ntroduction: This study describes the incidence and predictors
of permanent disability pension (PWD) in patients <50 years old who
underwent percutaneous coronary intervention (PCI).

Materials and methods:
910 patients undergoing PCI at 4 hospitals in 2002–2012. Patients
records were reviewed for baseline and procedural data and late adverse
events. Data on permanent work disability (PWD) pension allocation were
acquired from the national Centre for Pensions, which governs the
statutory pension security in the country.

Results: Mean
follow-up was 41±31 months. Altogether 103/910 (11.3%) of patients were
on PWD by the end of follow-up, 60 (58.3%) for cardiac diagnoses.
Independent predictors of PWD were postprocedural stroke (HR 4.67, 95%
CI 1.84–11.87), postprocedural MI (HR 3.28, 95% CI 1.80–5.96), diabetes
(HR 1.99, 95% CI 1.06–3.72), discharge diuretics (HR 3.506, 95% CI
2.095–5.868) and increasing age (HR 1.15, 95% CI 1.06–1.25). Predictors
of PWD for cardiac diagnoses were postprocedural stroke and MI,
discharge diuretics and Ca-blockers, diabetes and age.

Conclusions:
Patients ≤50 years old undergoing PCI are at a high risk for subsequent
permanent disability for cardiac diagnoses. This finding underscores
the need for reinforcing adherence to secondary prevention by cardiac
rehabilitation and early collaboration with occupational health care
professionals.