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  1. Quality of life in patients with ischaemic heart disease : a prospective controlled study.

    Article - En anglais

    Objectives

    To assess quality of life in patients after acute myocardial infarction (AMI), coronary artery by-pass grafting surgery (CABG) and percutaneous transluminal coronary angioplasty (PTCA) as compared with healthy controls.

    Design

    Self-administered questionnaires were completed 1 month and 1 year after the event.

    Setting

    Department of Cardiology, University Hospital, Malmö, Sweden ; 1989-1992.

    Subjects

    296 AMI, 99 CABG, 18 PTCA patients and 88 randomly selected healthy controls were included ; 349 patients completed the entire programme.

    Main outcome measures

    Quality of life in the dimensions of perceived general health, thoracic pain, breathlessness, feeling of arrhythmia, anxiety, depression, self-esteem, experience of social life and sex life.

    Results

    Patients differed from controls in both psychological and somatic aspects of QL after 1 month.

    Furthermore, 1 month after the event AMI patients experienced more anxiety (P=0.001) than CABG patients, whilst CABG patients experienced a poorer sex life (P<0.001) than AMI patients.

    One year after the event patients differed from controls primarily in somatic symptoms ; no significant differences were found across patient groups.

    Patients who sought emergency out-patient care during the follow-up year for clinically diagnosed angina pectoris or cardiac incompensation had reported higher levels of thoracic pain (P<0.001) and breathlessness (P<0.001) at 1 month follow-up than patients who did not seek such care. (...)

    Mots-clés Pascal : Ischémie, Myocarde, Infarctus, Revascularisation chirurgicale, Plastie, Artère coronaire, Voie percutanée, Exploration clinique, Qualité vie, Evolution, Questionnaire, Etude comparative, Homme, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Cardiopathie coronaire, Myocarde pathologie, Chirurgie, Psychopathologie

    Mots-clés Pascal anglais : Ischemia, Myocardium, Infarct, Surgical revascularization, Plasty, Coronary artery, Percutaneous route, Clinical investigation, Quality of life, Evolution, Questionnaire, Comparative study, Human, Cardiovascular disease, Vascular disease, Coronary heart disease, Myocardial disease, Surgery, Psychopathology

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0485174

    Code Inist : 002B30A01A2. Création : 03/02/1998.