and coronary heart disease (CHD) occur in comparable populations at similar ages and possess similar susceptibility factors. Consequently, it is increasingly commonplace for patients to experience the simultaneous occurrence of cancer and CHD, a trend that is steadily rising.

Aim: To determine the impacts of continuing care on lung cancer patients with CHD following percutaneous coronary intervention (PCI).

Methods: There were 94 lung cancer patients with CHD following PCI who were randomly assigned to the intervention group (n = 38) and the control group (n = 41). In the intervention group, continuing care was provided, while in the control group, routine care was provided. An evaluation of cardiac and pulmonary function, medication compliance, a 6-min walk test, and patient quality of life was performed.

Results: Differences between the two groups were significant in left ventricular ejection fraction, 6-min walk test, oxygen uptake, quality of life and medication compliance (P < 0.05). In comparison with the control group, the enhancement in the intervention group was more significant. The intervention group had more patients with high medication compliance than the control group, with a statistically significant difference (P < 0.05).

Conclusion: After undergoing PCI, lung patients with CHD could benefit from continued care in terms of cardiac and pulmonary function, medications compliance, and quality of life.

Keywords: Continuing care; Coronary heart disease; Lung cancer; Percutaneous coronary intervention.