Quality of life in patients with ischaemic heart disease : a prospective controlled study.
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.
Self-administered questionnaires were completed 1 month and 1 year after the event.
Department of Cardiology, University Hospital, Malmö, Sweden ; 1989-1992.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0485174
Code Inist : 002B30A01A2. Création : 03/02/1998.