Correlation between quality of life, functional class and age in patients with cardiac pacemaker

Abstract

Objective: To evaluate whether there is a correlation between quality of life and functional class in early heart pacemaker in patients, and its relationship with age.Methods: 107 patients of both sexes (49.5% female /50.5% male) were investigated, average implant time of 6.36 months (±2.99), and average age of 69.3 years (±12.6). To assess the FC, a scale suggested by Goldman was used; for QoL the AQUAREL questionnaire was used, associated with SF-36. Statistical analysis was conducted using Spearman's correlation with 5% significance.Results: Negative correlations were observed between QoL and FC: AQUAREL in the three domains, chest discomfort (r=-0.197, P=0.042), dyspnea (r=-0.508, P=0.000), arrhythmia (r=-0.271, P=0.005), and the SF-36 in the eight domains. Regarding age, there was a negative correlation with the SF-36 Functional Capacity (r=-0.338, P=0.000) and no correlation was found with AQUAREL. Positive correlation (r=0.237, P=0.014) was observed between age and FC. Conclusion

Health-Related Quality of Life of Patients With Permanent Cardiac Pacing

“…Most studies, [6][7][8] however, fail to report the patients' socioeconomic information, while patients obtain mean HRQoL scores that are considered satisfactory. [3][4][5][6][7][8] Integrative reviews addressing the HRQoL of individuals with a pacemaker include the same studies reported here, concluding that the implantation of a pacemaker improved the quality of life of individuals with cardiovascular diseases as they felt integrated with social life, their symptoms subside, and they start exercising. [9][10] Even though the guidelines for implantation and follow-up are well-established and the clinical characteristics, as well as mean age and sex of the population are similar, Brazilian studies do not include individuals whose devices were implanted in the last three years.…”

“…The mean scores obtained in the domains Chest Discomfort and Arrhythmia reported by other studies were either very close or over 70.0. [3][4][5]18 The domain Chest Discomfort asks whether patients experience any pain, tightness, or weight on their chest in situations that did not require any exertion, like resting, and in situations involving more vigorous tasks, such as climbing stairs or exercising. The Arrhythmia domain addresses whether patients experience lower limb edema, irregular heart beat or syncope.…”

“…The literature shows both Brazilan [3][4][5] and international studies [6][7][8] addressing the HRQoL of patients receiving a PPI that present certain characteristics concerning age, sex, and length of pacemaker implantation. Most studies, [6][7][8] however, fail to report the patients' socioeconomic information, while patients obtain mean HRQoL scores that are considered satisfactory.…”

“…[9][10] Even though the guidelines for implantation and follow-up are well-established and the clinical characteristics, as well as mean age and sex of the population are similar, Brazilian studies do not include individuals whose devices were implanted in the last three years. [3][4][5] The importance of this study is justified by rapid technological changes, a lack of studies addressing HRQoL in this population; and the fact that no studies addressing the HRQoL among individuals whose devices were implanted in the last three years were found. Thus, this study's objective was to assess the HRQoL of patients with permanent cardiac pacing.…”

D Tipo Asmenybių Su Implantuotu Elektrokardiostimuliatoriumi Gyvenimo Kokybės Aspektai

“…Daugiacentriniai tyrimai įrodė, kad ligonių, sergančių kardiovaskulinėmis ligomis (KVL) ir širdies nepakankamumu, gyvenimo kokybė susijusi su ligos sunkumo laipsniu (funkcine klase), amžiumi, lytimi, socialine parama, psichologiniais veiksniais bei asmenybės ypatumais [3,4]. Daugelis tyrimų su pacientais, kuriems implantuotas EKS, parodė, kad jų gyvenimo kokybei poveikį turi panašūs veiksniai [5,6]. Lietuvoje 2012 m. atlikto tyrimo rezultatai rodo, kad gyvenimo kokybė priklauso nuo širdies ritmo sutrikimo trukmės iki EKS implantacijos.…”