Community-based Precise Management for Patients With Coronary Artery Disease

Development and Assessment of the Precise Management and Rehabilitation Model of Coronary Artery Disease Under the Hierarchical Medical System

The community-based precise management for patients with coronary artery disease study is a prospective, cluster-randomized, open-labeled trial. The purpose of this trial is to test whether a community-based precise management and rehabilitation model under the hierarchical medical system could help improve the cardiovascular risk factors control in patients with coronary artery disease. Additionally, the trial will also evaluate the impact of the model on major cardiovascular adverse events in patients with coronary artery disease.

Inclusion Criteria:

• Patients with prior myocardial infarction
• or receiving percutaneous coronary intervention or coronary artery bypass graft;
• or coronary artery stenosis≥50% defined by coronary angiography or coronary CT angiography

Exclusion Criteria:

• Refuse to sign the written informed consent;
• Patients without the ability to take care of themselves;
• Mental disorders;
• Alcoholics or drug addicts;
• Cannot be followed up for any reasons;
• Life expectancy<1 year due to non-cardiovascular reasons.