Correlates of Fatigue in Patients With Heart Failure

Abstract

This study was conducted to determine the prevalence of fatigue and identify its demographic, clinical, and psychological correlates in 150 heart failure (HF) patients (73% men, 66% Caucasian, mean age 55 years, mean ejection fraction 26.7%±11%), from a single HF center, using the Profile of Mood States-Fatigue Subscale, the Minnesota Living With Heart Failure Questionnaire, and the Beck Depression Inventory. Sociodemographic and clinical data were obtained through self-report and chart abstraction. High levels of fatigue were reported in 50.4% of men and 51.2% of women. In a multivariate model, maximal workload, physical health, emotional health, and depression explained 51% of the variance in fatigue (P<.001). Fatigue in patients with HF is associated with both clinical and psychosocial variables, offering a number of targets for intervention. These findings suggest the need for multiple risk factor intervention strategies that improve physical and emotional health to decrease fatigue. Patients with depression warrant particular scrutiny.

Study of Fatigue and Associated Factors in Patients with Chronic Heart Failure

“…In a prospective study, fatigue prevalence was 16% -91% (32) and in another study, it was reported as 88% (19). Results of the study of Ivanglesta et al (33) reported fatigue in 50.4% of male heart diseases and 51.2% of female heart diseases, and in the study of Rahnavard et al (34) 54.9% of the patients of the study had present moderate fatigue and 49% had had moderate fatigue during the last month. In another study, only 5% of the patients did not report any fatigue and 9% of the patients reported fatigue following an activity (24).…”

“…Fatigue is one of the initial symptoms of heart failure, which is frequently observed (33). Also in a longitudinal study by Kings and Fredman, fatigue was reported to be the only symptom of chronic heart failure (44).…”

Fatigue in the Presence of Coronary Heart Disease

“…Even participants categorized as having mild depressive symptoms reported higher levels of fatigue. The link between fatigue and depression has been previously documented in cardiovascular disease patients (Evangelista et al, 2008;Fennessy et al, 2010;Fink et al, 2012).…”

Pengaruh Pijat Punggung terhadap Skor Kelelahan Pasien Gagal Jantung

“…Sebanyak 76% penderita gagal jantung mengalami depresi dan kecemasan yang mengarah pada kelelahan. Penelitian lain menemukan bahwa 75% pasien gagal jantung mengalami kelelahan (Evangelista, 2008). Angka ini terus meningkat seiring dengan bertambahnya usia pasien.…”